The Closeted Client
Should therapists help their gay clients stay in the closet?
Posted Jun 20, 2011
According to Mimi Swartz, the author of yesterday's New York Times piece, therapists such as myself are struggling with how to be affirming of our client's sexual identities, while remaining respectful of religious beliefs that sometimes deplore homosexuality. Its a conundrum, that some psychotherapists, such as Denis Flanigan, see as "intractable."
Flanigan and other like-minded therapists have attempted to find a third way. Their "client-centered" approach aims to embrace a client's sexual orientation without necessarily forcing that client to identify as being gay. It's a somewhat controversial stance and one that makes some therapists uncomfortable. The American Psychological Association has weighed in on the debate and has cautiously endorsed similar forms of client-centered therapy. In a report commissioned by the APA entitled Appropriate Therapeutic Responses to Sexual Orientation, the APA has concluded: "Acceptance of same-sex sexual attractions and sexual orientation may not mean the formation of an L.G.B. sexual-orientation identity; alternate identities may develop instead" (p. 59). Therapeutically, the results of such an approach can be unorthodox. Sometimes this might mean accepting a client's sexual orientation as gay, while acknowledging their sexual identity as being straight.
For those interested in learning more about this topic, visit APA's Appropriate Therapeutic Responses to Sexual Orientation here.
Tyger Latham, Psy.D. is a licensed clinical psychologist practicing in Washington, DC. He counsels individuals and couples and has a particular interest in sexual trauma, gender development, and LGBT concerns. His blog, Therapy Matters, explores the art and science of psychotherapy.