Deciding to Come Out to Parents: Toward a Model of Sexual Orientation Disclosure Decisions

Published date01 September 2018
AuthorErika L. Grafsky
Date01 September 2018
DOIhttp://doi.org/10.1111/famp.12313
Deciding to Come Out to Parents: Toward a Model
of Sexual Orientation Disclosure Decisions
ERIKA L. GRAFSKY
The purpose of this study was to conduct research to understand nonheterosexual youths’
decision to disclose their sexual orientation information to their parents. The sample for
this study includes 22 youth between the ages of 14 and 21. Constructivist groun ded theory
guided the qualitative methodology and data analysis. The findings from this study posit
an emerging model of sexual orientation disclosure decisions comprised of four interrelated
factors that influence the decision to disclose or not disclose, as well as a description of the
mechanism through which disclosure either does or does not occur. Clinical implications
and recommendations for further research are provided.
Keywords: Disclosure; LGBT; Parents; Qualitative; Youth
Fam Proc 57:783–799, 2018
BACKGROUND AND SIGNIFICANCE
Disclosure of Sexual Orientation to Family
Research has suggested that family factors play a significant role in health disparities
among sexual minority youth and young adults (Bouris et al., 2010; McConnell,
Birkett, & Mustanski, 2016; Needham & Austin, 2010; Padilla, Crisp, & Rew, 2010;
Rosario, Schrimshaw, & Hunter, 2009; Ryan, Huebner, Diaz, & Sanchez, 2009; Ryan,
Russell, Huebner, Diaz, & Sanchez, 2010; Willoughby, Doty, & Malik, 2010). Rosario,
Hunter, Maguen, Gwadz, and Smith (2001) suggests that the sexual identity developm ent
and integration, or coming out, process influences many adaptation and health related
behaviors of youth, such as self-esteem, psychological functioning, and sexual health and
is, in turn, affected by the stressors and strengths of the youth, their family, and their
community (Rosario et al., 2001). This process is interpersonally challen ging, resulting in
sexual minority youth having to face stressors unlike their straight cou nterparts.
Disclosing to family members is one aspect of the coming out process. Much of the
research on the disclosure to family process is centered on parental reactions and subse-
quent outcomes with less attention given to how youth make their disclosure decis ions
and why they choose to disclose or not disclose. Literature comparing gay, lesbian, and
bisexual identified individuals’ disclosure to family rates and correlates are inconclusive.
While some studies have indicated that bisexual youth disclose later than gay or lesbian
(e.g. Martos, Nezhad, & Meyer, 2015; Pistella, Salvati, Ioverno, Laghi, & Baiocco, 2016),
Human Development, Virginia Tech, Blacksburg, VA.
Correspondence concerning this article should be addressed to Erika L. Grafsky, 840 University City
Boulevard, Suite 1 Blacksburg, VA 24061. E-mail: erikagrafsky@vt.edu.
This project was supported by Award Number R36DA026958 from the National Institute on Drug
Abuse. The content is solely the responsibility of the author and does not necessarily represent the official
views of the National Institute on Drug Abuse or the National Institutes of Health. The author thanks the
participants who shared their experiences for this project, Dr. Julianne Serovich for her mentorship, and
Mary Nedela for assistance in the preparation of this manuscript.
783
Family Process, Vol. 57, No. 3, 2018 ©2017 Family Process Institute
doi: 10.1111/famp.12313
when looking longitudinally and among younger bisexuals, these differences become
insignificant (Maguen, Floyd, Bakeman, & Armistead, 2002; Rosario, Schrimshaw,
Hunter, & Levy-Warren, 2009).
Motivations for disclosing to parents vary, but many youth desire to be close to their
families so that they can lead authentic lives (LaSala, 2010; Savin-Williams, 2001). Dis-
closing sexual orientation information can result in the acquisition of emotional, physical,
and social resources (D’Augelli, Grossman, & Starks, 2005). Disclosing one’s sexual orien-
tation also diminishes the need to hide relationships from friends, family, and coworkers
and can promote more authentic relationships.
Conversely, sharing sexual orientation information with family can provoke feelings of
anxiety (D’Augelli et al., 2005; LaSala, 2010). Sexual minority youth are often afraid of
rejection or fear that the parentchild relationship will be damaged as a result of disclo-
sure (Potoczniak, Crosbie-Burnett, & Saltzburg, 2009; Savin-Williams & Ream, 2003).
Anticipated reactions to disclosure seem to be influenced considerably by social norms and
perceptions such as the media. Reports on youthparent relations often contribute to
stereotypes of negative consequence as a normal parental response (Savin-Williams &
Ream, 2003).
It is likely that youth who choose not to disclose to parents have reasons for not doing
so (Green, 2000), such as to protect themselves from disclosure-related violence, verbal
harassment, or other negative consequences that have been documented following disclo-
sure to family (D’Amico & Julien, 2012; D’Augelli, Grossman, & Starks, 2008). In fact,
Ryan et al. (2009) found that LGB youth and young adults who reported higher levels of
family rejection during adolescence were also 8.4 times more likely to report having
attempted suicide, 5.9 times more likely to report high levels of depression, and 3.4 times
more likely to report illegal drug use and to have engaged in unprotected sexual inter-
course compared with peers from families that reported no or low levels of family rejection.
McConnell et al. (2016) found that youth from families who experience low levels of social
support reported more psychological distress over time, even when controlling for experi-
ences of victimization.
Many parentchild relationships either stay the same or improve after disclosure
(Savin-Williams & Ream, 2003). Current research indicates that there may be both short-
and long-term gains for sexual minority youth to disclose their sexual orientation to fam-
ily, particularly within a family environment of openness and connectedness. Recent
research has documented clear health benefits for adolescents who experience accepting
reactions from their parents as a result of disclosure. In a sample of 245 sexual mino rity
Latino and non-Latino White youths, Ryan et al. (2010) found that that youth who
reported more reactions perceived as accepting were significantly more likely to report
higher self-esteem, social support, good general health, and less depressive symptoms,
substance abuse, and suicidal ideation and attempts.
Researchers have identified many other positive consequences for youth who dis-
close to their parents. For example, studies suggest that adolescents who disclose
experience greater self-esteem, self-acceptance, and comfort with their sexuality, as
well as report less internalized homophobia, fewer current problems in revealing
their sexual orientation to heterosexual friends, more lesbian/gay friends, and
increased family support (D’Augelli, 2002). Youth who report good relationships with
their parents report fewer mental health problems and report that their parents had
more positive reactions to their sexual orientation (D’Augelli, 2002). In another study
of 102 sexual minority adolescents, Darby-Mullins and Murdock (2007) found tha t a
more positive family environment (i.e. less conflict, more cohesion, and more expres-
siveness) was related to decreased symptoms of depression and anxiety. They also
found that parental attitudes toward homosexuality contributed above and beyond
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