email page print pageAll Topic Reviews
Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing StoriesA Clinician's Guide to Legal Issues in PsychotherapyA Map of the MindA Primer for Beginning PsychotherapyACT With LoveActive Treatment of DepressionAffect Regulation, Mentalization, and the Development of SelfAlready FreeBad TherapyBecoming an Effective PsychotherapistBefore ForgivingBeing a Brain-Wise TherapistBetrayed as BoysBeyond Evidence-Based PsychotherapyBeyond MadnessBeyond PostmodernismBinge No MoreBiofeedback for the BrainBipolar DisorderBody PsychotherapyBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBrain Science and Psychological DisordersBrain-Based Therapy with AdultsBrain-Based Therapy with Children and AdolescentsBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheCase Studies in DepressionCaught in the NetChild and Adolescent Treatment for Social Work PracticeChoosing an Online TherapistChronic DepressionClinical Dilemmas in PsychotherapyClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCognitive Therapy for Challenging ProblemsCompassionConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsControlConversations About Psychology and Sexual OrientationCoping with BPDCouch FictionCounseling in GenderlandCounseling with Choice TheoryCouple SkillsCrazy for YouCreating a Life of Meaning and CompassionCreating HysteriaCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDeafness In MindDecoding the Ethics CodeDeconstructing PsychotherapyDeep Brain StimulationDemystifying TherapyDepression 101Depression in ContextDialogues on DifferenceDissociative ChildrenDo-It-Yourself Eye Movement Techniques for Emotional HealingE-TherapyEarly WarningEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveErrant SelvesEssays on Philosophical CounselingEssentials of Wais-III AssessmentEthically Challenged ProfessionsEthics and Values in PsychotherapyEthics in Plain EnglishEthics in Psychotherapy and CounselingExpectationExploring the Self through PhotographyExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFear of IntimacyFlourishingFolie a DeuxForms of Intersubjectivity in Infant Reasearch and Adult TreatmentFoundations of Ethical Practice, Research, and Teaching in PsychologyFreud and the Question of PseudoscienceFrom Morality to Mental HealthFundamentals of Psychoanalytic TechniqueGenes on the CouchGod & TherapyHalf Empty, Half FullHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHandbook of Evidence-Based Therapies for Children and AdolescentsHealing the Heart and Mind with MindfulnessHeinz KohutHelping Children Cope With Disasters and TerrorismHigh RiskHistory of PsychotherapyHow Clients Make Therapy WorkHow Psychotherapists DevelopHow to Fail As a TherapistHow to Go to TherapyHypnosis for Inner Conflict ResolutionHypnosis for Smoking CessationI Never Promised You a Rose GardenIf Only I Had KnownIn Others' EyesIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyInside the SessionInside TherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt's Not as Bad as It SeemsItís Your HourLearning from Our MistakesLearning Supportive PsychotherapyLetters to a Young TherapistLife CoachingLogotherapy and Existential AnalysisLove's ExecutionerMadness and DemocracyMaking the Big LeapMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMind GamesMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMoments of EngagementMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessMultifamily Groups in the Treatment of Severe Psychiatric DisordersNarrative PracticeOn the CouchOne Nation Under TherapyOur Inner WorldOur Last Great IllusionOutsider ArtOvercoming Destructive Beliefs, Feelings, and BehaviorsOverexposedPathways to SpiritualityPersonality and PsychotherapyPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical Issues in Counseling and PsychotherapyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPillar of SaltPlan BPlato, Not Prozac!Polarities of ExperiencesPower GamesPractical Psychoanalysis for Therapists and PatientsPrinciples and Practice of Sex TherapyPsychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy and ConfidentialityPsychotherapy As PraxisPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersPsychotherapy Is Worth ItPsychotherapy Isn't What You ThinkPsychotherapy with Adolescent Girls and Young WomenPsychotherapy with Children and AdolescentsPsychotherapy without the SelfPsychotherapy, American Culture, and Social PolicyRapid Cognitive TherapyRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRebuilding Shattered LivesReclaiming Our ChildrenRecovery OptionsRelationalityRent Two Films and Let's Talk in the MorningSaving the Modern SoulScience and Pseudoscience in Clinical PsychologySecond-order Change in PsychotherapySelf-Compassion in PsychotherapySelf-Determination Theory in the ClinicSelf-Disclosure in Psychotherapy and RecoverySerious ShoppingSex, Therapy, and KidsSexual Orientation and