Erby Adrienne N, White Mickey E
Department of Counseling and Higher Education, Ohio University, Athens, Ohio, USA.
Department of Counseling and Human Services, East Tennessee State University, Johnson City, Tennessee, USA.
Int J Transgend Health. 2020 Nov 8;23(1-2):122-132. doi: 10.1080/26895269.2020.1838389. eCollection 2022.
Much of the literature on transgender and nonbinary (TGNB) experiences in counseling focuses on White experiences with few recommendations for trans people of Color (TPOC). Research suggests mental health care providers lack intersectional sensitivity with TPOC, lack knowledge of TGNB issues and engage in microaggressive behaviors, notably with Queer-identified clinicians. To explore issues of power and privilege in the counseling relationship with Queer-identified clinicians and apply the multidimensional model of broaching behavior with TGNB clients of Color. A critical review of conceptual and empirical literature focusing on the interaction and impact of client and clinician race, gender, and sexual/affectional identities in the counseling relationship is presented. Informed by the authors' counseling experiences and respective positionalities as a Black Queer ciswoman and a White Queer transman, the multidimensional model of broaching behavior is applied to a composite case vignette. The model provides a practical tool to facilitate critical conversations of power, privilege and identity in the counseling relationship. With a dearth of scholarship addressing the role of cisgender or White privilege in the counseling relationship, this article outlines strategies to broach issues partially-shared identities with TGNB clients of Color. Recommendations for culturally informed counseling practice, supervision and research are also provided.
许多关于跨性别者和非二元性别者（TGNB）在咨询中的经历的文献都聚焦于白人的经历，而针对有色人种跨性别者（TPOC）的建议却很少。研究表明，心理健康护理提供者对TPOC缺乏交叉敏感性，对TGNB问题缺乏了解，并存在微侵犯行为，尤其是在与认同酷儿身份的临床医生中。为了探讨与认同酷儿身份的临床医生的咨询关系中的权力和特权问题，并将切入行为的多维模型应用于有色人种TGNB客户。本文对概念性和实证性文献进行了批判性综述，重点关注咨询关系中客户和临床医生的种族、性别以及性/情感身份的相互作用和影响。基于作者作为黑人酷儿顺性别女性和白人酷儿跨性别男性的咨询经验和各自的立场，将切入行为的多维模型应用于一个综合案例 vignette。该模型提供了一个实用工具，以促进咨询关系中关于权力、特权和身份的关键对话。由于缺乏关于顺性别或白人特权在咨询关系中的作用的学术研究，本文概述了与有色人种TGNB客户探讨部分共享身份问题的策略。还提供了关于文化知情咨询实践、监督和研究的建议。
