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Clinical Practice with LGBTQ+ Patients: An Intersubjective/Relational Approach

  • Sunday, May 05, 2024
  • 10:00 AM - 1:00 PM
  • Online ZOOM
  • 27


  • $25 per credit hour
  • $40 per credit hour
  • $15 per credit hour


Presenter: Dr. Jonathan Lebolt 

CEUs: Category 1 | 3.0 


What do we mean by LGBTQ+ (especially the +)? How can we work effectively with patients with a different gender identity or sexual orientation from our own? Drawing on Gray's intersubjective, improvisational approach to psychoanalytic treatment, I will present a case in which I demonstrate how the clinician's use of self in the relationship with the patient leads to a sense of agency and growth. I will invite participants to share their own case material.

Workshop Objectives:

At the end of the presentation, participants will be able to:

  1. Identify the meaning of LGBTQ+
  2. Define "intersubjective" and "relational"
  3. Explain Gray's improvisational psychoanalytic Describe how clinicians may use their sense of self to move treatment forward in work with LGBTQ+ patients.


  • Introduction
  • Define "intersubjective" and "relational"
  • Explain Gray's improvisational psychoanalytic approach
  • Q & A
  • Break
  • Case presentation
  • Participant cases
  • Wrap-up

Recommended Reading:

  • Barsness, R. (Ed.) (2018). Core competencies of relational psychoanalysis: A guide to practice, study and research. Routledge.

  • Cornett, C. (Ed.) (1993). Affirmative dynamic psychotherapy with gay men. Jason Aronson.
  • Dimen, M. (2011). With culture in mind: Psychoanalytic stories. Routledge.
  • Domenici, T. & Lesser, R. (Eds.) (1995). Disorienting sexuality: Psychoanalytic reappraisals of sexual identities. Routledge.
  • Gray, A. (2015). Living truthfully under imaginary circumstances: Improvisation in psychoanalysis. Psychoanalytic Dialogues, 25, 725–742.
  • Grossmark, R. (2018). The unobtrusive relational analyst: Explorations in psychoanalytic companioning. Routledge.
  • Guzzardi, S. (2024). Toward a queered psychology of the self: Empathy and passibility from the margins to the center. Psychoanalysis, Self and Context, 19, 33-48.
  • Lebolt, J. (1999). Gay affirmative psychotherapy: A phenomenological study. Clinical Social Work, 27, 355-370.
  • Malamed, C. (2022). A Safe Space to Play Dangerously: Contextualizing Gender Play in Therapy. Psychoanalytic Dialogues, 32, 198-206.
  • Suchet, M. (2011). Crossing Over. Psychoanalytic Dialogues, 2, 172-191.

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