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Healing the Trauma of Racism and Sexism: Decolonization and Liberation 治愈种族主义和性别歧视的创伤:非殖民化与解放
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-07-03 DOI: 10.1080/02703149.2023.2275935
T. Bryant-Davis
Abstract Gendered racism is a source of stress and, in some cases, traumatic stress for women and girls of color as well as gender expansive people of color. Gendered racism is a form of oppression rooted in both White Supremacy and patriarchy. Along with interpersonal and internalized forms of gendered racism, mental health professionals must attend to systemic forms of gendered racism that manifest in every social system from education to criminal (in)justice. The consequences for women and girls of Color, as well as non-binary persons are multi-layered, including but not limited to physical, psychological, financial, and political. Frameworks that attend to both the context of oppression and the wisdom of women of Color are necessary for individual healing and societal transformation; these frameworks include but are not limited to liberation psychology, womanist psychology, and mujerista psychology. Examples of indigenizing individual, group, and community level programs are provided as well as implications for necessary future directions for advancing anti-oppression interventions, honoring indigenous science, dismantling gendered racism, and birthing liberation for all people. Finally, the author acknowledges racial battle fatigue and patriarchy battle fatigue as well as the necessary care for mental health professionals who are engaged in this sacred work.
摘要 对于有色人种中的妇女和女童以及性别扩张的有色人种来说,性别种族主义是压力的来源,在某些情况下甚至是创伤性压力的来源。性别种族主义是植根于白人至上主义和父权制的一种压迫形式。除了人与人之间的和内在化的性别种族主义形式,心理健康专业人员还必须关注系统性的性别种族主义形式,这些形式体现在从教育到刑事(不)司法的每一个社会系统中。对有色人种妇女和女童以及非二元人的影响是多层次的,包括但不限于身体、心理、经济和政治方面。关注压迫背景和有色人种妇女智慧的框架对于个人康复和社会转型都是必要的;这些框架包括但不限于解放心理学、妇女主义心理学和女权主义者心理学。作者举例说明了个人、团体和社区层面的本土化计划,以及未来推进反压迫干预、尊重本土科学、消除性别种族主义和为所有人带来解放的必要方向。最后,作者承认种族战斗疲劳和父权制战斗疲劳,以及对从事这项神圣工作的心理健康专业人员的必要关怀。
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引用次数: 0
Exposure Therapy with a First-Generation, Latino Transgender Man: A Dialectical Behavior and Feminist Therapy Framework 暴露疗法与第一代拉丁裔变性人:辩证行为和女权主义治疗框架
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-04-03 DOI: 10.1080/02703149.2023.2226016
Jennifer M. Staples
Abstract Transgender and Gender Expansive (TGE) individuals with multiple marginalized identities are at increased risk of minority stress and trauma because of intersecting systems of oppression, such as transphobia and racism. There is limited evidence-based guidance for TGE individuals experiencing trauma, especially TGE individuals of color. This case study describes the implementation of Prolonged Exposure and informal emotion exposure with a first-generation Latino transgender man using a Feminist Therapy and Dialectical Behavior Therapy lens. Seven clinical considerations drawing from the integration of these approaches are discussed, including recognition of the sociocultural context in shaping the client’s behaviors, balancing flexibility and accountability, and balancing exposure with validation of avoidance.
跨性别者和性别膨胀者(TGE)具有多重边缘身份,由于跨性别恐惧症和种族主义等压迫系统的交叉,他们面临少数群体压力和创伤的风险增加。对于经历创伤的TGE个体,尤其是有色人种的TGE个体,有有限的循证指导。本案例研究描述了使用女权主义疗法和辩证行为疗法对第一代拉丁裔跨性别男子实施延长暴露和非正式情绪暴露。从这些方法的整合中得出的七个临床考虑因素被讨论,包括在塑造客户行为的社会文化背景的认识,平衡灵活性和责任,以及平衡暴露与回避的有效性。
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引用次数: 1
A Sexual Wellbeing Framework to Address Sexuality in Therapy with Transgender, Nonbinary, and Gender Expansive Clients 跨性别、非二元和性别扩展客户治疗中解决性问题的性健康框架
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-04-03 DOI: 10.1080/02703149.2023.2229684
J. Dickenson, Elliot A. Tebbe, Ghazel Tellawi
Abstract Although most clinicians believe that discussing sexuality is important clinically, most clinicians do not initiate these discussions. Further, for therapists working with transgender, nonbinary, and gender expansive (TNBGE) clients, discussing sexuality may feel challenging when therapists fear inadvertently stigmatizing or mischaracterizing their clients and their concerns. We propose a sexual wellbeing framework as an adjunctive to traditional feminist therapy, in which discussions about sexuality is comfortable and appropriate to the goals of therapy. We review existing evidence that suggests sexual wellbeing of TNBGE clients may be enhanced by (a) attending to the client’s larger sociocultural context in which sexual wellbeing emerges, (b) understanding that sexual wellbeing is multiply determined, the contributing factors to sexual wellbeing are unique for each person, and sexual wellbeing changes over time and across situations, (c) challenging assumptions that genitals, hormones, and sexual functioning are the most important aspects of sexual wellbeing, (d) emphasizing sexual comfort and pleasure by enhancing immersive attention and facilitating gender affirming sexual experiences, and (e) conceptualizing consent as a means to ensure safe and pleasurable experiences. We conclude by offering clinical scenarios that present practical considerations when applying the sexual wellbeing framework to illustrate the ways in which conversations with TNBGE clients about sexuality can enhance sexual wellbeing.
