Monday, December 3, 2012

Qualities that LGBT look for in their therapies


I mentioned early that clinical practitioners will soon and later encounter LGBT clients in their practice, so by then we should be adequate (at least general) LGBT knowledge to provide effective treatment. 

Other than the basic knowledge of LGBT issues, what other qualities that LGBT individuals will look for in their therapies?

Today I would share a interesting research done by state University of New York regarding the therapist qualities preferred by sexual-minority individuals. They enrolled 42 nonheterosexual adults in this research to examine the preferable qualities in therapist. Here are the key findings of the research:

1)  Undesirable, less favorable qualities or characteristics

1.      Reluctance to ask questions to ask questions about the individual's sexual identity or overemphasizes individual's sexual identity.

2.      Lacks awareness of LGBT issues.

3.      Fails to recognize individual may not be heterosexual.

4.      Use heterocentric language.

5.      Treats LGB individuals as other non-LGB clients and conceptualizes issues related to sexual orientation as similar to any other type of therapeutic problem.

Therapist with these qualities may have difficulty retaining and providing effective treatment to LGB client. Liddle (1996) research also report that therapists' heterocentric assumptions were found to five time more likely to increase in the likelihood of premature termination and to lowered ratings of counselor helpfulness.

2) Desirable or favorable qualities of characteristic

1.      LGB-specific knowledge

2.      Preferable of  LGB therapist depending on the presenting issues (coming-out process, sexual identity formation).

3.      LGB-affirming attitudes such as stance of openness towards LGB individuals and sexuality, supporting the individual in adopting a LGB identity when LGB clients have decided.

4.      Establish and maintain strong therapeutic alliances with clients.

Thus, participants generally valued therapists who had LGBT specific knowledge as well as general therapeutic skills, whereas they indicated that they would avoid therapist who held heterocentric views. So please remember to take the homophobic test as provided in my previous post to understand if you are too heterocentric or heterosexism. Please share with me your views on providing therapeutic services to LGBT clients as well if you have one. Based on my previous experience with non-heterosexual clients, I do agree with the findings that LGBT knowledge and non-heterocentric views are very essential in providing an effective treatment.

References

Burckell L. A. and Goldfried M. R. (2006). Therapist qualities preferred by sexual-minority individuals. Psychology: Theory, Research, Practice Training, 43(1), 32-49

Liddle, B. J. (1996). Therapist sexual orientation, gender, and counseling practices as they relate to ratings on helpfulness by gay and lesbian clients. Journal of Counseling Psychology, 43, 394-401.