The modern clinician's guide to working with LGBTQ+ clients : the inclusive psychotherapist / Margaret Elizabeth Nichols.

Format:

Book

Author/Creator:

Nichols, Margaret Elizabeth, 1947- author.

Language:

English

Subjects (All):

Sexual minorities--Psychology.

Sexual minorities.

Sexual minorities--Mental health.

Health care for LGBTQ+ people.

Mental health care for LGBTQ+ people.

LGBTQ+ psychology.

Physical Description:

1 online resource (353 pages) : illustrations

Edition:

1st ed.

Place of Publication:

New York ; Abingdon, Oxon : Routledge, 2021.

Summary:

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.

Contents:

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

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

3 The 'Big Tent' and Intersectionality

Who Are We Talking About?

The Birth of New Identities

The Creation of the 'Big Tent'

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?

5 Who Is Gay?

The Complexity of Sexual Orientation

Even More Complexity

Takeaways for the Clinician

6 The Twentieth-century Gay and Lesbian Client

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

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

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

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

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

11 Lesbian Couples

Clinical Issues of Lesbian Couples

Generational Issues

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

13 Clinical Issues of Bisexually Identified Clients

Case Vignette.

Mixed-orientation Couples - When One Couple is Bisexual

Takeaways for the Clinician Counseling Bisexual Clients

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

15 Pansexuals, Mono vs. Multisexuals, and Sexual Fluidity

What Does This Mean for Clients?

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

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

18 Working with the Transgender Adolescent

The Trans Youth Explosion

Co-morbid Conditions in Transgender Adolescents

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

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

Controversies Around Puberty Blockers

Takeaways for the Therapist

Working with Parents

20 Nonbinary Identities and Gender Fluidity

Nonbinary vs. Intersex

Health and Mental Health of Nonbinary Clients

Clinical Issues of Nonbinary People

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

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

Working with Partners and Families

But What If It Really Is Abuse?

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

23 Introduction to Consensual Nonmonogamy

A Brief History of CNM

Marriage Counseling, Anyone?

Another Way

What Does CNM Look Like?

What about the Problems?

What about the Children?

What Does It Mean?.

What We - as Therapists and Humans - Can Learn from CNM

24 Working with Clients Who Are Nonmonogamous: And Those Who Want to Be

Who Is Nonmonogamous - and How?

When CNM Strengthens a Relationship

Helping Couples Open Up

Jealousy and Compersion

Other Common Issues

Solo Nonmonogamists and Poly-Mono Relationships

Relationship Counseling with More than Two

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?

Glossary of Terms

Appendix A Sample Letters for Transgender Clients

Appendix B Clinical Practice Guidelines for Working with People with Kink Interests

Index.

Notes:

EDI Collection.

Includes bibliographical references and index.

Description based on print version record.

ISBN:

0-429-02239-5

0-429-66369-2

9780429022395

OCLC:

1164822032