A total of 208 therapists and therapists-in-training were surveyed to better understand if clinical assessments and recommendations regarding "sex addiction" changed based upon a client's gender, relationship status, or exclusivity status. Using clinical vignettes, this study examined the clinical assessment and recommendations of licensed mental health providers (n = 92) and mental health providers in-training (n = 116). Results indicated that professional ratings differed based on relationship exclusivity and gender; specifically, female nonmonogamous behavior was rated more negatively than male nonmonogamous behavior, while male monogamous behavior was rated more negatively than female monogamous behavior. Recommendations for treatment varied, with higher addiction ratings leading to greater odds of recommending individual, group, and community support over relational therapy. Clinical and training implications are discussed. Video abstract accessible by clicking here.
Modified grounded theory method was utilized to explore the process of how clinicians defined and chose to respond to challenging issues in systemic therapy. Defining an issue as challenging was determined by negotiating internal and external cues and ''bringing it forward'' and ''slowing the pace'' emerged as key themes in responding to challenging issues. Clinicians appeared to focus on in-session relational process over content, attending to internal aspects of themselves and their interaction with clients and then negotiating those aspects of awareness with their clients. Practice implications are focused on supervision and helping postgraduate clinicians move toward the developmental stage of experienced professionals.
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