Affimative Counseling With LGBTQI+ People

Ginicola, Misty M.; Smith, Cheri; Filmore, Joel M.

doi:10.1002/9781119375517

Cited by 35 publications

(4 citation statements)

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“…Many asexual individuals report negative experiences with mental health providers due to biases and a lack of knowledge about asexuality (Herbitter et al, 2021). While guidelines for clinicians who work with asexual patients emphasize the need to deconstruct assumptions about sexuality being a necessary part of human life (Ginicola et al, 2017;Gupta, 2017;Pratt-Chapman et al, 2022;Schneckenburger et al, 2023), it is also important to recognize and discuss the diversity and heterogeneity within the ACE spectrum, a topic that is rarely addressed in the literature (Jones et al, 2017). Clinicians need to approach their ACE spectrum patients with an open mind, sensitivity, and an understanding of the diverse range of experiences and desires within this spectrum.…”

Section: Discussionmentioning

confidence: 99%

Deepening Sexual Desire and Erotic Fantasies Research in the ACE Spectrum: Comparing the Experiences of Asexual, Demisexual, Gray-Asexual, and Questioning People

Nimbi,

Appia,

Tanzilli

et al. 2024

Arch Sex Behav

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Over the past 30 years, an increasing number of people have identified within the asexual (ACE) spectrum recognizing an absence/low/situational sexual attraction to individuals of any gender. The current study aims to deepen the knowledge of sexual desire, erotic fantasies, and related emotions within the ACE spectrum. A total of 1072 Italian volunteers were recruited to take part to the present study via social media. Data were collected from October 2021 to January 2022 using the Sexual Desire and Erotic Fantasies questionnaire and the Sexual Desire Inventory-2. Participants were divided into four groups: asexual, demisexual, gray-asexual, and questioning. Focusing on sexual desire, asexual people reported significantly lower scores than the other groups in all the dimensions except for “negative feelings to sexual desire,” while demisexual participants showed the higher scores in all the domains except for “negative feelings to sexual desire.” The questioning group reported the highest scores in the “negative feelings toward sexual desire” compared to the asexual and demisexual ones. The asexual group reported significantly lower scores than the other groups in fantasies frequency, fantasies importance, negative emotions, and sharing and experiencing. The demisexual group showed higher frequency of romantic fantasies than the asexual and gray-asexual ones. The results showed some specific patterns of desire and fantasies among the asexual, gray-asexual, demisexual, and questioning groups. These data may provide relevant material to clinicians working with asexual patients who need greater awareness about the diversity and heterogeneity of the sexual experience within the ACE spectrum.

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Section: Discussionmentioning

confidence: 99%

Deepening Sexual Desire and Erotic Fantasies Research in the ACE Spectrum: Comparing the Experiences of Asexual, Demisexual, Gray-Asexual, and Questioning People

Nimbi,

Appia,

Tanzilli

et al. 2024

Arch Sex Behav

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“…What follows is a description of some of the common terms used in this chapter, but it is not an exhaustive list (see Ginicola et al, 2017, for a full listing of terminology). Additionally, it should be noted that accepted terms may have shifted by the time of publication.…”

Section: Terminologymentioning

confidence: 99%

“…Affectional orientation, also referred to as sexual orientation, describes the emotional, mental, physical, and sexual connection one has with others. This is usually formed by adolescence (Ginicola et al, 2017). Affectional orientations may include those who identify as lesbian (women attracted to women), gay (men attracted to men), bisexual and pansexual (individuals who are attracted to more than one gender), queer (a broad term that may connote belonging under the LGBTQIA+ (i.e., lesbian, gay, bisexual, transgender, queer, intersex, asexual, and beyond) umbrella and/or an experience not yet captured by an existing term), and asexual (individuals who may be emotionally attracted to others but may lack sexual attraction).…”

Section: Terminologymentioning

confidence: 99%

Gender and affectional orientation: Theoretical underpinnings of psychotherapy practice.

Ellis

2024

APA Handbook of Psychotherapy: Theory-Driven Practice and Disorder-Driven Practice (Vol. 1).

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273therapy in affectional minorities. They found that comparatively, bisexual men, bisexual women, and gay men were less likely than lesbians to seek mental health services. Bisexual women and men are also less likely to come out to their therapists. However, because service utilization is usually measured by at least one visit in the past year, this does not necessarily speak to continued engagement in ongoing therapy. In fact, affectional and gender minority (AGM) individuals also report greater dissatisfaction in therapeutic services due to provider insensitivity, discrimination, naivete, ignorance, or practicing outside the bounds of their competence (Israel et al., 2008). Additionally, research suggests that men do not seek therapy at the same high rates as do women, perhaps due to masculine gender-role socialization that emphasizes independence, self-reliance, internal control, and toughness (Addis & Mahalik, 2003;Berger et al., 2013).Though therapy requires a nuanced approach depending on a client's gender, treatment outcomes do not vary; that is, no gender has better outcomes compared to other genders for a particular treatment or orientation. Rather, it has been posited that it is therapists' gender competence that may account for differential outcomes (Owen et al., 2009). Therapists may inadvertently communicate their biases through diagnosis, stereotyping, and role expectations

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“…Previously termed “sexual minority,” this descriptor focuses on sexual behavior. Gender minorities refer to those individuals “whose gender identity, in relation to their designated sex at birth, differs from that of the majority of other members of the surrounding society and its corresponding culture” (Ginicola, Smith, & Filmore, 2017, p. 359).…”

mentioning

confidence: 99%

Evidence-based relationship variables when working with affectional and gender minority clients: A systematic review.

Ellis¹,

Meade²,

Brown³

2020

Practice Innovations

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In this systematic review, we synthesized the quantitative and qualitative research examining the role of evidence-based relationship variables (EBRVs) in the treatment of affectional and gender minority (AGM) individuals. A comprehensive search of PsycINFO, Web of Science, and PubMed from 2009 to 2019 yielded 14 unique studies (15 articles in total). Most studies examined the role of empathy and alliance. Positive regard, strong therapeutic alliances, genuineness, and empathy were all associated with improvements in treatment engagement and treatment outcome. There appeared to be no evidence that matching clients on sexual or gender identities improved outcomes. There were methodological concerns in the literature in regard to the use of hypothetical scenarios and variability in study design and measures. In sum, more research is needed to explore how EBRVs may be a necessary component of AGM affirmative care. Clinical Impact StatementThe results of this systematic review indicate that the role of evidence-based relationship variables in working with affectional and gender minorities is an understudied, but clinically necessary, topic. The extant literature suggests that empathy, alliance, genuineness, and positive regard play an integral role in fostering a collaborative therapeutic environment.

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Affimative Counseling With LGBTQI+ People

Cited by 35 publications

References 0 publications

Deepening Sexual Desire and Erotic Fantasies Research in the ACE Spectrum: Comparing the Experiences of Asexual, Demisexual, Gray-Asexual, and Questioning People

Deepening Sexual Desire and Erotic Fantasies Research in the ACE Spectrum: Comparing the Experiences of Asexual, Demisexual, Gray-Asexual, and Questioning People

Gender and affectional orientation: Theoretical underpinnings of psychotherapy practice.

Evidence-based relationship variables when working with affectional and gender minority clients: A systematic review.

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