Counseling Sexual Minorities

In a previous post, I mentioned that a second edition of the book, Christian Counseling Ethics, has just been published. This is a book edited by Randolph Sanders, former executive director of the Christian Association for Psychological Studies (CAPS). I wanted to share a little from that book and the chapter I contributed on counseling sexual minorities. Before I do that, let me acknowledge how much I enjoyed writing this chapter, as I had a chance to work with one of my mentors, Stan Jones, and one of the grad students I had a chance to mentor, Jill Kays. Let me recommend collaboration whenever possible! It increases the chances someone will catch your blind spots, and there are always ways in which you can grow.

ChristiancounselingethicsWe first address the topic of competence by reviewing current research findings in four relevant areas. There are (1) prevalence estimates; (2) theories of etiology (causation); (3) mental health correlates (e.g., greater risk of substance use disorders); and (4) research on attempts to change orientation. We then discuss controversies and issues in treatment, including professional controversies surrounding efforts to change orientation.

The next major topic is understanding sexual minorities in the context of the multicultural movement. We discuss here recent attempts at developing counseling competency scales, as well as what we know in terms of milestone events in sexual identity development.

Next we discuss integrity and client well-being. There are a number of issues that can be discussed here, and we spend some time on the ongoing cultural and professional discussions about reorientation efforts in terms of how those efforts are seen by different stakeholders. This is also where we introduce the reader to the Sexual Identity Therapy Framework and to different ways in which Sexual Identity Therapy can be conducted to facilitate client well-being, recognizing significant differences in how people might prefer to achieve congruence between their identity/behavior and their beliefs/values.

We then turn our attention to client autonomy and self-determination. We suggest language that can be used in obtaining advanced informed consent to therapy that address sexual identity. The language provides examples for how a Christian counselor might discuss causes of sexual orientation, professional and paraprofessional options, and so on.

The last section of the chapter address value conflicts and referrals. This has become a major point of professional discussion and debate with the Julea Ward v. EMU case being recently settled out of court, as well as other major cases that have led to discussions of practice location, training, and so on. One regret is that I wish statement from The Board of Educational Affairs of the American Psychological Association (APA) had been available at the time we wrote the chapter. I had a post about that recently, and I think it would have enhanced the chapter even further.

So check out the chapter and the rest of the book. There are a number of great contributions from leading Christian psychologists and counselors on a number of important and interesting topics.

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