Theories 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 Internalized homophobia Oppression related to sexuality Presenting as anxious, depressed, withdrawn, isolating, etc.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 ...