摘要尽管大多数临床医生认为讨论性在临床上很重要,但大多数临床医生并不发起这些讨论。此外,对于与跨性别、非二元和性别膨胀(TNBGE)客户合作的治疗师来说,当治疗师担心无意中污蔑或错误描述他们的客户及其担忧时,讨论性行为可能会感到很有挑战性。我们提出了一个性健康框架,作为传统女权主义治疗的辅助,在这个框架中,关于性的讨论是舒适的,适合治疗的目标。我们审查了现有证据,这些证据表明,TNBGE客户的性幸福感可能会通过以下方式得到增强:(a)关注客户出现性幸福感的更大社会文化背景,(c)挑战生殖器、激素和性功能是性健康最重要方面的假设,(d)通过增强沉浸式注意力和促进性别肯定的性体验来强调性舒适和愉悦,以及(e)将同意概念化为确保安全和愉快体验的一种手段。最后,我们提供了临床场景,在应用性健康框架时提出了实际考虑,以说明与TNBGE客户就性行为进行对话可以提高性健康的方式。
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引用次数: 1
“Even the Officers Are in on It:” Black Transgender Women’s Experiences of Violence and Victimization in Los Angeles “即使是警察也参与其中:”黑人变性女性在洛杉矶的暴力和受害经历
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-04-03 DOI: 10.1080/02703149.2023.2226012
Samantha LaMartine, N. Nakamura, James J. García
Abstract Black Transgender women (BTW) are subjected to race and gender-based societal oppression, which makes them vulnerable to experience violence. The purpose of this study was to examine experiences of violence among BTW by centering their narratives. Ten participants from Los Angeles County were interviewed, and data were analyzed using Consensual Qualitative Research, which yielded four domains; however, the current article focused only on the first domain, Types of Violence, and its six themes: (a) Transgender-specific microaggressions, (b) verbal harassment, (c) intimate partner violence, (d) physical violence, (e) sexual violence, and (f) incarceration. Recommendations for Transgender specific trauma-informed interventions and future directions to promote BTW healing are provided.
摘要黑人变性妇女(BTW)受到基于种族和性别的社会压迫,这使她们容易遭受暴力。本研究的目的是通过围绕BTW的叙述来考察他们的暴力经历。来自洛杉矶县的10名参与者接受了采访,并使用同意定性研究对数据进行了分析,该研究产生了四个领域;然而,目前的文章只关注第一个领域,暴力类型及其六个主题:(a)跨性别的微侵犯,(b)言语骚扰,(c)亲密伴侣暴力,(d)身体暴力,(e)性暴力,和(f)监禁。提供了针对跨性别创伤的知情干预建议和促进BTW愈合的未来方向。
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引用次数: 1
Empowering TNBGE and QTBIPOC Students through Clinical Group Practice in University Settings 通过大学背景下的临床小组实践,增强TNBGE和QTBIPOC学生的能力
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-04-03 DOI: 10.1080/02703149.2023.2226018
Olivia L. Scott, V. Leon, V. Blakely
Abstract Increasing visibility of transgender, nonbinary, and gender expansive (TNBGE) people in the United States and in higher education has coincided with a call for more affirming and appropriate mental health services. Group therapy has been connected to positive outcomes for college students, but appears less available to or less popular among TNBGE students. This article will summarize the history of feminist, queer, and trans theories, feminist group therapy, and therapeutic groups for TNBGE people. Recommendations for facilitating TNBGE groups will be presented, drawing from the work of three queer university counseling clinicians with collective experience in facilitating LGBTQ + and exclusively TNBGE groups using queer, trans, and multicultural feminist theories. Considerations for facilitating LGBTQ + groups for Black, Indigenous, People of Color (BIPOC) will also be included, based on relevant literature and clinical experience. Limitations of the authors’ perspectives and recommendations will be outlined, as well as future directions for research and practice.
