Applications of SIT to Pastoral Care
This past year I have had the opportunity to speak to several seminary students, and I have another similar talk coming up. For the most recent talk, I had been asked to provide two lectures. One was on the etiology of sexual orientation; the other lecture was on whether orientation can change. At the end of the second lecture, I introduced the Sexual Identity Therapy (SIT) approach to working with people in my clinical practice, and I was reflecting with them on how it might be adapted for pastoral care.
I assume that pastoral care is different than professional counseling in any number of ways, but one way would likely be that there is more direction, more of a sense of a normative endpoint or something toward which the person is to move. I don’t know if all pastoral care providers function in this way, but it is an assumption I have about the nature of pastoral care.
In any case, this reminded me of the difference between telic congruence and organismic congruence as defined in the APA Task Force background document on appropriate therapeutic responses to sexual orientation. Recall that telic congruence has to do with who the person wants to become and aligning one’s choices with that, while organismic congruence has to do with aligning one’s choices with who one experiences oneself to be.
It would seem to me that most pastoral care would rely more on telic congruence and have some say in what that congruence ought to look like. In contrast, much of mental health care has probably been based more on a sense of organismic congruence, but some clinicians may recognize the difference and may work with people who are interested in either type of congruence outcome.
An implication, then, might be that pastoral care ends up adapting SIT by not having as much of an open-ended quality to the various ways in which congruence might be experienced. Again, I don’t know that this is the case, but I would be interested in how pastoral care providers approach their work and consider these different ways of understanding congruence. It would seem to impact how sexual identity and religious identity conflicts are navigated.
SIT and the Multicultural Movement
On Friday, November 6th, I’ll be heading up to Chambersburg, Pennsylvania, for the Christian Association for Psychological Studies East Region Conference. The conference theme is actually on marriage and family, but I will be giving a presentation with two team members from the Institute for the Study of Sexual Identity (ISSI) on the topic of multicultural competence and clinical practice with sexual minorities. The multicultural movement has emerged as a significant reference point for working with diversity issues in clinical practice, and the services that are provided to sexual minorities are also included in that discussion.
The presentation we will be giving will offer Sexual Identity Therapy (SIT) as an alternative to the often-polarized therapy options under consideration with religious sexual minorities: gay affirmative therapy and reorientation therapy. We will note the inherent limitations in both of these models and offer a third option, SIT. The presentation will then explore (and briefly critique) the multicultural movement and its approach to sexual minorities, as well as the place of SIT as a client-centered, identity-focused approach that is consistent with what is best about the multicultural movement as applied to multiple aspects of diversity, as is often found when working with religious sexual minorities.
An Introduction to SIT in Virginia Beach
The student chapter of Chi Sigma Iota in the School of Psychology and Counseling at Regent University has asked me to give a presentation, and I am going to speak on Sexual Identity Therapy (SIT). The presentation is Friday, October 30th, from noon to 1pm on the Regent University campus (CRB 227) for those in the area.
What I’ll be saying by way of introduction is that SIT is an approach to sexual identity in counseling that is a “third way” model that is an alternative to the often-polarized models of gay affirmative therapy and reorientation therapy. Also, the SIT Framework is itself an approach that fills a void identified by the American Psychological Association’s (APA’s) task force on appropriate therapeutic responses to sexual orientation. That is, in their recently released background document the task force encouraged alternative models that were affirmative but not gay affirmative. Affirmative models would be client-centered and identity-focused; they would also emphasize social support and coping skills. The SIT Framework was identified as one such appropriate approach, as was the narrative sexual identity therapy model that I previously published in American Journal of Family Therapy.
For this initial presentation, rather than go into narrative sexual identity therapy, I will just review the four main concepts in how I provide SIT: (1) the three-tier distinction (between same-sex attraction, homosexual orientation, and gay identity), (2) weighted aspects of identity, (3) ‘attributional search’ for identity, and (4) congruence.
