Since homosexuality was removed from the DSM in 1973, there have been radical changes in the way the mental health field views sex and gender diverse people: those who are same-sex oriented, transgender people, those who identify as asexual, kinky, nonmonogamous, for example. At the same time, the ‘queer’ community has changed dramatically itself. What started as a movement of those who identified as gay or lesbian has become a ‘big tent’ community that includes all the groups mentioned above and others.  In this workshop we will learn about the new paradigms that have replaced the old – diversity instead of pathology, gender spectrum instead of binary, sexual fluidity instead of fixed categories. We will examine the research on sex and gender diversity, including the body of research comparing same and opposite sex oriented couples. We will extract the lessons about sexuality and gender we can learn from studying diversity that apply to all clients, whether ‘mainstream’ or not.

• Describe the history of how psychiatry and sexology have viewed sex and gender variance from the 1860’s until the present
• Describe the rationale for the ‘pathology model’ and the rationale and evidence for the current ‘normality’ paradigm for sex and gender variance
• Explain how the ‘queer’ community has changed – and expanded – over the last forty years
• Define the concepts of intersectionality and the age cohort effect among LGBTQ people
• Describe the different subgroups within the queer community, especially: bisexuals; kinky people;nonmonogamous people
• List 3 in sights about ‘mainstream’ sexuality learned from the research on gay couples and on alternative sex and gender expressions
• Explain the new standards of care for transgender and gender nonconforming clients
• Describe some of the clinical issues that might come up with nonmonogamous or kinky clients, or couples where one member is bisexual, is transitioning, or wants to open the relationship


Activity Timeline:

9:00-9:30 am- Introductions; Why It Matters To Know About Sex and Gender Diversity

9:30-10:30 AM – The History of Sexology and Psychiatry and Its Views of Sex and Gender Diverse People

10:30- 10:45 break

10:45-12 noon – The Underpinnings of the Pathology Model; the Evidence for a Normative Model

12-1 How the Queer Community has Changed Since Stonewall

1-2 – Lunch

2:00-2:30 – Processing the morning; Q & A

2:30- 3:30 – Research on same sex couples and the implications for your practice

3:30-3:45 – Break

3:45-4:45 –  Bi, Trans, Kink and Nonmonogamy- implications for your practice

4:45- 5:30 – Small group role play

5:30- 6 –  Summary and Discussion