Psychodynamic PsychotherapySigns of SafetySoul Murder RevisitedStaring at the SunStraight to JesusStrangers to OurselvesSubjective Experience and the Logic of the OtherTaking America Off DrugsTales of PsychotherapyTales of UnknowingTalk is Not EnoughTalking Cures and Placebo EffectsTelling SecretsThe Behavioral Medicine Treatment PlannerThe Body in PsychotherapyThe Brief Couples Therapy Homework Planner with DiskThe Case Formulation Approach to Cognitive-Behavior TherapyThe Challenge for Psychoanalysis and PsychotherapyThe Child and Adolescent Psychotherapy Treatment PlannerThe Clinical Child Documentation SourcebookThe Clinical Documentation SourcebookThe Complete Adult Psychotherapy Treatment PlannerThe Couch and the TreeThe Couples Psychotherapy Treatment PlannerThe Crucible of ExperienceThe Cure of SoulsThe Death of PsychotherapyThe Education of Mrs. BemisThe Ethical Treatment of DepressionThe Ethics of PsychoanalysisThe Gay and Lesbian Psychotherapy Treatment PlannerThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Healing JourneyThe Heart & Soul of ChangeThe Heroic ClientThe Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mindful TherapistThe Mirror Crack'dThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New Rational TherapyThe Older Adult Psychotherapy Treatment PlannerThe Other Side of DesireThe Pastoral Counseling Treatment PlannerThe Philosopher's Autobiography The Pornographer's GriefThe Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem of EvilThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Psychotherapy Documentation PrimerThe Psychotherapy of HopeThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Sex Lives of TeenagersThe Talking CureThe Therapeutic "Aha!"The Therapist's Guide to PsychopharmacologyThe Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe Trauma of Everyday LifeThe UnsayableThe Way of the JournalTheory and Practice of Brief TherapyTherapy with ChildrenTherapy's DelusionsTheraScribe 3.0 for WindowsTheraScribe 4.0Thinking about ThinkingThinking for CliniciansThinking for CliniciansThoughts Without a ThinkerThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTrauma, Truth and ReconciliationTreating Attachment DisordersTreatment for Chronic DepressionTreatment Plans and Interventions for Depression and Anxiety DisordersUnderstanding Child MolestersUnspeakable Truths and Happy EndingsWhat the Buddha FeltWhat Works for Whom?What Works for Whom? Second EditionWhen the Body SpeaksWhispers from the EastWise TherapyWittgenstein and PsychotherapyWorking MindsWoulda, Coulda, ShouldaWriting About PatientsYoga Skills for Therapists:Yoga Therapy
The Handbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual Clients offers a brief introduction to the history of LGB activism and provides an overview of issues LGB clients may bring to therapy. This book serves as a good introduction to both the historical and contemporary psychological research on sexuality, and is accessible to both a general audience as well as psychotherapists. It is also an excellent resource for faculty wanting to assign individual chapters as standalone readings to supplement other courses. It is a volume that belongs on every clinicians bookshelf. However, it should not stand alone on that shelf. Readers wishing to find theoretical depth are likely to be left unsatisfied, and although lengthy the book is short on specific resources of use with clients. It suffers from redundancy due to its structure as an edited volume of independently authored chapters, and those already familiar with LGB issues will find little new ground covered. There is also a significant weakness in its omission of issues affecting transgender clients.
Context and history form an integral part of many of the chapters in The Handbook, and since the American Psychological Association publishes it, it may be helpful for me to provide some background context of APAs recent history with regard to sexual orientation. Psychology in the U.S. prides itself professionally at being in the lead in a progressive stance on GLBT issues. This can be seen in the present version of the American Psychological Associations Guidelines for Doctoral and Internship Programs, which incorporates issues of sexual orientation into its requirement for the inclusion of cultural and individual differences in graduate curricula (most recently amended 1 January 2000). However, on second look the illusion of leadership begins to fade. For example, in the most recent APA questions-and-answers white paper for program directors on responding to the Guidelines (January 1997), cultural diversity and individual differences are detailed primarily in terms of ethnicity and linguistic differences, with only a passing reference to sexual orientation. Indeed, it was not until August 1997 that the governing body of APA formally denounced the reorientation "treatment" offered by some clinicians.
