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首先不造成伤害:关爱有性身份混淆和/或冲突的来访者的原则。

First do no harm: Principles of care for clients with sexual identity confusion and/or conflict.

机构信息

Department of Psychology.

出版信息

Psychotherapy (Chic). 2022 Dec;59(4):487-497. doi: 10.1037/pst0000426. Epub 2022 Feb 24.

DOI:10.1037/pst0000426
PMID:35201833
Abstract

Individuals who experience sexual identity confusion and/or conflict face unique stressors and life circumstances for which they may seek psychotherapy; however, little specific guidance exists for therapists working with clients who experience sexual identity confusion and/or conflict. To meet this need, we present a framework for therapists whose clients experience distress related to sexual identity confusion and/or conflict. We first define and describe sexual identity confusion and conflict, situating both in developmental theories of sexual identity. We then review clinical approaches that have been used historically to inform treatment with clients experiencing sexual identity confusion and/or conflict. Next, we discuss guiding ethical and clinical principles to inform such a clinical approach. Then, we provide assessment and treatment recommendations. We conclude by discussing considerations for working with clients who are diverse in gender identity, race/ethnicity, age, sexual orientation, and religious affiliation. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

个体如果经历性身份认同困惑和/或冲突,会面临独特的压力和生活环境,他们可能会寻求心理治疗;然而,针对治疗经历性身份认同困惑和/或冲突的客户的治疗师,几乎没有具体的指导。为了满足这一需求,我们为治疗师提供了一个框架,其客户经历与性身份认同困惑和/或冲突相关的痛苦。我们首先定义和描述性身份认同困惑和冲突,并将两者置于性身份认同发展理论中。然后,我们回顾了历史上用于为经历性身份认同困惑和/或冲突的客户提供治疗的临床方法。接下来,我们讨论指导这种临床方法的伦理和临床原则。然后,我们提供评估和治疗建议。最后,我们讨论了与在性别认同、种族/民族、年龄、性取向和宗教信仰方面多样化的客户合作的注意事项。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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