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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Presenting as anxious, depressed, withdrawn, isolating, etc.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
Theories of counseling Michelle Colarusso, Ph. D., LPC h.docx

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  • 1. 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
  • 2. 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
  • 3. “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
  • 4. 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