Counseling as a Critique of Gender: On the Ethics of Counseling Transgendered Clients

  • Susanne C. Goethals
  • Valerie L. Schwiebert


This paper examines the responsibilities of mental health professionals, particularly counselors, to those who identify or might be identifiable as “transgendered.” There are two main objectives. The first is to describe the critical reflection necessary to deal with gender-variant clients in an ethical and effective manner. The second is to discuss a psychotherapeutic model that is likely to be effective in integrating such reflection into the clinical process, and to make counseling recommendations on that basis.

Key Words

transgendered ethics counseling gender sexuality 


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  1. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders. DSM IV. Washington, DC: American Psychiatric Association.Google Scholar
  2. Anderson, B. (1998). Therapeutic Issues in Working with Transgendered Clients. In D. Denny (Ed.), Current concepts in transgender identity (pp. 215–226). New York: Garland Publishing.Google Scholar
  3. Bahr, M., Brish, B., & Croteau, J. (2000). Addressing sexual orientation and professional ethics in the training of school psychologists in school and university settings. School Psychology Review, 29, 217–231.Google Scholar
  4. Bornstein, K. (1994). Gender outlaw: On men, women and the rest of us. New York: Routledge.Google Scholar
  5. Boswell, H. (1998). The transgender paradigm shift toward free expression. In D. Denny (Ed.), Current concepts in transgender identity (pp. 55–62). New York: Garland Publishing.Google Scholar
  6. Burke, P. (1996). Gender shock: Exploding the myths of male and female. New York: Doubleday.Google Scholar
  7. Carroll, L., & Gilroy, P. (2002). Transgender issues in counselor preparation. Counselor Education and Supervision, 41, 233–243.Google Scholar
  8. Carroll, L., Gilroy, P., & Ryan, J. (2002). Counseling transgendered, transsexual, and gender-variant clients. Journal of Counseling and Development, 80, 131–139.Google Scholar
  9. Cole, C. M., & Meyer, W. J. III (1998). Transgender behavior and DSM IV. In D. Denny (Ed.), Current concepts in transgender identity (pp. 227–236). New York: Garland Publishing.Google Scholar
  10. Ettner, R. (1999). Gender loving care: A guide to counseling gender-variant clients. New York: W.W. Norton.Google Scholar
  11. Fausto-Sterling, A. (2000). Sexing the body: Gender politics and the construction of sexuality. New York: Basic Books.Google Scholar
  12. Feinberg, L. (1992). Trans liberation: Beyond pink and blue. Boston: Beacon Press.Google Scholar
  13. Feinberg, L. (1996). Transgender warriors: Making history from Joan of Arc to Dennis Rodman. Boston: Beacon Press.Google Scholar
  14. Foucault, M. (1978). The history of sexuality: An introduction, Vol. I. New York: Random House.Google Scholar
  15. Garko, M. G. (1999). Existential phenomenology and feminist research: The exploration and exposition of women's lived experience. In E. Kimmel & M. Crawford (Eds.), Innovations in feminist psychological research (pp. 167–175). Cambridge: Cambridge University Press.Google Scholar
  16. Gilbert, L., & Scher, M. (1999). Gender and sex in counseling and psychotherapy. Boston: Allyn & Bacon.Google Scholar
  17. Halberstam, J. (1998). Female masculinity. Durham, NC: Duke University Press.Google Scholar
  18. Kessler, S., & McKenna, W. (1978). Gender: An ethnomethodological approach. New York: John Wiley & Sons.Google Scholar
  19. Kimmel, M. (2000). The gendered society. Oxford: Oxford University Press.Google Scholar
  20. Miller, J. B. (1986). Toward a new psychology of women (2nd ed.). Boston: Beacon Press.Google Scholar
  21. Steiner, B. (Ed.). (1985). Gender dysphoria: Development, research, management. New York: Plenum Press.Google Scholar
  22. Tavris, C. (1991). The mismeasure of woman: Paradoxes and perspectives in the study of gender. In J. D. Goodchilds (Ed.), Psychological perspectives on human diversity in America (pp. 87–136). Washington, DC: American Psychological Association.Google Scholar
  23. Wilchins, R. A. (1997). Read my lips: Sexual subversion and the end of gender. Ithaca, New York: Firebrand Books.Google Scholar
  24. Worell, J., & Remer, P. (1992). Feminist perspectives in therapy: An empowerment model. New York: John Wiley & Sons.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Vanderbilt UniversityNashville
  2. 2.Western Carolina University
  3. 3.Department of Human ServicesWestern Carolina UniversityCullowhee

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