Abstract
Hulpverleners beschouwden homoseksualiteit decennialang als gestoord gedrag, zonder dat zij oog hadden voor de pathologiserende invloeden van zo'n visie. Evoluerende maatschappelijke denkbeelden en zeden creëerden echter een atmosfeer waarin homoseksualiteit als een normale variatie van de natuur beschouwd werd. Dit artikel bespreekt de uitloper van dit klimaat: het affirmatieve perspectief. Een aantal thema's dat in de desbetreffende literatuur centraal staat, wordt besproken. Eerst bekijken we nader wat dit perspectief inhoudt, vertrekkend vanuit de basisdefinitie van Maylon. Vervolgens nemen we attituden van hulpverleners over homoseksualiteit onder de loep. Een ander centraal thema is de matchingproblematiek, waarbij men tracht na te gaan of gelijkenissen (in casu in seksuele oriëntatie) tussen cliënt en hulpverlener leiden tot een beter therapeutisch resultaat. Ten slotte gaan we in op specifieke opleidingsbehoeften.
Notes
Onder ‘conversietherapie’ wordt het geheel van methoden en technieken verstaan dat erop gericht is de seksuele oriëntatie te wijzigen, met of zonder toestemming van de cliënt. De term mag niet verward worden met en is ongerelateerd aan het concept ‘conversiehysterie’.
Aanvankelijk beperkte de affirmatieve beweging (die stelde dat homoseksualiteit ‘normaal’ was en dus geaccepteerd moest worden in psychotherapie) zich ertoe de argumenten te weerleggen van sommige klassieke analytici en gedragstherapeuten die een wijziging van de homoseksuele oriëntatie voorstonden. Niet-bevestigende en bevestigende houding stonden als twee tegengestelde polen tegenover elkaar.
Het ging om de Rorschach, de Thematic Apperception Test en de Make a Picture Story Test (Rothblum, 2000).
Van de respondenten zegt 38% in hun carrière zelfs meer dan 20 individuen ontmoet te hebben die homoseksueel waren (Garnets en anderen, 1991).
Het geslacht van de cliënten werd in deze studie niet in de analyse betrokken, hoewel een positieve match op basis van geslacht (waarbij mannen mannelijke therapeuten en vrouwen vrouwelijke therapeuten meer steunend vinden) niet uitgesloten moet worden geacht.
Literatuur
Adams, H.E., & Sturgis, E.T. (1977). Status of behavioral reorientation techniques in the modification of homosexuality: A review. Psychological bulletin, 84, 1171-1188.
Allison, K.W., Crawford, I., Echemendia, R., Robinson, L., & Knepp, D. (1994). Human diversity and professional competence: Training in clinical and counseling psychology revisited. American psychologist, 49, 792-796.
American Psychological Association (1994). Guidelines for providers of psychological services to ethnic, liguistic, and culturally diverse populations. American psychologist, 48, 45-48.
Atkinson, D.R., Brady, S., & Casas, J.M. (1981). Sexual preference similarity, attitude similarity, and perceived counselor credibility and attractiveness. Journal of counseling psychology, 28, 504-509.
Atkinson, D.R., & Schein, S. (1986). Similarity in counseling. Counseling psychologist, 14, 319-354.
Bell, A.P., & Weinberg, M.S. (1978). Homosexualities: A study of diversity among men and women. New York: Simon & Schuster.
Beutler, L.E., Machado, P.P., & Allstetter Neufeldt, S. (1994). Therapist variables. In A.E. Bergin & S.L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 229-269). New York: John Wiley & Sons.
Bieschke, K.J., McClanahan, M., Tozer, E., Grzegorek, J.L., & Park, J. (2000). Programmatic research on the treatment of lesbian, gay, and bisexual clients: The past, the present, and the course for the future. In M.P. Perez, K.A. DeBord & K.J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay and bisexual clients (pp. 309-336). Washington DC: American Psychological Association.
Brooks, V.R. (1981). Sex and sexual orientation as variables in therapists’ biases and therapy outcomes. Clinical social work journal, 9, 198-210.
Broido, E.M. (2000). Constructing identity: The nature and meaning of lesbian, gay, and bisexual identities. In M.P. Perez, K.A. DeBord & K.J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay and bisexual clients (pp. 13-34). Washington DC: American Psychological Association.
Buhrke, R.A. (1989a). Female student perspectives on training in lesbian and gay issues. Counseling psychologist, 17, 629-636.
Buhrke, R.A. (1989b). Incorporating lesbian and gay issues into counselor training: A resource guide. Journal of counseling and development, 68, 77-80.
Cabaj, R.P. (1996). Sexual orientation of the therapist. In R.P. Cabai & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 513-524). Washington DC/Londen: American Psychiatry Press.
Cain, R. (1991). Stigma management and gay identity development. Social work, 36, 67-73.
Cass, V. (1996). Sexual orientation identity formation: A western phenomenon. In R.P. Cabai & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 227-252). Washington DC/Londen: American Psychiatry Press.
