|Basic InformationMore InformationLatest NewsQuestions and AnswersLinksBook Reviews|101 Healing Stories101 Things I Wish I'd Known When I Started Using HypnosisA Primer for Beginning PsychotherapyA Therapist's Guide to Understanding Common Medical ProblemsACT With LoveAlready FreeAssessment and Treatment of Childhood Problems, Second EditionBad TherapyBefore ForgivingBeing a Brain-Wise TherapistBiofeedback for the BrainBody PsychotherapyBody SenseBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBreaking ApartBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheChoosing an Online TherapistClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCompassion and Healing in Medicine and SocietyConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsCouch FictionCounseling with Choice TheoryCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDecoding the Ethics CodeDepression 101Depression in ContextDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing ItE-TherapyEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveEssays on Philosophical CounselingEthics in Psychotherapy and CounselingEveryday Mind ReadingExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFlourishingFlying ColorsGod & TherapyHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHealing the Soul in the Age of the BrainHeinz KohutHow to Give Her Absolute PleasureHow to Go to TherapyIf Only I Had KnownIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt’s Your HourLearning from Our MistakesLetters to a Young TherapistLove's ExecutionerMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessOf Mice and MetaphorsOf Two MindsOn the CouchOne Nation Under TherapyOur Inner WorldOvercoming Destructive Beliefs, Feelings, and BehaviorsPhilosophical CounselingPhilosophical MidwiferyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPlato, Not Prozac!Psychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy As PraxisPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRecovery OptionsRent Two Films and Let's Talk in the MorningSaving the Modern SoulSecond-order Change in PsychotherapySelf MattersSelf-Determination Theory in the ClinicSexual Orientation and Psychodynamic PsychotherapyStrangers to OurselvesTaking America Off DrugsTales of PsychotherapyThe Art of HypnosisThe Case Formulation Approach to Cognitive-Behavior TherapyThe Crucible of ExperienceThe Education of Mrs. BemisThe Fall Of An IconThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New PsychoanalysisThe Philosopher's Autobiography The Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Talking CureThe Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe UnsayableThe Wing of MadnessTheory and Practice of Brief TherapyTherapyTheraScribe 4.0Thinking about ThinkingThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTreating Attachment DisordersWhat the Buddha FeltWhat Works for Whom? Second EditionWhy Psychoanalysis?Yoga Therapy
by Ruperto M. Perez, Kurt A. DeBord, and Kathleen J. Bieschke (editors)
American Psychological Association, 2000
Review by Marcus Tye, Ph.D. on Mar 6th 2000
The Handbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual Clients offers a brief introduction to the history of LGB activism and provides an overview of issues LGB clients may bring to therapy. This book serves as a good introduction to both the historical and contemporary psychological research on sexuality, and is accessible to both a general audience as well as psychotherapists. It is also an excellent resource for faculty wanting to assign individual chapters as standalone readings to supplement other courses. It is a volume that belongs on every clinicians bookshelf. However, it should not stand alone on that shelf. Readers wishing to find theoretical depth are likely to be left unsatisfied, and although lengthy the book is short on specific resources of use with clients. It suffers from redundancy due to its structure as an edited volume of independently authored chapters, and those already familiar with LGB issues will find little new ground covered. There is also a significant weakness in its omission of issues affecting transgender clients.
Context and history form an integral part of many of the chapters in The Handbook, and since the American Psychological Association publishes it, it may be helpful for me to provide some background context of APAs recent history with regard to sexual orientation. Psychology in the U.S. prides itself professionally at being in the lead in a progressive stance on GLBT issues. This can be seen in the present version of the American Psychological Associations Guidelines for Doctoral and Internship Programs, which incorporates issues of sexual orientation into its requirement for the inclusion of cultural and individual differences in graduate curricula (most recently amended 1 January 2000). However, on second look the illusion of leadership begins to fade. For example, in the most recent APA questions-and-answers white paper for program directors on responding to the Guidelines (January 1997), cultural diversity and individual differences are detailed primarily in terms of ethnicity and linguistic differences, with only a passing reference to sexual orientation. Indeed, it was not until August 1997 that the governing body of APA formally denounced the reorientation "treatment" offered by some clinicians.