Several surveys of psychologists cited in The Handbook amply document how a majority of psychologists are in many ways still ill prepared to deal appropriately with issues of sexual orientation in therapy, and how even in the early 1990s most reported "little or no information about homosexuality" (xii). Other sources have documented homophobia and discrimination continuing throughout the 1990s in doctoral programs in psychology, leading some therapists to remain closeted. Although prejudice within the psychology may be outside the immediate scope of The Handbook, it certainly could have been addressed. For example, Chapter 15 addresses psychoeducational programming in terms of sexual orientation education in the community, but does not address changing attitudes with the profession.
The Handbook consists of eighteen independently authored chapters, in three sections: five chapters to "Social and Theoretical Perspectives," seven chapters to "Counseling and Therapy," and six chapters to "Relevant Issues for Therapy, Theory, and Research." Editorial consistency provides the illusion of an integrated book. Each chapter carefully refers to LGB clients using a single permutation of the acronym, each carefully refers to itself as a chapter in the larger Handbook. Most chapters appear to be written for a U.S. heterosexual audience being introduced for the first time to LGB issues. There is a disappointing tendency to be narrowly focused on certain groups, even this lack of inclusiveness is explicitly acknowledged in many chapters and excused due to considerations of length. Examples include a focus on Christianity in a chapter on religion, and in several chapters a view of psychotherapy and LGB history as being primarily U.S. endeavors. Further, psychiatry is rarely mentioned.
The structure of independently authored chapters is a strength in that it allows one or more chapters to be selected for advanced undergraduate or introductory graduate readings. However it creates two weaknesses: redundancy and shallowness. For example, coming out is mentioned in chapters 2, 4, 7, 8, 10, 11, 12 and 17. Although each chapter addresses coming out from a different perspective, each time it is addressed only in superficial terms. Were the book titled "An Introduction to Issues in Counseling and Psychotherapy," the lack of depth would be less disappointing. However, the title "Handbook" suggests a thorough, in-depth examination of important issues, which is not to be found.
Regretfully, The Handbook also fails to provide sufficient practical information. Many times clinicians are urged to be familiar with available resources, but these resources are never identified. A reference to the National Gay and Lesbian Task Forces web site for clients needing legal support stands alone in its specificity. Since The Handbook is marketed to clinicians, this oversight is disappointing: managed care limits the time front-line therapists have to research client needs, and even LGB therapists may not be aware of the myriad organizations that exist to support various special needs of LGB clients. The problem is worsened for therapists working in rural areas.
The third weakness of The Handbook is its omission of transgender issues. It is astonishing that the authors missed this opportunity to assist in APAs initiative to ease the prejudice against transgender individuals. The editors excuse this as follows, "In addition, there are no discussions of transgender issues in this edition of the book because of the lack of empirical research in this area" (p. 5). Yet Psychological Abstracts PsychINFO reveals 788 peer-reviewed articles and scholarly books or chapters on this topic through 1998 (generously allowing a two year lead time for publication). Indeed, in the hundreds of times the acronym LGB appears in The Handbook, I could not help but wince each time as if it had been castrated of its "T" in name of editorial consistency. This is not just a semantic excision, as discussion of transgender issues are relevant to many of the topics explored in The Handbook.
Although these shortcomings are significant, I would like to recommend The Handbook. It is a convenient collection of introductory readings that collectively survey a large body of empirical literature, and can be of use both to experienced clinicians as well as a general audience. It is especially strong as a starting point for exploring LGB issues in psychotherapy.
Marcus Tye Ph.D. is an assistant professor of Psychology at Dowling College, Long Island, NY To buy this book from Barnes and Noble.com, who will ship the book in 2-3 days, click here: Handbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual Clients