Cohler, B.J., & Galatzer-Levy, R. (1996). Self psychology and homosexuality: Sexual orientation and maintenance of personal integrity. In C. Cohen & T. Stein (Eds.), Psychotherapy with lesbians and gay men (pp. 207-226). New York: Plenum Publishing Corp.
Cornett, C.C. (1993). Dynamic psychotherapy of gay men: A view from self psychology. In C.C. Cornett (Ed.), Affirmative dynamic psychotherapy with gay men (pp. 45-76). New Jersey/Londen: Jason Aronson Inc.
Davies, D. (1996). Towards a model of gay affirmative therapy. In D. Davies & C. Neal (Eds.), Pink therapy: A guide for counsellors and therapists working with lesbian, gay and bisexual clients (pp. 24-40). Philadelphia: Open University Press.
Davies, D. (1998). The six necessary and sufficient conditions applied to working with lesbian, gay, and bisexual clients. The person-centered journal, 5, 111-124.
Downey, J.I., & Friedman, C.F. (1996). The negative therapeutic reaction and self-hatred in gay and lesbian patients. In R.P. Cabai & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 471-484). Washington DC/Londen: American Psychiatry Press.
Drescher, J. (1996). Psychoanalytic subjectivity and male homosexuality. In R.P. Cabai & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 173-190). Washington DC/Londen: American Psychiatry Press.
Epstein, S. (1987). Gay politics, ethnic identity: The limits of social constructionism. Social review, 17, 9-54.
Frost, J.C. (1998). Countertransference considerations for the gay male when leading psychotherapy groups for gay men. International journal of group psychotherapy, 48, 3-24.
Garnets, L., Hancock, K.A., Cohran, S.D., Goodchilds, J., & Peplau, L.A. (1991). Issues in psychotherapy with lesbian and gay men: A survey of psychologists. American psychologist, 46, 964-974.
Graham, D.L.R., Rawlings, E.I., Halpern, H.S., & Hermes, J. (1984). Therapists’ need for training in counseling lesbians and gay men. Professional psychology: Research and practice, 15, 482-496.
Haldeman, D.C. (1994). The practice and ethics of sexual orientation conversion therapy. Journal of consulting and clinical psychology, 62, 221-227.
Hansen, G.L. (1982). Androgyny, sex-role orientation, and homosexism. The journal of psychology, 112, 39-45.
Harrison, N. (2000). Gay affirmative therapy: A critical analysis of the literature. British journal of guidance and counselling, 28, 37-53.
Hendrickx, D. (2002). Klinische en therapeutische inzichten bij hulpverlening aan homoseksuele mannen. Een overzicht van de literatuur sinds 1980. Niet-gepubliceerde licentiaatsverhandeling. Leuven: Katholieke Universiteit Leuven.
Jordan, K.M., & Deluty, R.H. (1995). Clinical interventions by psychologists with lesbian and gay men. Journal of clinical psychology, 51, 448-455.
Krajeski, J. (1996). Homosexuality and the mental health professions: A contemporary history. In R.P. Cabaj & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 17-32). Washington DC/Londen: American Psychiatry Press.
Laumann, E.O., Gagnon, J.H., & Michael, R.T. (1994). The social organisation of sexuality: Sexual practices in the United States. Chicago, Ill.: University of Chicago Press.
Liddle, B.J. (1996). Therapist sexual orientation, gender, and counseling practices as they relate to ratings of helpfulness by gay and lesbian clients. Journal of counseling psychology, 43, 394-401.
Liddle, B.J. (1997). Gay and lesbian clients’ selection of therapists and utilization of therapy. Psychotherapy, 34, 11-18.
Lietaer, G. (1991). Authenticiteit en onvoorwaardelijke positieve gezindheid. In H. Swildens, O. de Haas, G. Lietaer & R. Van Balen (red.), Leerboek gesprekstherapie. De cliëntgerichte benadering (pp. 27-64). Utrecht: De Tijdstroom.
Mapou, R.L., Ayres, J., & Cole, S.P. (1983). An analysis of problem areas and counseling experiences of gay white males. American journal of community psychology, 11, 323-336.
Maylon, A.K. (1993). Psychotherapeutic implications of internalized homophobia in gay men. In C.C. Cornett (Ed.), Affirmative dynamic psychotherapy with gay men (pp. 77-92). New Jersey/Londen: Jason Aronson Inc.
McHenry, S.S., Johnson, J.W. (1993). Homophobia in the therapist and gay or lesbian client: Conscious and unconscious collusions in self-hate. Psychotherapy, 30, 141-151.
Michaels, S. (1996). The prevalence of homosexuality in the United States. In R.P. Cabaj & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 43-64). Washington DC/Londen: American Psychiatry Press.
Moran, M.R. (1992). Effects of sexual orientation similarity and counselor experience level on gay men's and lesbians’ perceptions of counselors. Journal of counseling psychology, 39, 247-251.
Morgan, K.S., & Eliason, M.J. (1992). The role of psychotherapy in Caucasian lesbians’ lives. Women and therapy, 13, 27-52.
