Abstract
Seldom emphasized in clinical writings are the ways in which lesbians construct and revise multiple narratives to create and navigate their lesbian identity within the clinical relationship. Case material is presented to show how the examination of the psychic meaning of the move from lesbian child to lesbian woman can be explored retrospectively through the collaborative therapeutic relationship set forth in the constructivist approach. To address the potential countertransference problems for clinicians working with this population, the concept of “countertransference amnesia” is introduced to describe a particular type of “forgetting” that reproduces within the clinical relationship the subtle forms of discrimination that restrict lesbian expression within the culture at large. This work also seeks to liberate lesbian identity formation from previous explanations and to demonstrate the construction of a lesbian identity as a psychically organizing process, which integrates inner and outer experience and allows the girl or woman to adapt to the social world.
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REFERENCES
Bohan, J. S. (1996). Psychology and sexual orientation: Coming to terms. New York: Routledge.
Burch, B. (1993). On intimate terms: The psychology of difference in lesbian relationships. Urbana: University of Illinois Press.
Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219-235.
Frommer, M. S. (1994). Homosexuality and psychoanalysis technical considerations revisited. Psychoanalytic Dialogues, 4(2), 215-233.
Frommer, M. S. (1995). Countertransference obscurity in the psychoanalytic treatment of homosexual patients. In Domenici, T. & Lesser, R. C. (Ed.), Disorienting sexuality: Psychoanalytic reappraisals of sexual identities. New York and London: Routledge.
Golden, C. (1987). Diversity and variability in women's sexual identities. In Boston Lesbian Psychologies Collective (Ed.), Psychologies: Explorations and challenges. Urbana: University of Illinois Press.
Goldstein, E. (1994). Self-disclosure in treatment:What therapists do and don't talk about. Clinical Social Work Journal, 22(4), 417-432.
Goldstein, E. (1995). Clinical practice with lesbians. In Brandell J. (Ed.), Theory and practice in clinical social work: A handbook for the 1990's and beyond. New York: The Free Press.
Hoffman, I. Z. (1983). The patient as interpreter of the analyst's experience. Contemporary Psychoanalysis, 19, 389-422.
Hoffman, I. Z. (1991). Discussion: Toward a social-constructivist view of the psychoanalytic situation. Psychoanalytic Dialogues, 1, 74-105.
Hoffman, I. Z. (1992). Some practical implications of a social-constructivist view of the psychoanalytic situation. Psychoanalytic Dialogues, 2, 287-304.
Horowitz, L. (1998). Constructions of experience: A social constructivist approach for lesbians in psychoanalysis. Michigan: UMI Dissertation Services.
Isay, R. A. (1989). Being homosexual: Gay men and their development. New York: Farrar, Straus & Giroux.
Kwawer, J. (1980). Transference and Countertransference in Homosexuality-Changes in psychoanalytic views. American Journal of Psychotherapy, 34(1), 72-80.
Layton, L. (1998). Who's that girl? Who's that boy? Clinical practice meets postmodern gender theory. Northvale, New Jersey, London: Jason Aronson Inc.
Lessor, R. (1995). Objectivity as masquerade. In T. Domenici & R. Lessor (Ed.), Disorienting Sexuality: Psychoanaltyic Reappraisals of Sexual Identities. New York: Routledge.
Lorde, A. (1984). Sister outsider: Speeches and essays. Freedom, California: The Crossing Press Feminist Series.
Magee, M. & Miller, D. (1992). She foreswore her womanhood: Psychoanalytic Views of Homosexuality. Clinical Social Work Journal, 20(1), 67-87.
Magee, M. & Miller, D. (1995) Psychoanalysis and women's experience of “Coming out”: The necessity of a “Bee Charmer.” In T. Domenici & R. Lessor (Ed.), Disorienting sexuality: Psychoanalytic reappraisals of sexual identities. New York: Routledge.
Magee, M. & Miller, D.(1997). Lesbian lives: Psychoanalytic narratives old and new. Hillsdale, New Jersey, London: Analytic Press.
Mitchell, S. (1993). Hope and dread in psychoanalysis. New York: Basic Books.
O'Connor, N. & Ryan, J. (1993). Wild desires and mistaken identities: Lesbianism and psychoanalysis. New York: Columbia University Press.
Perez-Foster, M. (1998). The clinician's cultural countertransference: The psychodynamics of cuturally competent practice. Clinical Social Work Journal 26(3), 253-270.
Rich, A. (1986). Blood, bread, and poetry: Selected prose 1979-1985. New York and London: W.W. Norton & Company.
Rich, A. (1989). Invisibility in academe. Quoted in R. Rosaldo, Culture and truth: The remaking of social analysis. p. ix. Boston: Beacon Press.
Schwartz, A. E. (1998). Sexual subjects: Lesbians, gender, and psychoanalysis. New York and London: Routledge.
Wolfe, A. (1998). One nation, after all. New York: Viking.
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Horowitz, L.C. Resisting Amnesia in the Countertransference: A Clinical Strategy for Working with Lesbian Patients. Clinical Social Work Journal 28, 55–70 (2000). https://doi.org/10.1023/A:1005111708942
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DOI: https://doi.org/10.1023/A:1005111708942