Foreword : the "coming of age" of lesbian, gay, bisexual, and transgender-affirmative psychology -- Introduction : the challenge of providing affirmative psychotherapy while honoring diverse contexts -- I Essential considerations of cultural contexts in working with lesbian, gay, bisexual, and transgender clients -- "I'd rather get wet than be under that umbrella" : differentiating the experiences and identities of lesbian, gay, bisexual, and transgender people -- Mutual bonds : lesbian women's lives and communities -- The village people : identity and development in the gay male community -- Cultural and relational contexts of bisexual women : implications for therapy -- Development of bisexual men's identities and relationships -- Transgender communities : developing identity through connection -- II Affirmative counseling and psychotherapy with lesbian, gay, bisexual, and transgender clients -- Delivering ethical psychological services to lesbian, gay, and bisexual clients -- Affirmative lesbian, gay, and bisexual counseling with all clients -- Affirmative counseling and psychotherapy focused on issues related to sexual orientation conflicts -- Building lesbian, gay, and bisexual vocational psychology : a theoretical model of workplace sexual identity management -- An overview of affirmative psychotherapy and counseling with transgender clients -- III Emerging issues in counseling and psychotherapy -- Review of empirical research focused on the experience of lesbian, gay, and bisexual clients in counseling and psychotherapy -- Perceived conflicts between affirmation of religious diversity and affirmation of sexual diversity : that's perceived -- Affirmative clinical supervision -- Lesbian and gay family issues in the context of changing legal and social policy environments -- Public policy, mental health, and lesbian, gay, bisexual, and transgender clients -- The "boring" state of research and psychotherapy with lesbian, gay, bisexual, and transgender clients : revisiting Baron (1991)