Several surveys of psychologists cited in The Handbook amply document how a majority of psychologists are in many ways still ill prepared to deal appropriately with issues of sexual orientation in therapy, and how even in the early 1990s most reported "little or no information about homosexuality" (xii). Other sources have documented homophobia and discrimination continuing throughout the 1990s in doctoral programs in psychology, leading some therapists to remain closeted. Although prejudice within the psychology may be outside the immediate scope of The Handbook, it certainly could have been addressed. For example, Chapter 15 addresses psychoeducational programming in terms of sexual orientation education in the community, but does not address changing attitudes with the profession.
The Handbook consists of eighteen independently authored chapters, in three sections: five chapters to "Social and Theoretical Perspectives," seven chapters to "Counseling and Therapy," and six chapters to "Relevant Issues for Therapy, Theory, and Research." Editorial consistency provides the illusion of an integrated book. Each chapter carefully refers to LGB clients using a single permutation of the acronym, each carefully refers to itself as a chapter in the larger Handbook. Most chapters appear to be written for a U.S. heterosexual audience being introduced for the first time to LGB issues. There is a disappointing tendency to be narrowly focused on certain groups, even this lack of inclusiveness is explicitly acknowledged in many chapters and excused due to considerations of length. Examples include a focus on Christianity in a chapter on religion, and in several chapters a view of psychotherapy and LGB history as being primarily U.S. endeavors. Further, psychiatry is rarely mentioned.
The structure of independently authored chapters is a strength in that it allows one or more chapters to be selected for advanced undergraduate or introductory graduate readings. However it creates two weaknesses: redundancy and shallowness. For example, coming out is mentioned in chapters 2, 4, 7, 8, 10, 11, 12 and 17. Although each chapter addresses coming out from a different perspective, each time it is addressed only in superficial terms. Were the book titled "An Introduction to Issues in Counseling and Psychotherapy," the lack of depth would be less disappointing. However, the title "Handbook" suggests a thorough, in-depth examination of important issues, which is not to be found.
Regretfully, The Handbook also fails to provide sufficient practical information. Many times clinicians are urged to be familiar with available resources, but these resources are never identified. A reference to the National Gay and Lesbian Task Forces web site for clients needing legal support stands alone in its specificity. Since The Handbook is marketed to clinicians, this oversight is disappointing: managed care limits the time front-line therapists have to research client needs, and even LGB therapists may not be aware of the myriad organizations that exist to support various special needs of LGB clients. The problem is worsened for therapists working in rural areas.
The third weakness of The Handbook is its omission of transgender issues. It is astonishing that the authors missed this opportunity to assist in APAs initiative to ease the prejudice against transgender individuals. The editors excuse this as follows, "In addition, there are no discussions of transgender issues in this edition of the book because of the lack of empirical research in this area" (p. 5). Yet Psychological Abstracts PsychINFO reveals 788 peer-reviewed articles and scholarly books or chapters on this topic through 1998 (generously allowing a two year lead time for publication). Indeed, in the hundreds of times the acronym LGB appears in The Handbook, I could not help but wince each time as if it had been castrated of its "T" in name of editorial consistency. This is not just a semantic excision, as discussion of transgender issues are relevant to many of the topics explored in The Handbook.
Although these shortcomings are significant, I would like to recommend The Handbook. It is a convenient collection of introductory readings that collectively survey a large body of empirical literature, and can be of use both to experienced clinicians as well as a general audience. It is especially strong as a starting point for exploring LGB issues in psychotherapy.
Marcus Tye Ph.D. is an assistant professor of Psychology at Dowling College, Long Island, NY To buy this book from Barnes and Noble.com, who will ship the book in 2-3 days, click here: Handbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual Clients