Morgan, K.S. (1992). Caucasian lesbians’ use of psychotherapy. Psychology of women quarterly, 16, 127-130.
Phillips, J.C., & Fischer, A.R. (1998). Graduate students’ training experiences with gay, lesbian, and bisexual issues. The counseling psychologist, 26, 712-734.
Pilkington, N.W., & Cantor, J.M. (1996). Perceptions of heterosexual bias in professional psychology programs: A survey of graduate students. Professional psychology: Research and practice, 27, 604-612.
Rhoads, R. (1995). Coming out in college: The struggle for a queer identity. Westport, CT: Bergin & Garvey.
Richardson, D. (1993). Recent challenges to traditional assumptions about homosexuality: Some implications for practice. In L.D. Garnets & D.C. Kimmel (Eds.), Psychological perspectives on lesbian and gay male experiences (pp. 117-129). New York: Columbia University Press.
Robinson, K.E. (1994). Addressing the needs of gay and lesbian students: The school counselor's role. The school counselor, 41, 326-332.
Rothblum, E.D. (2000). “Somewhere in Des Moines or San Antonio”: Historical perspectives on lesbian, gay, and bisexual mental health. In M.P. Perez, K.A. DeBord & K.J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay and bisexual clients (pp. 57-80). Washington DC: American Psychological Association.
Rubinstein, G. (1995). The decision to remove homosexuality from the DSM: Twenty years later. American journal of psychotherapy, 49, 416-427.
Rudolph, J. (1989). Impact of contemporary idealogy and AIDS on the counseling of gay clients. Counseling and values, 33, 96-108.
Rudolph, J. (1990). Counselors’ attitudes toward homosexuality: Some tentative findings. Psychological reports, 66, 1352-1354.
Sandfort, T.G.M., Graaf, R. de, Bijl, R.V., & Schnabel, P. (2001). Same-sex sexual behavior and psychiatric disorders. Archives of general psychiatry, 58, 85-91.
Silverstein, C. (1993). The borderline personality disorder and gay people. In C.C. Cornett (Ed.), Affirmative dynamic psychotherapy with gay men (pp. 117-150). New Jersey/Londen: Jason Aronson Inc.
Silverstein, C. (1996). History of treatment. In R.P. Cabaj & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 3-16). Washington DC/Londen: American Psychiatry Press.
Sobocinski, M.R. (1990). Ethical principles in the counseling of gay and lesbian adolescents: Issues of autonomy, competence, and confidentiality. Professional psychology: Research and practice, 21, 240-247.
Socarides, C.W., & Volkan, V.D. (1991). Introduction. In C.W. Socarides & V.D. Volkan (Eds.), The homosexualities and the therapeutic process (pp. 1-8). Madison, Connecticut: International Universities Press.
Stein, T.S., & Cabaj, R.P. (1996). Psychotherapy with gay men. In R.P. Cabaj & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 413-432). Washington DC/Londen: American Psychiatry Press.
Stein, T.S. (1996). A critique of approaches to changing sexual orientation. In R.P. Cabaj & T.S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 525-538). Washington DC/Londen: American Psychiatry Press.
Tozer, E.E., & McClanahan, M.K. (1999). Treating the purple menace: Ethical considerations of conversion therapy and affirmative alternatives. Counseling psychologist, 27, 722-742.
Wiesendanger, K. (1999). Gay-affirmative therapy – Schwule und Lesben in Gesprächs-psychotherapie. Brennpunkt, 78, 16-26.
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Affirmative psychotherapy for homosexual men: Some themes
For decades counselors and therapists have regarded homosexuality as disturbed behavior, without taking this view's pathologizing influences into account. However, the evolution of social concepts and morals has created an atmosphere in which homosexuality was to be considered a normal variation of nature. This article deals with the tail end of this climate: the gay affirmative perspective. A number of central themes of the literature is discussed. First, we take a close look at this perspective, starting from Maylon's basic definition. Then we scrutinize counselors’ and therapists’ attitudes towards homosexuality. Another important theme is the matching issue: we explore the question whether similarities in the sexual orientation of client and therapist lead to a more efficient therapy outcome. Finally, we examine specific training needs.
Dieter Hendrickx is als klinisch psycholoog werkzaam bij het Centrum Geestelijke Gezondheidszorg Delta te Aarschot en is psychotherapeut in opleiding.
Ninovestraat 36, 9450 Haaltert, België
Prof.dr. Germain Lietaer is als gewoon hoogleraar verbonden aan de afdeling Psychotherapie en Dieptepsychologie van de Katholieke Universiteit Leuven. Hij verzorgt er onderwijs en opleiding in de cliëntgericht-experiëntiële therapie en doet procesonderzoek in de psychotherapie.
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Hendrickx, D., Lietaer, G. Affirmatieve hulpverlening aan homoseksuele mannen.. PSIE 29, 177–187 (2003). https://doi.org/10.1007/BF03062024
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DOI: https://doi.org/10.1007/BF03062024