在美国和高等教育中,跨性别、非二元性和性别膨胀(TNBGE)人群的可见度越来越高,与此同时,人们也呼吁提供更多肯定和适当的心理健康服务。团体治疗与大学生的积极结果有关,但在TNBGE学生中似乎不太可行或不太受欢迎。本文将总结女权主义、酷儿和跨性别理论、女权主义团体治疗和TNBGE患者治疗团体的历史。本文将介绍三位酷儿大学咨询临床医生的工作,这些临床医生运用酷儿、跨性别和多元文化女权主义理论,在促进LGBTQ +和专门的TNBGE群体方面具有共同的经验。根据相关文献和临床经验,还将考虑为黑人,土著,有色人种(BIPOC)的LGBTQ +群体提供便利。本文将概述作者的观点和建议的局限性,以及未来的研究和实践方向。
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引用次数: 0
Feminist Therapy with Gender Questioning Adolescents: Clinical Case Example 性别质疑青少年的女性主义治疗:临床案例
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1080/02703149.2023.2189777
Sarah E. Conlin, Richard P. Douglass
Abstract This clinical case example illustrates the benefits of a feminist approach to therapy in addressing the unique experiences of gender questioning adolescents. We will illustrate the successful use of feminist therapy in our work with a biracial, bisexual, adolescent client who reported questioning his gender expression and gender identity. The client used he/him/his pronouns at the time of our work together; we also regularly checked in with our client about pronouns throughout our sessions. The authors conducted co-therapy with this client, working as a treatment team. Feminist therapy offers an affirmative, intersectional, and strengths-based approach to work with gender diverse clients. Feminist therapy is particularly well-suited to this work because it explicitly connects the personal with the socio-political.
摘要:本临床案例说明了女权主义治疗方法在解决性别质疑青少年独特经历中的益处。我们将举例说明女权主义疗法在我们的工作中的成功应用,我们有一个混血儿,双性恋,青少年客户报告质疑他的性别表达和性别认同。客户在我们一起工作时使用了他/他/他的代词;在治疗过程中,我们也会定期向客户询问代词。作者以治疗团队的形式与该患者进行了共同治疗。女性主义治疗提供了一种积极的、交叉的、基于优势的方法来处理性别不同的客户。女权主义疗法特别适合这项工作,因为它明确地将个人与社会政治联系起来。
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引用次数: 1
Feminist Therapy at The Intersection of Gender Diversity and Neurodiversity 性别多样性和神经多样性交叉点的女性主义治疗
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1080/02703149.2023.2189776
E. McConnell, Reese Minshew
Abstract There has been growing awareness of the overlap between transgender, nonbinary, and gender expansive (TNBGE) and neurodivergent identities in recent years. However, many clinicians do not receive adequate training around either gender diversity or neurodiversity, much less their intersection. Further, the ubiquity of the pathology paradigm contributes to practices that further marginalize TNBGE autistic clients. We illustrate how feminist therapy’s four realms of power provides a valuable framework for empowering clinical work with autistic TNBGE clients, with an aim toward centering the experiences of TNBGE autistic people. We also provide recommendations for clinical practice and systems-level change.
摘要近年来,人们越来越意识到跨性别、非二进制和性别膨胀(TNBGE)与神经分化身份之间的重叠。然而,许多临床医生没有接受足够的性别多样性或神经多样性培训,更不用说他们的交叉点了。此外,病理学范式的普遍存在有助于进一步边缘化TNBGE自闭症患者的实践。我们展示了女权主义疗法的四个权力领域如何为自闭症TNBGE患者的临床工作提供了一个有价值的框架,目的是以TNBGE自闭症患者的经历为中心。我们还为临床实践和系统级别的更改提供建议。
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引用次数: 1
Feminist Therapy: Supervision as a Pathway Toward Equitable, Affirming Care for Nonbinary Clients 女权主义治疗:监督作为通往公平的途径,肯定照顾非二元客户
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1080/02703149.2023.2190230
Hannah K. Heitz, B. Rappaport
Abstract Given best practices for serving nonbinary clients, how can supervisors and supervisees collaborate to provide equitable, affirming services? Building on the importance of affirming practice in working with nonbinary clients, it is fruitful to explore how a collaborative-affirmative approach in feminist supervision can foster a supportive, affirming therapist-client relationship. Using analytic autoethnography, supervisor and supervisee will articulate what it means to work through a feminist lens with nonbinary clients. Their reflexive collaborative narrative will discuss the importance of examining their own social identities in supervision while highlighting the value of a collaborative-affirmative approach to supervision for a developing clinician working with nonbinary clients.
