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5. A Sexual Wellbeing Framework to Address Sexuality in Therapy with Transgender, Nonbinary, and Gender Expansive Clients.

Author

Dickenson, Janna A., Tebbe, Elliot, and Tellawi, Ghazel

Subjects
WELL-being, ORGASM, HUMAN comfort, CLIENT relations, HUMAN sexuality, NONBINARY people, GENDER-nonconforming people, PLEASURE, SOCIAL stigma, SEXUAL excitement, SEXUAL health
Abstract

Although most clinicians believe that discussing sexuality is important clinically, most clinicians do not initiate these discussions. Further, for therapists working with transgender, nonbinary, and gender expansive (TNBGE) clients, discussing sexuality may feel challenging when therapists fear inadvertently stigmatizing or mischaracterizing their clients and their concerns. We propose a sexual wellbeing framework as an adjunctive to traditional feminist therapy, in which discussions about sexuality is comfortable and appropriate to the goals of therapy. We review existing evidence that suggests sexual wellbeing of TNBGE clients may be enhanced by (a) attending to the client's larger sociocultural context in which sexual wellbeing emerges, (b) understanding that sexual wellbeing is multiply determined, the contributing factors to sexual wellbeing are unique for each person, and sexual wellbeing changes over time and across situations, (c) challenging assumptions that genitals, hormones, and sexual functioning are the most important aspects of sexual wellbeing, (d) emphasizing sexual comfort and pleasure by enhancing immersive attention and facilitating gender affirming sexual experiences, and (e) conceptualizing consent as a means to ensure safe and pleasurable experiences. We conclude by offering clinical scenarios that present practical considerations when applying the sexual wellbeing framework to illustrate the ways in which conversations with TNBGE clients about sexuality can enhance sexual wellbeing. [ABSTRACT FROM AUTHOR]

Published
2023
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11. Sexual Orientation Obsessions and Reactions Test

Author

Williams, Monnica T., primary, Ching, Terence H. W., additional, Tellawi, Ghazel, additional, Siev, Jedidiah, additional, Dowell, Jessica, additional, Schlaudt, Victoria, additional, Slimowicz, Joseph C., additional, and Wetterneck, Chad T., additional

Published
2018
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15. Microaggressions in LGB individuals: the protective role of positive LGB identity.

Author

Tellawi, Ghazel

Subjects
LGBT, microaggressions, identity, coping, discrimination, Clinical Psychology
Abstract

The purpose of the current study was to examine LGB identity from a multidimensional approach in the context of microaggressions. The aims of the study were as follows: 1) to examine whether positive and negative facets of LGB identities are correlated; 2) to determine whether positive LGB identity facets served as protective factors against the negative impact of microaggressions; 3) to explore the unique contribution of having a positive LGB identity against the negative impact of microaggressions when compared to other protective factors (social support and outness). Participants were 135 undergraduate students recruited through the University of Louisville’s research participant pool. Correlational and regression analysis results indicated that some facets of positive and negative identity are correlated. Positive LGB identity was not significantly correlated with anxiety or depression as assessed by the Beck Anxiety Inventory (BAI) and Beck Depression Inventory-II (BDI-II), respectively. Social support and outness were negatively associated with the BDI-II and microaggressions were positively associated with the BDI-II. Microaggressions and social support predicted unique variance in depressive symptoms, although social support was not a statistically significant buffer against microaggressions. This study highlights vi the clinical importance of identifying coping skills and sources of resilience in LGB individuals. Future research, such as including a broader spectrum of sexual orientations, assessing intersectionality, and examining other sources of coping, such as self-ompassion are discussed.

Published
2018

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