Identity-Affirming Care

 

Many individuals and therapy practices claim to be identity affirming, yet seem to lack the basic structure to support various identities such as race, ethnicity, age, gender, sexual or relationship orientation, etc. 

 

As a therapist who specializes in LGBTQ+ issues, I see this OFTEN. Therapists and other health care professionals say they are a “safe space” with affirming environments for this community. 

Identity-Affirming Care

When in reality, they believe things like “gay people are not the worst” or “I know someone who is trans.” 

I want to be clear. Knowing someone in the LGBTQ community does not make you competent to support the community. 

I repeat… Knowing someone in the LGBTQ community does not make you competent in treating someone within the community.

How do you be an ally and how do you be identity affirming?

 

Be An Ally & Identity Affirming!

 

Being an ally means supporting various identities, showing up for those identities, speaking up for those identities, voting for those identities, learning about those identities, and including those identities. 

Identity Affirmative Care

There are so many other things to do, and here are some places to start:

  1. To be identity affirming AND an ally means using inclusive language, recognizing the “isms” and when heteronormativity is showing up. 
  2. Acknowledging differences, appreciating those differences, yet not pretending to understand them. 
  3. Identity affirming in healthcare is inclusive language on paperwork:
  • Partner 1 and Partner 2
  • Legal Name vs Name
  • Pronouns: ____________
  • Having signage or representation of various identities in advertising or in office
  • Addressing systems of inequality to increase access to care 
  • Supporting staff in reflecting on their own biases
  • Training staff on how to be inclusive with someone who specializes in these training sessions, etc. 

There are many more things to do, this is just a start.

 

Young People are not the Only People who Need Allies!

In my experience, I notice being an ally has shown up often times for younger generations (millennials and below). 

People who are 35 and below are not the only people who need representation and allyship.

All people within the community, specifically within the LGBTQ+ community, need to have their identities affirmed and supported throughout their life.

In the LGBTQ+ community, each generation has had a uniquely complicated experience surrounding their identity. 

Most commonly, this shows up in internalized homophobia or a person in the LGBTQ+ community has negative feelings about their identity due to the dominant culture narrative around that identity. 

Addressing these issues across the lifespan is vital to improving the quality of care and health of people within various communities. 

As someone who specializes in LGBTQ+ individuals and their loved ones, I see how outcomes drastically improve for individuals or relationships as they have more support, affirmation, and understanding around them REGARDLESS of age and stage

Support and affirmation are a protective factor. 

Again, I repeat, it is not enough to know someone in the LGBTQ community. 

To be an ally or identity affirming person, you have to be an active participant in addressing dominant narratives around this community (and any marginalized community!) and thus, work in COLLABORATION with this community. 

If you want to be an ally or have identity-affirming care, join the community. Follow their lead. Show up and help out. Part of that is being inclusive and being sure that those around you feel supported. If you do not know how to support someone, remain curious and ask them. 

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