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Lesbian, gay, and bisexual client experiences and therapeutic practice with sexual minorities: An interpretive phenomenological analysis.

机译：同性少数群体的女同性恋，男同性恋和双性恋客户经验和治疗实践：解释现象学分析。

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摘要

Despite some indications that treatment experiences have been improving (Liddle, 1999), LGB clients still receive discriminatory treatment (Bieschke, Paul, & Blasko, 2007). Even clinicians who wish to offer affirmative therapy hold unconscious negative biases due to growing up within a heterosexist culture (Bieschke et al., 2007). Utilizing Interpretive Phenomenological Analysis (Smith, Flowers & Larkin, 2009), this qualitative study explored the therapeutic experiences of seven LGB individuals in order to inform competent treatment with this population. Participants provided accounts through semi-structured interviews, which were validated using participant review. Specifically, the research focused on cross-orientation dyads, although experiences in therapy with shared-orientation dyads were also examined.;The results of this study are presented within five domains. Self-Categorization contextualizes participant accounts by discussing chosen identity terminology, variations of visibility, and the impact of categorical conceptions of identity. Identifying Others, Identifying Allies notes ways in which participants identified the cultural competence of practitioners. Navigating Heterosexism discusses the pervasive influence of heterosexism on individual's expectations of therapeutic experiences. Additionally, participants reviewed situations wherein clinicians expressed judgment or lack of knowledge, which highlight how therapists can more effectively respond to cultural ruptures. Preferring Therapist Identities explores participants' therapeutic preferences and discusses benefits and challenges embedded within shared-orientation and cross-orientation therapeutic dyads. Finally, Understanding Therapeutic Practices identifies practices that support affirmative therapeutic work regardless of the clinician's sexual orientation. Underlying principles of competent cross-cultural therapy with LGB clients were proposed, which emphasize the importance of clinician self-reflection in order to provide nonjudgmental acceptance, discuss sexuality with ease, value different ways of approaching relationship, and decrease therapist defensiveness.;While this study found that several participants preferred sexual minority therapists, the results also suggest that there are significant benefits to working with culturally competent heterosexual clinicians. Participants described benefiting from the experience of acceptance from a member of the dominant culture, which provided a corrective experience to internalized heterosexism. These accounts indicate that, with training and self-reflection, heterosexual clinicians can provide uniquely supportive therapeutic experiences to LGB individuals. Recommendations are provided concerning cultural competent practice and ways to approach cultural misunderstanding.
机译：尽管有迹象表明治疗经验正在改善（Liddle，1999年），但LGB客户仍受到歧视性治疗（Bieschke，Paul和Blasko，2007年）。即使是希望提供肯定疗法的临床医生，由于在异性恋文化中的成长，也存在无意识的负面偏见（Bieschke等，2007）。利用解释性现象学分析（Smith，Flowers和Larkin，2009年），这项定性研究探索了7名LGB个体的治疗经验，以便为该人群提供有效的治疗方法。参与者通过半结构化访谈提供了帐户，并使用参与者审查进行了验证。具体而言，尽管也检查了共享取向二元组的治疗经验，但该研究仍侧重于交叉取向二元组。该研究的结果在五个领域内给出。自我分类通过讨论选定的身份术语，可见性的变化以及身份分类概念的影响，将参与者的帐户关联起来。识别他人，识别盟友指出参与者如何识别从业者的文化能力。驾驭异性恋讨论了异性恋对个人对治疗经验的期望的普遍影响。此外，参与者回顾了临床医生表达判断力或缺乏知识的情况，这突显了治疗师如何更有效地应对文化破裂。偏爱治疗师身份探索参与者的治疗偏好，并讨论共享取向和交叉取向治疗二元体中蕴含的益处和挑战。最后，“理解治疗实践”可确定支持肯定性治疗工作的实践，无论临床医生的性取向如何。提出了与LGB客户进行有效跨文化治疗的基本原则，强调了临床医生自我反思的重要性，以便提供非判断性接受，轻松讨论性欲，重视与人之间关系的不同方式并降低治疗师的防御力。研究发现，一些参与者更喜欢性少数治疗师，结果还表明，与具有文化背景的异性恋临床医生一起工作具有明显的好处。与会者描述了受益于主流文化成员接受经验的经验，这些经验为内部化的异性恋提供了矫正经验。这些说明表明，通过培训和自我反省，异性恋临床医生可以为LGB个人提供独特的支持性治疗经验。提供了有关文化主管实践和解决文化误解的方法的建议。

著录项

  • 作者

    Goettsche, Rebecca Shepard.;

  • 作者单位

    Pacifica Graduate Institute.;

  • 授予单位 Pacifica Graduate Institute.;
  • 学科 Psychology Counseling.;GLBT Studies.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 447 p.
  • 总页数 447
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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