This comprehensive second edition inspires therapists to utilize clinical work to pragmatically address intersectional oppressions, lessen the burden of minority stress, and implement effective LGBTQ affirmative therapy.

A unique and important contribution to LGBTQ literature, this handbook includes both new and updated chapters reflecting cutting-edge intersectional themes like race, ethnicity, polyamory, and monosexual normativity. A host of expert contributors outline the best practices in affirmative therapy, inspiring therapists to guide LGBTQ clients into deconstructing the heteronormative power imbalances that undermine LGBTQ relationships and families. There is also an increased focus on clinical application, with fresh vignettes included throughout to highlight effective treatment strategies.

Couple and family therapists and clinicians working with LGBTQ clients, and those interested in implementing affirmative therapy in their practice, will find this updated handbook essential. 

chapter |6 pages


ByRebecca Harvey, Megan J. Murphy

part Section I|51 pages

Foundations of LGBTQ-Affirmative Therapy

chapter 1|16 pages

Evolution of LGBTQ-Affirmative Couple and Family Therapy

ByRebecca Harvey, Megan J. Murphy, Tracey A. Laszloffy

chapter 2|20 pages

Intercultural Issues in LGBTQ+ Couple and Family Therapy

Supporting Empowerment and Resilience at the Intersection of Identities
ByAmney J. Harper, Anneliese A. Singh

chapter 3|13 pages

Heteronormativity and Ethics in the Treatment of LGBTQ Clients

ByMegan J. Murphy

part Section II|134 pages

Working with Couples

chapter 4|14 pages

We Cannot Change What We Cannot Name for Ourselves

Integrating Attachment Theory into Couple Therapy with Gay Men
ByRobert Allan

chapter 5|14 pages

Illuminating Strengths

Multiracial Feminist Couple Therapy with Queer Women
ByMontinique McEachern, Deborah Coolhart, Dyane Watson

chapter 6|16 pages

“There's a Lot We Don't Understand About Each Other”

Centering Bisexual Partners in Couple Therapy
ByErica E. Hartwell, Katie M. Heiden-Rootes, Steph Cooke

chapter 7|16 pages

Therapists' Accountability and Engagement with Transgender and Nonbinary Couples

ByLivingstone Carter Cox, Kristen E. Benson, Alex Iantaffi

chapter 8|14 pages

Affirming Diversity and Targeting Pleasure

Sex Therapy for Gay Male Couples
ByMaria Manuela Peixoto

chapter 9|14 pages

“I Could Never See You and Now I Dare Not Touch You”

Sex Therapy with Lesbian Couples
ByBrooks A. Bull, Jassy Casella Timberlake

chapter 10|26 pages

Sexuality and Desire Landscapes in Transgender, Nonbinary, and Genderqueer Relationships

ByArlene I. Lev, Shannon L. Sennott

part Section III|131 pages

Family and Identity Considerations

chapter 12|30 pages

Invisible Humans

Identity Development and Visibility Management in Gender, Sexual, Erotic, and Relational Diversity
ByMarkie Louise Christenson (L. C.) Twist, Raven Cloud, Sarah A. Hechter

chapter 13|13 pages

I Have Too Many Mothers

Queer Families Raising Children
ByLinda Stone Fish

chapter 14|19 pages

Affirming Queerness

Raising Happy, Healthy Children
ByRebecca Harvey, Paul D. Levatino, Jonathan Ruiz, Linda Stone Fish

chapter 15|17 pages

Gender Affirmative Therapy with Trans and Gender Expansive (TGE) Youth and Families

Listening to Youth and Thoughtfully Following Their Lead
ByDeborah Coolhart, Tristan K. Martin

chapter 16|20 pages

Helping LGBTQ Stepfamilies Meet Their Challenges

ByPatricia L. Papernow

chapter 17|27 pages

“I Will Always Come Home to You”

Affirmative Therapy with Clients Practicing Consensual Non-Monogamy
BySheila M. Addison, Noelle Clason

part Section IV|89 pages

Special Issues

chapter 18|19 pages

“I Didn't Know I Had a Right to Exist”

Queer Elders and Family Therapy
ByPaul D. Levatino

chapter 19|16 pages

Where Should We Go to Church? Or Should We Even Bother

Spirituality and Religion in LGB Couples' Therapy
BySteven D. Johnson, Sharon S. Rostosky, Ellen D. B. Riggle

chapter 20|18 pages

Treatment of Partner Violence in Sexual and Gender Minority Couples

ByNathan Mather, Deanna Linville, Tiffany B. Brown

chapter 21|20 pages

Treating LGBT Couples Experiencing Substance Use Disorders

Trauma-Informed and Affirmative Therapy Approaches
ByMichael Shelton

chapter 22|13 pages

Rewrite the Script

A Call for More Queer and Inclusive Couple Enrichment Programs
ByShoshana D. Kerewsky, Darien T. Combs, Nathan Mather

part Section V|64 pages

Training Issues

chapter 23|16 pages

“Why Can't We Just Learn about Normal Couples?”

LGBQ Affirmative Training Strategies for CFT Faculty and Programs
ByChristi R. McGeorge, Ashley A. Walsdorf, Katelyn O. Coburn

chapter 24|15 pages


Considerations for Therapy and Supervision
BySteph Cooke, Mary R. Nedela, Daran Shipman, Erika L. Grafsky

chapter 25|15 pages

Recovery from Sexual Orientation Change Efforts

Affirming the Intersections of Marginalized Identities among Survivors
ByJeffrey S. Lutes

chapter 26|14 pages

Getting Personal

Queer Supervision
ByJanie K. Long, Jack Grote, Kyra E. Citron, Melanie Camejo Coffigny, Manish Kumar, Tyler Lian, Shom Tiwari