Connection Failure: Systemic Disadvantages Facing the LGBTQ+ Community in Therapy and how to Address them

Auteurs-es

  • Erin Roach Université d’Ottawa

DOI :

https://doi.org/10.18192/jpds-sjpd.v2i1.2714

Mots-clés :

LGBTQ, LGBT, queer, counseling, psychologie, thérapie

Résumé

Cet article porte sur les expériences à la fois positives et négatives vécues par des membres de la communauté LGBTQ + en matière d'accès aux soins de santé mentale à Ottawa, Canada, ainsi que ce qui pourrait être fait pour améliorer ces expériences. L’article comprend une analyse documentaire d’études empiriques et d’ouvrages théoriques portant sur la thérapie avec des clients LGBTQ +, ainsi que les résultats d’une étude pilote menée par la chercheure afin d’examiner en profondeur l’expérience d’un échantillon réduit de clients LGBTQ + à Ottawa (N=4). Grâce à des entretiens semi-structurés, la chercheure a constaté que trois participants sur quatre étaient mécontentement face au traitement réservé à leur identité durant la thérapie; leur bien-être général en a souffert. Cela signifie que les thérapeutes pourraient faire mieux en matière de communication avec leurs clients LGBTQ +, en s'informant davantage sur les problèmes qui touchent cette communauté, telle que le recommandent les participants. Cette connaissance accrue chez le thérapeute pourrait contribuer à de meilleurs résultats pour les clients LGBTQ + en matière de santé mentale.

Biographie de l'auteur-e

Erin Roach, Université d’Ottawa

Erin Roach poursuit sa deuxième année de maîtrise en éducation à l'Université d'Ottawa au sein du programme de psychologie du counseling. Elle termine son stage axé sur le counseling des clients LGBTQ + en s'inspirant d’une approche anti-oppressive.

Références

Addison, S. M., & Coolhart, D. (2015). Expanding the therapy paradigm with queer couples: A relational intersectional lens. Family Process, 54(3), 435-453.

Alessi, E. J., Dillon, F. R., & Kim, H. M. (2015). Determinants of lesbian and gay affirmative practice among heterosexual therapists. Psychotherapy, 52(3), 298-307.

Alessi, E. J., Dillon, F. R., & Kim, H. M. (2016). Therapist correlates of attitudes toward sexual minority individuals, affirmative counselling self-efficacy, and beliefs about affirmative practice. Psychotherapy Research, 26(4), 446-458.

Bidell, M. P. (2017). The lesbian, gay, bisexual, and transgender development of clinical skills scale (LGBT-DOCSS): Establishing a new interdisciplinary self-assessment for health providers. Journal of Homosexuality, 64(10), 1432-1460.

Bidell, M., & Whitman, J. (2013). A review of lesbian, gay, and bisexual affirmative counselling assessments. Counseling Outcome Research and Evaluation, 4(2), 112-126.

Chui, H., McGann, K. J., Ziemer, K. S., Hoffman, M.A., & Stahl, J. (2017). Trainees’ use of supervision for therapy with sexual minority clients: A qualitative study. Journal of Counseling Psychology. Advance online publication, 1-15. Retrieved from http://resolver.scholarsportal.info/resolve/00220167/v65i0001/36_tuosftsmcaqs

Client-centered therapy. (2006). Cover story. Harvard Mental Health Letter, 22(7), 1-3.

Cochran, S. D., Greer Sullivan, J., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the united states. Journal of Consulting and Clinical Psychology, 71(1), 53-61.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. (4th ed., Text Revision). Washington, DC: American Psychiatric Publishing.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th ed.). Arlington, VA: American Psychiatric Publishing.

Diamond, G. M., & Shpigel, M. S. (2014). Attachment-based family therapy for lesbian and gay young adults and their persistently nonaccepting parents. Professional Psychology: Research and Practice, 45(4), 258-268.

Dworkin, S. H. & Pope, M. (Eds.). (2015). Casebook for counselling: Lesbian, gay, bisexual, transgender persons and their families. Alexandria, VA: American Counseling Association.

Ebersole, R. C., Dillon, F. R., & Eklund, A. C. (2018). Mental Health Clinicians' Perceived Competence for Affirmative Practice with Bisexual Clients in Comparison to Lesbian and Gay Clients. Journal of Bisexuality, ISSUE AND VOLUME, 1-18.

Ginicola, M. M., Smith, C., & Filmore, J. M. (Eds.) (2017). Affirmative, strengths-based counselling with LGBTQI+ people. Alexandria, VA: American Counseling Association,

Hicks, C. (2010). Counselling psychology contributions to understanding sexuality. In M. Milton (Ed.), Therapy and beyond: Counselling psychology contributions to therapeutic and social issues (pp. 243-258). Chichester, UK: John Wiley & Sons, Ltd..

Hodges, I. (2011). Queering psychoanalysis: Power, self and identity in psychoanalytic therapy with sexual minority clients. Psychology & Sexuality, 2(1), 29-44.

Johnson, L., & Federman, E. J. (2014). Training, experience, and attitudes of VA psychologists regarding LGBT issues: Relation to practice and competence. Psychology of Sexual Orientation and Gender Diversity, 1(1), 10-18.

McDowell, T., Emerick, P., & Garcia, M. (2014). Queering couple and family therapy education. Journal of Feminist Family Therapy, 26(2), 99-112.

O’Shaughnessy, T., & Speir, Z. (2018). The state of LGBQ affirmative therapy clinical research: A mixed-methods systematic synthesis. Psychology of Sexual Orientation and Gender Diversity, 5(1), 82-98.

O’Shaughnessy, T., & Spokane, A. (2013). Lesbian and gay affirmative therapy competency, self-efficacy, and personality in psychology trainees. The Counseling Psychologist, 41(6), 825-856.

Shelton, K., & Delgado-Romero, E. A. (2011). Sexual orientation microaggressions: The experience of lesbian, gay, bisexual, and queer clients in psychotherapy. Journal of Counseling Psychology, 58(2), 210-221.

Sherry, A., Whilde, M. R., & Patton, J. (2005). Gay, lesbian, and bisexual training competencies in American Psychological Association accredited graduate programs. Psychotherapy: Theory, Research, Practice, Training, 42(1), 116-120.

Spengler, E. S., Miller, D. J., Spengler, P. M. (2016). Microaggressions: Clinical errors with sexual minority clients. Psychotherapy, 53(3), 360-366.

Steelman, S. M. (2016). Externalizing identities: An integration of narrative therapy and queer theory. Journal of Family Psychotherapy, 27 (1), 79-84.

Téléchargements

Publié-e

2019-03-07