2 Examining our biases and assumptions

Best-practice models for developing cultural competence in therapeutic work with marginalised people involve reflecting on your existing beliefs. This section looks at societal beliefs and ideas about trans people, and about sex and gender more broadly, that may influence the way practitioners interact with trans people, address them, think about them, and therefore respond to their experiences, whether they are themselves cis or trans. As you go through this section, remember to stop and think about your own beliefs and ideas on these topics. Consider how unconscious beliefs might prevent you from fully meeting a trans client and entering their frame of reference.

Figure 2.1: How bias disrupts the therapeutic relationship

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Empathy: If I'm meeting my idea of the person rather than the person themselves, then empathy is lost. Congruence: If I don't realise my biases, I won't be congruent or fully authentic with the client. Unconditional Positive Regard: If I have a bias, it is also a judgement, and unconditional positive regard is lost.

Figure 2.1: How bias disrupts the therapeutic relationship