Anti-Oppressive Psychosexual Psychotherapy: Next Steps

Anti-oppressive psychotherapy is recognized as the sixth force in psychotherapeutic theory and practice, building on the fourth force of multiculturalism and the fifth force of social justice. This approach identifies and critically examines the ways oppression, power, and privilege operate within therapeutic relationships. It moves beyond a narrow focus on inclusivity and diversity or an exclusive emphasis on marginalized client populations, instead articulating universal guiding principles that promote safety for both therapists and clients across all minoritized identities. In her book chapter, Towards an Anti-Oppressive Psychosexual Psychotherapy Practice, Julie synthesizes concepts from intersectionality, minority stress theory, and trauma-informed practice with established anti-oppressive frameworks in general psychotherapy. From this integration, she proposes four core principles intended to support ethical, culturally responsive, and socially attuned psychosexual therapy: self-awareness, critical examination of dominant sex and gender scripts, linking minoritization to trauma, and maintaining adaptable clinical approaches. Together, these principles aim to enhance therapist reflexivity, challenge normative sexual and relational assumptions, acknowledge trauma associated with marginalization, and promote flexible, client-centered interventions. Building on this earlier articulation of anti-oppressive principles in psychosexual therapy, this paper examines the current state of the field and outlines future directions for establishing safe, inclusive, and transformative psychosexual therapy practices on a global scale.