摘要考虑到服务非二元客户的最佳实践,管理者和被管理者如何合作提供公平、肯定的服务?基于肯定实践在与非二元客户合作中的重要性,探索女权主义监督中的合作-肯定方法如何能够培养支持性的,肯定的治疗师-客户关系是富有成效的。使用分析的自我民族志,主管和被主管将阐明通过女权主义的视角与非二元客户一起工作意味着什么。他们的反思性合作叙事将讨论在监督中检查他们自己的社会身份的重要性,同时强调合作-肯定方法对发展中临床医生与非二元客户合作的监督的价值。
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引用次数: 1
Binding and Queer Embodiments: Rethinking the Moral Imperative of Body Positivity 约束和酷儿体现:重新思考身体积极性的道德必要性
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1080/02703149.2023.2189775
Jessica A. Joseph, Jessica R. Chavez
Abstract This paper explores existing feminist body positive frameworks and queer theories of embodiment while asking troubling questions about bodies between and outside of binary, cisgender frameworks. We consider how feminist psychotherapy offers some possibilities and occludes others when applied to the desire to redistribute or shrink chest tissue. Using psychoanalytic theory, we aim to uplift alternative (and, at times, uncomfortable) clinical considerations to better understand the relationship between our patients and their bodies. To guide feminist therapists, we propose a framework of mourning and materialization. Specifically, we suggest that therapists practice reflexivity and collaborate with their patients to determine what aspects of the ideal body to mourn and what aspects can be materialized through surgery or other forms of bodily change.
摘要本文探讨了现有的女性主义身体积极框架和酷儿身体化理论,同时提出了在二元、顺性别框架之间和之外的身体问题。我们考虑女权主义心理治疗如何提供一些可能性,并在应用于重新分配或缩小胸部组织的愿望时阻碍其他可能性。使用精神分析理论,我们的目标是提升替代(有时是不舒服的)临床考虑,以更好地理解我们的病人和他们的身体之间的关系。为了指导女性主义治疗师,我们提出了一个哀悼与物化的框架。具体来说,我们建议治疗师练习反身性,并与患者合作,以确定理想身体的哪些方面值得哀悼,哪些方面可以通过手术或其他形式的身体改变来实现。
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引用次数: 2
Introduction to the Special Issue on Feminist Therapy with Transgender, Nonbinary, and Gender Expansive People 跨性别、非二元和性别膨胀人群的女权主义治疗特刊简介
IF 2.1 4区 心理学 Q1 Social Sciences Pub Date : 2023-01-02 DOI: 10.1080/02703149.2023.2189774
Jan E. Estrellado, Kimberly F Balsam
Abstract Transgender, nonbinary, and gender expansive (TNBGE) people have been historically excluded from feminist approaches broadly, including in the realm of therapy. This special issue examines the utility of feminist therapy with TNBGE people, along with its potential and limitations. Contributors focus on specific issues affecting TNBGE people, such as migration and citizenship status, sexual well-being, trauma and violence, neurodiversity, and developmental context. Feminist approaches are explored using intersectional and strengths-based lenses in a diversity of clinical settings and across various aspects of the therapeutic process with TNBGE people.
摘要跨性别、非二元和性别膨胀(TNBGE)的人在历史上被广泛排除在女权主义方法之外,包括在治疗领域。本期特刊探讨了女性主义疗法在TNBGE人群中的效用,以及其潜力和局限性。撰稿人关注影响TNBGE人群的具体问题,如移民和公民身份、性健康、创伤和暴力、神经多样性和发展背景。在不同的临床环境中,以及TNBGE患者治疗过程的各个方面,使用交叉和基于优势的镜片探索女权主义方法。
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引用次数: 0
期刊
Women & Therapy
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