Abstract
Two essential elements of clinical psychological practice are, first, the identification that something in a person’s psychological well-being or behaviour is causing distress and then, second, delivering an intervention to ameliorate that distress. Within clinical psychology, societal understandings of gender and sexuality have been both reflected in and influenced by the professional positioning of the discipline, changing over time, with the defining gaze of distress moving from the imposition of a largely restrictive and medically orientated set of beliefs to more individual, self-defining representations of pluralistic identities. This chapter will chart this journey, making reference to the changing nature of the profession arising from the changes in the frameworks of understanding (ontology) in which psychology has been contextualised and, with it, the shifting offerings in terms of therapeutic intervention.
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Further reading
Butler, C., O’Donovan, A., & Shaw, E. (Eds.) (2009). Sex, sexuality and therapeutic practice: A manual for therapists and trainers.East Sussex: Routledge.
Das Nair, R. & Butler, C. (2012). Inter sectionality, sexuality and psychological therapies: Working with lesbian, gay and bisexual diversity.West Sussex: Wiley & Sons.
Johnstone, L. & Dallos, R. (Eds.) (2014). Formulation in psychology and psychotherapy: Making sense of people’s problems(2nd ed.). East Sussex: Routledge.
Richards, C. & Barker, M. (2013). Sexuality and gender for mental health professionals: A practical guide.London: Sage.
Wren, B. (2014). Thinking postmodern and practicing in the enlightenment: Managing uncertainty in the treatment of children and adolescents. Feminism& Psychology, 24(2), 271–291.
References
American Psychiatric Association (1973). Diagnostic and statistical manual of mental disorders(2nd ed., text revision). Washington, DC: American Psychiatric Association.
American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders(3rd ed.). Washington, DC: American Psychiatric Association.
American Psychological Association (2000). Guidelines for psychotherapy with lesbian, gay and bisexual clients.Washington, DC: APA.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders(4th ed., text revision). Washington, DC: American Psychiatric Association.
American Psychological Association (2011). Practice guidelines for LGB clients: Guidelines for psychological practice with lesbian, gay, and bisexual clients.Washington, DC: APA.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders(5th ed., text revision). Washington, DC: American Psychiatric Association.
APA (American Psychological Association) Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009). Report of the task force on appropriate therapeutic responses to sexual orientation.Washington, DC: APA.
Ansara, Y. G. & Hegarty, P. (2012). Cisgenderism in psychology: Pathologising and mis-gendering children from 1999 to 2008. Psychology& Sexuality, 3(2), 137–160. doi: 10.1080/19419899.2011.576696.
APS (2013). Ethical guidelines for working with sex and/or gender diverse clients.Melbourne: APS.
Ben-Zeev, D., Young, M. A., & Conigan, P.W (2010). DSM-V and the stigma of mental illness. Journal of Mental Health, 29(4), 318–327.
BPS (2011). Response to the American Psychiatric Association: DSM-S development.Leicester: BPS.
BPS (2012). Guidelines and literature review for psychologists working therapeutically with sexual and gender minority clients.Leicester: BPS.
Butler, J. (2004). Undoing gender.Abingdon: Routledge.
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. The University of Chicago Legal Forum, 140, 139–167.
DCP (2011). Good practice guidelines on the use of psychological formulation. Leicester: BPS. DHSS (Black Report). (1980). Inequalities in Health: Report of a Research Working Group, London: Department of Health and Social Security.
Di Ceglie, D. (1998). Management and therapeutic aims with children and adolescents with gender identity disorders and their families. In D. Di Ceglie & D. Freedman (Eds.) A stranger in my own body: Atypical gender identity development and mental health.(pp. 185–197). London: Karnac.
Eracleous, H. & Davidson, S. (2009). The gender identity development service: Examples of multi-agency working. Clinical Psychology Forum, 201, 46–50.
Fisher, D. (2003). Immigrant closets: Tactical-micro-practices-in-the-hyphen. journal of Homosexuality, 45(2/3/4), 171–192.
Gilbert, P. (2009). Moving beyond cognitive therapy. The Psychologist, 22, 400–403.
Great Britain. Parliament. Equality Act. (2010). Elizabeth II. Chapter IS.London: Stationery Office.
HCPC (2012). Standards of proficiency: Practitioner psychologists.London: HCPC.
Holt, V., Skagerberg, E., & Dunsford, M. (2014). Young people with features of gender dysphoria: Demographics and associated difficulties. Clinical Child Psychology and Psychiatry, doi: 10.1177/1359104514558431.
Johnstone, L. & Dallos, R. (Eds.) (2014). Formulation in psychology and psychotherapy: Making sense of people’s problems(2nd ed.). East Sussex: Routledge.
King, M., Semlyen, J., Tai, S.S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self-harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(70). doi: 10.1186/1471–244X-8-70.
Krafft-Ebing, R. V. (1886/1901). Psychopathia Sexualis(trans. F.J. Rebman). London: The Aberdeen University Press. (Original work published 1886.)
Lindquist, N. & Hirabayashi, G. (1979). Coping with marginal situations: The case of gay males. Canadian journal of Sociology, 4, 87–104.
Masters, W. H. & Johnson, V. E. (1970). Human sexual inadequacy.Boston, MA: Little, Brown.
Pilgrim, D. & Treacher, A. (1992). Clinical psychology observed.London: Routledge.
RCP (2013). Good practice guidelines for the assessment and treatment of adults with gender dysphoria.London: RCP.
Nicolson, P. (1992). Gender issues in the organisation of clinical psychology. In P. Nicolson & J. Ussher, (Eds.), Gender issues in clinical psychology, (pp 8–38), London: Routledge.
Richards, C., Barker, M., Lenihan, P., & Iantaffi, A. (2014). Who watches the watchmen? A critical perspective on the theorization of trans people and clinicians. Feminism&Psychology, 24(2), 248–258.
Ruel, E. & Campbell, R. T. (2006). Homophobia and HIV/AIDS: Attitude change in the face of an epidemic. Social Forces, 84, 2167–2178.
Smith, G., Bartlett, A., & King, M. (2004). Treatments of homosexuality in Britain since the 1950s — an oral history: The experience of patients. British Medical Journal, 328, 427. doi: http://dx.doi.org/10.1136/bmj.328.427.37984.442419.EE.
Strickland, B. R. (1988). Clinical psychology comes of age. American Psychologist, 43, 104–107.
World Health Organization (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines.Geneva: WHO.
World Professional Association for Transgender (2011). Standards of care for the health of transsexual, transgender, and gender nonconforming people.7th Version. Minneapolis, MN: WPATH.
Wren, B. (2014). Thinking postmodern and practicing in the enlightenment: Managing uncertainty in the treatment of children and adolescents. Feminism & Psychology, 24(2), 271–291.
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© 2015 Jan Burns and Claudia Zitz
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Burns, J., Zitz, C. (2015). Clinical Psychology. In: Richards, C., Barker, M.J. (eds) The Palgrave Handbook of the Psychology of Sexuality and Gender. Palgrave Macmillan, London. https://doi.org/10.1057/9781137345899_16
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DOI: https://doi.org/10.1057/9781137345899_16
Publisher Name: Palgrave Macmillan, London
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