Object relations couples therapy with Lesbians

Abstract

Object relations couples therapy is distinguished by its use of the ideas of British object relations theorists Klein, Fairbairn, Winnicott, Bion and Guntrip. A number of the central concepts are particularly relevant to work with lesbian couples. For example, the emphasis on the provision of a therapeutic holding environment is helpful for all couples, no matter what the sexual orientation. However, in the case of the lesbian couple whose relationship must be carried on in the context of a hostile society, the provision of a safe holding environment is crucial. Understanding the dynamics of repressed ego systems illuminates how the individual psychology of each member of the couple can be affected by societal pressures which can result in internalized homophobia. The notion of projective identifications provides clarity in reconnecting with lost parts of the self. Finally, knowledge of lesbian sexual practices should be integrated into the therapy. Clinical case illustrations are provided.

Notes

Carol M. Sussal, D.S.W., is Associate Professor and Director of the Post Master's Certificate Program in Clinical Social Work Practice at Adelphi University. She is also in private practice in New York City and in Lynbrook, Long Island.