The Modern Clinician's Guide to Working with LGBTQ+ Clients : The Inclusive Psychotherapist

__The Modern Clinician's Guide to Working with LGBTQ+ Clients__ is a ground-breaking resource for therapists working with LGBTQ+ clients whose identity expressions span all gender-, sex-, and relationship-diverse groups. Combining the author’s extensive clinical experience with contemporary evidence-based research, the chapters of this book explore the origins and development of sexual minority groups, going beyond lesbian women and gay men to include transgender and gender nonbinary people, kink and polyamory, bisexuality and pansexuality, and those who identify as asexual or aromantic. The text also offers in-depth coverage of clinical work with transgender, gender-nonconforming, and nonbinary clients of all ages. With a wealth of therapeutic strategies and case studies, this resource helps professionals respond to this ‘Big Tent’ community in an informed and empathetic way. Spanning sexuality, gender, relationships and age groups, __The Modern Clinician's Guide to Working with LGBTQ+ Clients__ is an invaluable reference for psychotherapists in a broad range of clinical settings. Cover Half Title Endorsements Title Page Copyright Page Table of contents Acknowledgments Introduction: Grad School Didn’t Prepare You for This Who I Am Some Themes of this Book Sex and Gender-diverse Affirmative Psychotherapy A Word about Identity: Fingers Pointing at the Moon The Rest of This Book The Case Histories and Vignettes References 1 From Bad to Mad to Civil Rights: A History of Deviance and Acceptance of Same-Sex Attracted People Science Weighs In Homosexuality is Normalized The Impact of the De-pathologization of Homosexuality Case Vignette The Development of Affirmative Therapy What Is Gay-affirmative Therapy? Bisexuality – the Scarlet ‘B’ The Spectrum of Sexual Attraction References 2 The Roads Converge Again: How the ‘T’ Got Added to the LGB Transgender People in US History Things Change in the Twentieth Century The Ascendency of Transgender Activism References 3 The ‘Big Tent’ and Intersectionality Who Are We Talking About? The Birth of New Identities The Creation of the ‘Big Tent’ References 4 Exactly What Are We Studying, Anyway, and What Does It Mean? The Diversity of Nature The Function of Sex and Gender Diversity Research on Etiology What Does This Mean for Clinicians? References 5 Who Is Gay? The Complexity of Sexual Orientation Even More Complexity Takeaways for the Clinician References 6 The Twentieth-century Gay and Lesbian Client Case Vignette When It’s Not Just Homophobia Assessing the Impact of Growing Up Gay Helping Clients Heal from Homophobia-related Trauma and Shame The Takeaways for the Clinician References 7 Today’s Gay or Lesbian Client Twenty-first-century LGB Youth The Stress of Growing Up Gay LGB Youth Resiliency Coming Out What You Can Do to Help the Parents Created Families vs. Families of Origin Intersectionality Takeaways for the Clinician References 8 Issues of Gay Men and Boys Mental Health Issues of Gay Men The Role of Sex in Gay Male Culture HIV and Gay Male Sexuality Clinical Work with Gay Men Case Vignette: a Harm-reduction Approach with a Barebacking Man Case Example: A Gay Man with Trauma-induced Alcohol Abuse and Self-defeating Behavior Takeaways for the Clinician References 9 Gay Male Couples The Research on Same-sex vs. Mixed-sex Couples Issues Common to Both Gay Male and Lesbian Couples Working with Male Couples Case Example: A Gay Couple Considering Parenthood Case Example: Sex after Seroconversion Case Example: Nonmonogamy as a Solution to Sexual Script Incompatability Case Example: Children from a Prior Marriage A Word on Working with Mixed-orientation Couples Takeaways for the Clinician References 10 Counseling Lesbian Women History of Lesbianism Today’s Lesbian Client Issues of Today’s Lesbian Woman Case Vignette: Fears of Losing Motherhood Status Case Vignette: The Slightly Supportive Family Case Vignette: On the Cutting Edge of Diversity Takeaways