Working With Emerging Identities

Michael Fiorini

In the past two decades, there have been many strides in the field of psychology to recognize and attend to the needs of underserved populations. More recently, there has been a wave of emerging identities and ways of discussing oneself, especially as it relates to sexual expression, gender, and sexual orientation. In the last ten years, for example, the field has seen asexuality no longer considered a valid diagnosis in the DSM and gender dysmorphia gain improved clinical understanding. There are naturally many other examples and parallels of this improvement not mentioned here for purposes of brevity.

The evolution of robust internet communities, expanding use of online dating apps, and a dynamic environment in LGBTQ+ studies and experiences have all contributed to an increase in visibility of those who live alternative lifestyles or ascribe to little-known identities. Examples of such identities and lifestyles are polyamory, demisexuality, the furry community, the BDSM community, sapiosexuality, aromantics, and pansexuals. Arguably, these identities and lifestyles have always existed, but we did not have the terms or infrastructure to support their visibility. As it is ethical practice to familiarize oneself with the populations that one works with and not pathologize behaviors simply by nature of them being atypical, these “new” identities may signify a greater need for therapists to educate themselves on emerging identities.

Innovation in this area over the next ten years can be just as significant for our work as the previous ten. In graduate school, however, there are limitations on the extent of expertise one can acquire on working with any given demographic. As a result, academic studies may necessarily lack the depth needed for full competence. Some, but not all, graduate degree programs in psychology address work with under-represented sex and gender populations. It is important that we allow for further exposure to these groups over the course of training to allow for improved appreciation and to help refine how therapy can best serve them on their terms.