Question
How do you ethically assess LGBT populations for aspects related to their identity in an affirming way?
Answer
In the ethical and affirming assessment of LGBT populations regarding identity within the behavioral health field, the primary guiding principle is to refrain from making assumptions and actively inquire about these aspects instead.
It is crucial not to assume someone's sexual orientation or gender identity based on appearances or preconceived notions. Professionals are advised to always ask open-ended questions such as preferred names, pronouns, sexual orientation, and gender identity to create an inclusive and respectful environment.
Examples of acceptable questions to ask patients include:
- “What name do you prefer to use?” or "What is your gender-affirming name?"
- “What pronouns do you use?”
- “What is your sexual orientation?”
- “What is your gender identity?”
In the assessment of sexual behavior, practitioners are reminded that sexual orientation is not synonymous with sexual behavior. Specific and detailed questions are recommended, especially in contexts such as sexual health practices or medical fields where relevant information is needed. The importance of avoiding generalizations is stressed, with examples illustrating that labels like "lesbian" do not provide a complete picture of an individual's sexual experiences.
Additionally, specific inquiries are recommended when assessing aspects of an individual's body, acknowledging the diversity within the LGBT community. A person's body parts do not equal their sex or gender identity. The relevance of asking about specific aspects of the body is emphasized, particularly in healthcare settings, with a caution against intrusive inquiries that are not directly pertinent to clinical work. If it is not relevant to your clinical work, don't ask. This approach ensures that ethical assessments are respectful, individualized, and free from assumptions.
This Ask the Expert is an excerpt from the course, Fundamentals and Ethical Considerations of Clinical Practice with LGBT Populations: Assessment and Therapy Guidelines, presented by Giselle Levin, PsyD.