for the Clinician References 11 Lesbian Couples Clinical Issues of Lesbian Couples Generational Issues Case Vignette Case Vignette Case Vignette Takeaways for the Clinician References 12 Bi Any Other Name: Science Grapples with Multiple Gender Attractions Bisexuality: Current Attitudes The Demographics of Bisexuality Bisexuality and Mental Health What Therapists Need to Know about Bisexuality Case Vignette References 13 Clinical Issues of Bisexually Identified Clients Case Vignette Case Vignette Case Vignette Mixed-orientation Couples – When One Couple is Bisexual Case Vignette Takeaways for the Clinician Counseling Bisexual Clients References 14 ‘Aces and Aros’: Asexuals, Aromantics, and Other Variations on a Theme What Is Identity? The Asexual Identity Attitudes and Beliefs about Asexuality Working with the Asexual Client Case Vignette Takeaways for the Clinician References 15 Pansexuals, Mono vs. Multisexuals, and Sexual Fluidity What Does This Mean for Clients? Case Vignette Takeaways for the Clinician References 16 From Two Genders to Many Shunned and Shamed: A History The Internet as Healer Parents Support Their Kids What’s It Like to Feel This Way? Wait: Gender Isn’t Binary? The Queer Revolution The Path of Therapy General Principles of Working with Transgender Clients The Shape of Things to Come A Word about Words What You Need to Do as a Clinician References 17 Working with Adult Transgender Clients The Job of the Mental Health Professional with Adult Transgender Clients Medical Transition Other Issues Facing Adult Transgender People Sexuality Detransition Working with Partners Men Who Love Transgender Women Takeaways for the Clinician References 18 Working with the Transgender Adolescent The Trans Youth Explosion Co-morbid Conditions in Transgender Adolescents Case Vignette Two Paths to a Trans Identity Trauma and the Transgender Child and Adolescent Medical Intervention Is it Gender Dysphoria or a Fad? The Truth about ROGD Working with Transgender Adolescents Takeaways for the Clinician References 19 The Gender-expansive Child Recent History of Treatment of Pre-pubescent Gender-expansive Children The 80% Desistance Myth – ‘Maybe It’s Just a Phase’ Maybe They Are Too Young to Know Treatment for Transgender and Gender-nonconforming Children What Therapists Need to Know about Gender-affirmative Treatment Case Vignette Controversies Around Puberty Blockers Takeaways for the Therapist Working with Parents References 20 Nonbinary Identities and Gender Fluidity Nonbinary vs. Intersex Health and Mental Health of Nonbinary Clients Case Vignette Clinical Issues of Nonbinary People Takeaways for the Clinician References 21 BDSM Comes Out of the Shadows Myths and Misconceptions Myth #1: BDSM is Abuse Myth #2: People Who Like BDSM Were Abused as Children Myth #3: BDSM is Addictive Myth #4: BDSM Is All about Pain Modern History of BDSM How Many Kinky People Are There? Characteristics of Kinky People Stigma and the BDSM Community Takeaways for the Clinician References 22 Working with Kinky Clients Best Practices/Guidelines for Clinicians Working with Kinky Clients Countertransference: ‘If It Isn’t Sick, Why Do I Feel Disgust?’ Pathologizing by Looking for ‘Reasons’ ‘Coming Out’ – and ‘Cure Me’ But My Wife Will Leave Case Vignette Case Vignette Case Vignette Working with Partners and Families But What If It Really Is Abuse? Case Vignette People Who Want to Explore BDSM What Kinky People Can Teach Us All Communication and Negotiation Objectivity and Nonjudgmentalism about Sex Sexual Variety Planning vs. Spontaneity Technical Skill Sex as a Form of Healing Sex as Spirituality Takeaways for the Therapist References 23 Introduction to Consensual Nonmonogamy A Brief History of CNM Marriage Counseling, Anyone? Another Way What Does CNM Look Like? Case Vignette Case Vignette What about the Problems? What about the Children? Case Vignette What Does It Mean? What We – as Therapists and Humans – Can Learn from CNM References 24 Working with Clients Who Are Nonmonogamous: And Those Who Want to