The subjectivity of the clinician in psychosexual therapy training

Abstract

This paper focuses on the need for training programmes to include time set aside for trainees to reflect on their own responses to, and interaction with, clients. It suggests that the current requirements for evidence-based practice and the pressures of working within a busy hospital clinic make it difficult for both staff and trainees to allow for this. Another pressure comes directly from the nature of sexuality. Issues of anxiety, shame, personal preferences, religious beliefs, prejudices and vulnerabilities regarding the trainee's own and the client's sexuality emerge. Paying attention to the subjective and intersubjective nature of sexuality is likely to enable the trainee to be more available to focus on the needs of the client. Harm can be done to both trainee and client when issues related to subjectivity are avoided.

Keywords:

• psychosexual therapy training
• subjectivity
• awareness
• disclosure