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(p. 381) Acceptance, Vulnerability, and Compassion: Contextual Behavioral Approaches for Sexual and Gender Minority Clients 

(p. 381) Acceptance, Vulnerability, and Compassion: Contextual Behavioral Approaches for Sexual and Gender Minority Clients
Chapter:
(p. 381) Acceptance, Vulnerability, and Compassion: Contextual Behavioral Approaches for Sexual and Gender Minority Clients
Author(s):

Matthew D. Skinta

, Brandon Hoeflein

, and Daniel Ryu

DOI:
10.1093/med-psych/9780190669300.003.0017
Page of

date: 26 April 2019

Therapies that enhance mindfulness, acceptance, compassion, and interpersonal vulnerability among sexual and gender minority (SGM) clients offer the potential to reduce the impact of minority stress, rejection sensitivity, and shame. This chapter describes three therapies in detail that utilize mindfulness and acceptance processes: acceptance and commitment therapy, functional analytic psychotherapy, and compassion-focused therapy. These therapies emphasize improved emotion regulation, increased genuineness and vulnerability in interpersonal relationships, and reductions in the experience of shame. Vignettes with therapeutic dialog are provided to illustrate the active elements of each approach. Although empirical evidence supports the effectiveness of these therapies on targets that SGM psychology suggest are areas of vulnerability for SGM clients, the bodies of empirical research describing these therapies and the well-being of SGM clients are still primarily separate and only beginning to be connected. Future directions that might improve the evidence base for these therapies with SGM clients are proposed.

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