Handbook of affirmative psychotherapy with lesbian and gay men new york ny the guilford press world professional association for transgender health 2011 standards of care for the health of transsexual transgender and gender nonconforming people 7th ed. Gaining information about the availability of community resources has also been identified as a culturally and sociopolitically relevant factor in a clients history see for example guideline 16 guidelines for psychotherapy with lesbian gay and bisexual clients apa 2000a guidelines on multicultural education training research practice and organizational change for psychologists . However it must be noted that many lesbians and gay men do benefit from the gay affirmative therapeutic interventions of lesbian and gay therapists which typically explicitly address internalized homophobia and there is a considerable body of evidence linking homonegativity and pathology it may well be that as queer academics we are persuaded by the dangers of current conceptualizations of . In s dworkin f gutierrez eds counseling gay men and lesbians journey to the end of the rainbow pp 115 124 alexandria va american association for counseling and development chan c 1995 issues of sexual identity in an ethnic minority the case of chinese american lesbians gay men and bisexual people. Diane ehrensaft phd director of mental health at the child and adolescent gender center in san francisco and her colleagues are doing groundbreaking work in this area bridging the gap between developmental biological queer and psychoanalytic theory using what she calls a gender affirmative model she draws upon winnicotts ideas of true gender self and false gender self
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