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    MODULE 4
    LGBT RELATIONSHIPS AND PARENTING


    "First, GLMA [the Gay and Lesbian Medical Association] has opened our eyes to the diverse needs of LGBT patients...And second--just as important--GLMA has told patients they have a right to expect a health care system filled with openness, fairness, and equality. As a result of these two efforts, our patients are stronger and healthier; not just our LGBT patients, but--in fact--all of our patients and communities."
    [J. Edward Hill, President of the American Medical Association ]


    We live in a culture that validates heterosexual coupling, rewarding "traditional" relationships with legal and financial support. Gay and lesbian couples, facing institutionalized oppression and internalized homophobia, have special needs that are overlooked and go unmet. Bisexual and transgendered partners also experience disenfranchisement from a society that focuses so greatly on a traditional model of couplehood, and does not recognize the unique needs of LGBT families. When LGBT people who are parents come out, or when they choose to become parents, there are unique medical, legal, and social dilemmas that they face.

      The goal of this module is...
      ...to provide you with information and strategies for coping with the barriers LGBT couples and families encounter in accessing medical and human services. We'll look at the stages LGBT couples progress through (pretty much the same stages as other couples, but with the added issue of heterosexism.) We'll review the use of the word Partner, and discuss the common threads in most human relationships that cause stress or concern, like money, children, and sex.


    PART ONE: What's Love got to do with it?

    LGBT relationships involve the same dynamics and values as heterosexual relationships. The most common denominator in romantic relationships is love, but same-sex relationships face the same issues as do all human relationships: jealousy, lust, control, intimacy problems, etc. We need to negotiate all the same developmental issues in couple-building as do heterosexual people, but we need to do this while combating oppression.

    The word wife comes from an Old English word "wyf," meaning "helpmate" and husband comes from a word meaning "hunter." Family comes from Latin and means everyone who lives in a man's household, including his children, servants, and wife. But the word Partner has a wide variety of contexts: legal, work, athletics, etc. How do you feel about this term? How about Significant Other? Today, the term partner has developed a new association as a non-gender specific term, though it should be noted that many gay and lesbian people use the terms "wife" and "husband," or "spouse" to describe their partner or significant other. And some people avoid these words by using "friend." Whatever your preference, there are ramifications for any term a same-sex couple chooses.


      EXERCISE 12: What's Your Preference
      Write an e-mail to your coach indicating which of the following terms you use (or would prefer to use) in a serious relationship. (It's OK to select more than one.)
      • Partner
      • Spouse
      • Husband / Wife
      • Significant Other (SO)
      • Friend
      • None of the above (If you have an alternative, please explain)


    PART TWO: Legal Aspects of LGBT Relationships

    LGBT couples do not have the same legal protection as heterosexual couples. Without these protections, we are denied many privileges and are therefore vulnerable to economic, social and personal losses. We are not legally allowed to marry and are often refused assistance when requesting donor insemination or adoption placements. We are rarely able to secure insurance benefits for our partners and sometimes we may be afraid to take advantage of benefits for fear of being outed. Many of us are unaware of the lack of legal protection we have and do not know how to go about securing the protections we do have.

    Holland, the first country to allow lesbian and gay marriage, does not allow gay couples to adopt and Vermont and Massachusetts are the only states to offer "civil unions," granting LGBT couples similar rights as heterosexual married couples, but these unions are not legally recognized in other states.


      EXERCISE 13: Legal Issues
      Read over the Legal Terms sheet, then make a list of the privileges you are denied because you are L, G, B or T. Mail the list to your coach


    PART THREE: LGBT Family-Building

    Many people, including even some who are LGBT, are uncomfortable with the idea of LGBT folk raising children. They may subscribe to the myths about LGBT people, worry that children will be molested, or not develop "normal" and healthy sex and gender identities. Of course, such concerns are homophobic and transphobic. There is no evidence that children raised by a lesbian, gay, transgendered, or gender variant parent have any greater chance of struggling with sexual or gender identity issues, or face any difficulties with their gender development.

    Lesbians, gays, bisexuals, and the transgendered have always raised children. There are currently an estimated six to 10 million lesbian and gay parents in the United States. While we don't know the exact number of bisexuals or transgendered people who are raising children, we know they exist and there is no evidence to indicate that their parenting or that of lesbians and gays is any less adequate than that of heterosexuals. There are an estimated 14 million children throughout the country with LGBT parents. Although many of these children were born when their parents were in a heterosexual relationship, the last two decades has seen a sharp rise among gay people planning and forming families through adoption, foster care, donor insemination, surrogacy, and other reproductive technologies. Some have described the current period as a lesbian and gay "baby boom."


      EXERCISE 14: Paths to Parenting
        You might want to read over the Review Sheet titled Paths to Parenting before doing this exercise. Assume you are a case worker going into a meeting to discuss the following case:

                Marissa is a 43- year old African American woman who has been a foster mother to Julia (age 12) for the past 4 years. Marissa and Julia have shared an apartment the entire 4 years with a female tenant to help pay for the rent. This tenant completed the foster care parent program to help support Marissa in caring for Julia. Julia is recently free for adoption, and Marissa has expressed a strong interest in adopting the child. Julia expressed excitement initially about this idea, and seemed a good candidate for adoption.
                Julia and Marissa have always gotten along quite well until recently, when Julia began acting out a bit and testing boundaries. The team has always supported Marissa in setting firm limits for Julia, and acknowledge that recent behaviors from Julia have gotten more serious (lying about her whereabouts after school, smoking cigarettes, etc) When responding to a similar crisis, the family worker recently learned from Julia that Marissa's "tenant" is actually a live in girlfriend. She shares this at the case conference.

        Post a response to the Discussion Board stating what direction you would want to take this case. Be sure to consider what might have motivated Julia to disclose this information at this time. And decide whether or not the circumstances would change the foster care placement and plan for adoption.


      PROCEED TO MODULE 5
      Substance Abuse, Addictions, and
      Recovery Issues in the LGBT Community


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