Addison Sheila M, Coolhart Deborah
Clinical Counseling M.A. Program, California School of Professional Psychology, Alliant International University, San Francisco, CA.
Department of Marriage & Family Therapy, Syracuse University, Syracuse, NY.
Fam Process. 2015 Sep;54(3):435-53. doi: 10.1111/famp.12171.
North American and global cultures in general-and the field of Couple and Family Therapy in particular-have made significant strides toward recognizing and validating LGBTQ identities and relationships. However, clinical assessment and conceptualization of queer couples still lack the complexity needed to encompass the issues involved in treatment. Existing literature provides clinicians a basic understanding of queer couples and the dynamics that make them unique from nonqueer couples. However, much of this knowledge has been normed on White middle-class couples and has rarely included couples with transgender or bisexual members. This article invites clinicians and researchers to apply a feminist model of intersectionality to understand queer couples. Our proposed intersectional lens considers multiple axes of identity and power and their interrelationships (Crenshaw, 1989, 1991). We argue that intersectionality is important for understanding all identities, whether privileged or marginalized (Falicov, 2003). This application of the concept of intersectionality is unique in its relational focus, emphasizing how partners' complex individual identities overlap with and intersect with one another. Additionally, this lens considers how the therapists' and clients' multidimensional identities intersect. Three case studies are presented to illustrate application of the intersectional lens. In each case, exploring the partners' multiple social locations, their influences on one another, and the therapist's intersections of identity all proved critical to the direction of therapy.
总体而言,北美和全球文化——尤其是伴侣与家庭治疗领域——在认识和认可 LGBTQ 身份及关系方面取得了重大进展。然而,对同性伴侣的临床评估和概念化仍缺乏涵盖治疗中所涉及问题所需的复杂性。现有文献为临床医生提供了对同性伴侣以及使他们有别于异性伴侣的动态关系的基本理解。然而,这些知识大多以白人中产阶级伴侣为标准,很少包括有跨性别或双性恋成员的伴侣。本文邀请临床医生和研究人员应用女性主义的交叉性模型来理解同性伴侣。我们提出的交叉性视角考虑了身份和权力的多个轴及其相互关系(克伦肖,1989 年,1991 年)。我们认为交叉性对于理解所有身份都很重要,无论其是享有特权还是处于边缘地位(法利科夫,2003 年)。这种交叉性概念的应用在其关系焦点方面是独特的,强调伴侣复杂的个人身份如何相互重叠和交叉。此外,这个视角还考虑治疗师和客户的多维身份如何交叉。本文呈现了三个案例研究来说明交叉性视角的应用。在每个案例中,探索伴侣的多个社会位置、它们对彼此的影响以及治疗师的身份交叉点,都被证明对治疗方向至关重要。