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Microaggressions: Clinical errors with sexual minority clients.

Elliot S Spengler1, Deborah J Miller2, Paul M Spengler3

  • 1Department of Psychology, University of Tennessee.

Psychotherapy (Chicago, Ill.)
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Summary
This summary is machine-generated.

Sexual minority individuals face societal stigma, increasing mental health risks. Therapists must avoid sexual orientation microaggressions, which harm the therapeutic alliance and client well-being.

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Area of Science:

  • Psychology
  • Sociology
  • Mental Health

Background:

  • Sexual minority (SM) individuals experience societal heterosexism and stigma.
  • This prejudice increases their risk for mental health disorders.
  • Therapeutic environments often lack affirmation and support for SM clients.

Purpose of the Study:

  • To identify common clinical errors and microaggressions experienced by sexual minority clients.
  • To examine the impact of these microaggressions on therapeutic outcomes.
  • To provide strategies for therapists to avoid microaggressive biases.

Main Methods:

  • Review of empirically supported findings on SM clinical errors.
  • Inclusion of a clinical example illustrating biases and corrective measures.
  • Discussion of general strategies for avoiding microaggressions with SM clients.

Main Results:

  • Sexual orientation microaggressions, such as heteronormative assumptions, are prevalent in therapy.
  • These microaggressions function as clinical errors, damaging therapeutic alliance and treatment effectiveness.
  • Microaggressions can lead to client shame, anger, and misunderstanding.

Conclusions:

  • Therapists must be vigilant in creating affirming spaces for SM clients.
  • Recognizing and correcting sexual orientation microaggressions is crucial for effective mental health care.
  • Implications for clinical practice, training, and future research are discussed.