Intake Interviewing with Lesbian, Gay, Bisexual, and Transgender Clients: Starting from a Place of Affirmation
Intake Interviewing with Lesbian, Gay, Bisexual, and Transgender Clients: Starting from a Place of Affirmation
复制标题
DOI：
10.1007/s10879-012-9220-x
复制
发表时间：
2013-03-01
影响因子：
2
通讯作者：
Cochran, Bryan
中科院分区：
文献类型：
--
作者：
Heck, Nicholas;Flentje, Annesa;Cochran, Bryan
女同性恋者、男同性恋者、双性恋者或变性人(LGBT)客户与心理治疗师之间的初步互动可能会揭示双方存在的偏见。LGBT客户可能以前有过心理健康机构的经验，并对被病理化有合理的担忧。心理治疗师可能会以开放和接受的态度对待客户，但很可能没有接受过与LGBT个人合作的培训。在这篇文章中，我们讨论了积极的做法，作为一个框架，临床医生开始与LGBT客户的吸纳过程。通过对LGBT心理健康的简要历史和概述，我们为心理健康专业人员提供了对LGBT个体幸福感的多重影响的欣赏。然后，我们讨论与LGBT缩写的每个子组相关的招生面试过程，因为这四个群体中的每一个都面临着不同的(但又相互关联的)挑战。我们的目标是鼓励治疗师反思他们现有的偏见，并获得与这些不同人群一起工作的知识和技能。总的来说，我们希望这篇文章能向治疗师演示如何进行一次积极的接纳访谈，以最大限度地减少在我们的社会和治疗实践中仍然如此普遍的异性恋和二元性别假设。
Initial interactions between lesbian, gay, bisexual, or transgender (LGBT) clients and psychotherapists can reveal existing biases from both parties. LGBT clients may have previous experiences with the mental health establishment and legitimate concerns about being pathologized. Psychotherapists may approach clients with openness and acceptance, but are likely to have little training in working with LGBT individuals. In this article, we discuss affirmative practices as a framework for clinicians beginning the intake process with LGBT clients. Through a brief history and overview of LGBT mental health, we provide mental health professionals with an appreciation of the multiple influences on LGBT individuals' well-being. We then discuss the intake interview process in relation to each subgroup of the LGBT acronym, as each of these four populations face different (yet interrelated) challenges. While there is clearly no "formula'' for working with LGBT individuals, in keeping with the principles of multicultural competency (Sue, The Counseling Psychologist, 29: 790-821, 2001), our goal is to encourage therapists to reflect on their existing biases and to gain knowledge and skills for working with this diverse population. Overall, we hope this article demonstrates to therapists how to conduct an affirmative intake interview that minimizes heterosexual and dualistic gender assumptions that remain so pervasive in our society and in therapeutic practice.