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Out On The Couch

Conflicts with Colleagues in Clinics and Group Practice Settings

Posted: 9-6-23 | The Affirmative Couch

We’ve written previously about how to handle conflict in therapy—but what about when you are experiencing conflict within your clinic, from a peer or supervisor? Conflicts with colleagues, particularly surrounding identity, can impact an entire community if left unresolved for too long. It can also affect the reputation of your practice, or leave you [...]

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5 Supervisor “Green Flags”

Posted: 6-22-23 | Rachel Jones

As an associate or pre-licensed therapist within the LGBTQIA+ community, you will find that identifying a clinical supervisor who is supportive of your unique needs and identities is essential for professional growth and wellbeing. The supervisory relationship plays a crucial role in shaping therapist development, client outcomes, and supervisee wellness (Burkard et al., 2009). To [...]

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LGBTQ Myths vs. Reality: What Organizations Need To Know

Posted: 2-7-22 | The Affirmative Couch

Myths and stereotypes are prevalent in our society, but just because they’re prevalent, doesn’t mean they’re right. Though they may seem harmless, myths can be damaging to the people and communities they target. As an organization, it’s crucial to teach your members how to avoid falling prey to common myths because making assumptions can harm [...]

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Making the most of your clinic’s power

Posted: 9-1-21 | Melissa Dellens

Organizational empowerment is an active and participatory process through which individuals, organizations, and communities gain greater control, efficacy, and social justice (Peterson & Zimmerman, 2004). Firstly, we explored Brofenbrenner’s ecological model (Hess & Schultz, 2008), and Prillelensky’s (2008) understanding of power dynamics.  Secondly, we will introduce organizational empowerment theory (Peterson & Zimmerman, 2004) and [...]

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Defining Power for Affirmative Therapists

Posted: 8-4-21 | Melissa Dellens

Clinics, treatment centers, and group practices play an important role in the communities they serve. Power flows through every relationship from the individual dyad in treatment to a community clinic’s relationship with federal policy (Hess & Schultz, 2008).  Moreover, these dynamics can be seen as both a commodity and resource (Peterson & Zimmerman, 2004) in [...]

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4 Barriers to Affirmative Clinic Change

Posted: 6-9-21 | Melissa Dellens

Gerald Caplan is seminal in developing some of the early theories of consulting work (Caplan, 1960). Caplan worked in Israel after World War II providing mental health support to 16,000 displaced and orphaned teens in overwhelmed residential and refugee facilities (Mendoza, 1993). Caplan’s resources were limited, and his team had no way of serving the [...]

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13 Signs You Need to Decolonize Your Practice with Trans Clients:  Paying Attention to Your Colonization-Connected Behaviors

Posted: 1-7-21 | addyson tucker, Psy.D.

This two-part series is intended to first reflect on the ways in which transgender and gender nonbinary (TGNB)-affirming clinicians perpetuate harm connected to colonization, then to present actionable ways of moving toward decolonization and gender liberation. I am a queer, white, able-bodied, and “cis-ish” person (i.e., I do not feel discomfort in my [...]

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