Be Who Is Nonmonogamous – and How? Case Vignette When CNM Strengthens a Relationship Case Vignette Helping Couples Open Up Jealousy and Compersion Other Common Issues Solo Nonmonogamists and Poly-Mono Relationships Relationship Counseling with More than Two Case Vignette Takeaways for the Clinician References Conclusion: The Tangled Path Forward How Did We Get Here? What Are Principles of Sex and Gender-Affirmative Treatment About? Principles of Affirmative Psychotherapy Care for Gender, Sexuality, and Relationship-diverse Clients (GSRD) Where Are We Going? References Glossary of Terms Appendix A Sample Letters for Transgender Clients Appendix B Clinical Practice Guidelines for Working with People with Kink Interests Index "The Modern Clinician's Guide to Working with LGBTQ+ Clients is a ground-breaking resource for therapists working with LGBTQ+ clients whose identity expressions span all gender-, sex-, and relationship-diverse groups. Combining the author’s extensive clinical experience with contemporary evidence-based research, the chapters of this book explore the origins and development of sexual minority groups, going beyond lesbian women and gay men to include transgender and gender nonbinary people, kink and polyamory, bisexuality and pansexuality, and those who identify as asexual or aromantic. The text also offers in-depth coverage of clinical work with transgender, gender-nonconforming, and nonbinary clients of all ages. With a wealth of therapeutic strategies and case studies, this resource helps professionals respond to this ‘Big Tent’ community in an informed and empathetic way. Spanning sexuality, gender, relationships and age groups, The Modern Clinician's Guide to Working with LGBTQ+ Clients is an invaluable reference for psychotherapists in a broad range of clinical settings."-- Provided by publisher Introduction: Grad school didn't prepare you for this -- From bad to mad to civil rights : a history of deviance and acceptance of same sex attracted people -- The roads converge again : how the 'T' got added to the LBG -- The big tent and intersectionality -- Exactly what are we studying, anyway, and what does it mean? -- Who is gay? -- The twentieth century gay and lesbian client -- Today's gay and lesbian client -- Issues of gay men and boys -- Gay male couples -- Counseling lesbians -- Lesbian couples -- Bi any other name- science grapples with multiple gender attractions -- Clinical issues of bisexually identified clients -- Aces and Aros -- Pansexuals, mono vs. Multisexuals, sexual fluidity -- From two genders to many -- Working with adult transgender clients -- Working with the transgender adolescent -- The gender expansive child -- Non-binary identities and gender fluidity -- BDSM comes out of the shadows -- Working with kinky clients -- Introduction to consensual nonmonogamy -- Working with clients who are non-monogamous -- and those who want to be -- Conclusion: The tangled path forward The Modern Clinician's Guide To Working With Lgbtq+ Clients Is A Ground-breaking Resource For Therapists Working With Lgbtq+ Clients Whose Identity Expressions Span All Gender, Sex, And Relationship Diverse Groups. Combining The Author's Extensive Clinical Experience With Contemporary Evidence-based Research, The Chapters Of This Book Explore The Origins And Development Of Sexual Minority Groups, Going Beyond Lesbian Women And Gay Men To Include Transgender And Gender Nonbinary People, Kink And Polyamory, Bisexuality And Pansexuality, And Those Who Identify As Asexual Or Aromantic. The Text Also Offers In-depth Coverage Of Clinical Work With Transgender, Gender Nonconforming, And Nonbinary Clients Of All Ages. With A Wealth Of Therapeutic Strategies And Case Studies, This Resource Helps Professionals Respond To This 'big Tent' Community In An Informed And Empathetic Way. Spanning Sexuality, Gender, Relationships And Age Groups, The Modern Clinician's Guide To Working With Lgbtq+ Clients Is An Invaluable Reference For Psychotherapists In A Broad Range Of Clinical Settings.