Reflection LGBTQ
TT24
Week_2-_LGBT.pptxTheories of counseling
Michelle Colarusso, Ph. D., LPC
history
Freud
Oedipus Complex
Ellis
”Inversion”
Morality/Religion vs. Science and Medicine
Change in viewpoint
History
Stonewall
1969 Manhattan, NY
Nature vs. Nurture
What has the most influence?
Therapy
DSM Diagnosis: ego-dystonic homosexual
Homosexuality as a Disorder (1973)
Gender Dysphoria – DSM-V
Aversion Therapy
Theoretical Orientations- Humanistic vs. Psychoanalytical
Reparative Therapy
Gay Affirmative Therapy
Therapist/Self
Awareness
Dichotomous Thinking
Countertransference/Transference
“Help to get out of your own way”
Bias/Values/Morals
Clinical Practice
Michelle Colarusso, Ph.D., LPC
Heterosexism
Assumptions
Political Views
Social Views
Legal Views
Privilege
Affirmation vs. alienation
Not disclosing your own sexual orientation when asked
Denying your own homophobia or heterosexism
Not offering resources
Heteronormative Paperwork
Using Wrong Terminology
Affirmation vs. alienation
“Blank” Therapeutic Style
Neglecting to recognize gay clients have been gay since childhood
Waiting Room without LGBT literature
“Couple is a Couple”
Failing to assess coming out
Homophobia
Homophobia definition has evolved:
“track, your clients and yourself, attitudes that are homonegative, homoprejudice, and homo-ignorant”
Homoavoidence
Offended/Self-Conscious
“Don’t ask don’t tell”
Microaggression
Microaggressions are the everyday encounters of subtle discrimination that people of various marginalized groups experience throughout their lives
- (Sue et al., 2007)
Unintentional
the perpetrator may be aware of their actions, but may not realize the negative impact they may have on people
Unconscious
the perpetrator doesn’t even know they did something
Microaggression
Examples:
Use of heterosexist or transphobic terminology
Endorsement of heteronormative culture and behaviors
Assumption of universal LGBTQ experience
Discomfort or disapproval of LGBTQ experience
Assumption of sexual pathology or abnormality
Denial of bodily privacy
Others?
Internalized homophobia
Oppression related to sexuality
Presenting as anxious, depressed, withdrawn, isolating, etc.
Shame = Silence
Need to know what to look for
Mental Health disorders
Mental health disorders
Misdiagnosis vs. Identity Crisis
Borderline Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Depression/Anxiety Disorders
Bipolar/Mood Disorders
Addictions
OCD
