Amidst bathroom bills and claims of political correctness gone mad, there is another piece of news from Tennessee which may have slipped under the radar. The House of Representatives has passed a bill allowing therapists to refuse to see clients whose "goals, outcomes, or behaviors that conflict with the sincerely held principles of the counselors or therapist". In case there is any doubt about who this is aimed at, the wording was originally "religious beliefs" not sincerely held principles. This bill has been prompted by the American Counselling Association's 2014 code of ethics, and the outcome of a case which therapists across the world watched with interest. In order to understand why this is happening now, we need to look at both the history, and how therapy is regulated in the US.
The regulation of counseling/therapy (the difference between the two is largely one of taste and price bracket) is far stricter in the US than it is in the UK. You need a license to practice, and in order to get a license (and indemnity insurance, which protects you if you are sued) you need to be a member of a recognized professional body. In the UK, there is no such requirement. However, to work with the NHS or any similar organizations, you are expected to be a member of a regulatory body such as the BACP, anyone can however call themselves a counsellor, life coach, angel wing therapist, or whatever the title de jour is. In the US, in order to call yourself a counsellor, you must have a recognized qualification, and membership of a recognized organization. This protects clients from the kind of abuses that Phil Dore covers on his blog, as unethical therapists can be struck off, just as doctors, nurses and others can in the UK.. When you join an organization, be it the American Association of Counseling, or the local leek growers club, you agree to abide by their rules (although I do not think the ACA has a turkey raffle at Christmas). Part of the ACA code of ethics states that "counselors may not discriminate against clients on the basis of age, culture, disability, ethnicity, race, religion/spirituality, gender, gender identity, sexual orientation, marital status/partnership, language preference, socioeconomic status or any basis proscribed by law."
In 2009 a counseling student at the Eastern University of Michigan (EMU) was assigned a client, its how we all learn, and how many volunteer organizations keep going, using students who need to meet a required number of placement hours. However this student was a conservative Christian, and when they saw that the client was LGBTQ+, refused to work with them.
The refusal to take a LGBTQ+ client became a minor cause celebre for those who rally outside every butchers, bakers, and candlestick makers waving placards declaring that their right to be prejudiced, sorry I mean that their freedom of religion was being curtailed. In order to be an accredited course the university had to abide by the ACA code of ethics, and the student, despite high-profile (and a lot of financial support) lost their case.
Which brings us to Tennessee today, and lawmakers stating that the ACA have somehow overstepped themselves by having rules their members should abide by, which I shall remember when I enter a spring onion in the Leek Club competition. The policy of being non discriminatory is not just about some "liberal agenda" either, but goes to the heart of how counseling works.
Being non judgmental is not an optional extra for therapists, nor is leaving your own opinions and beliefs outside of the room, it lies at the very heart of what we do. I cannot, of course, give examples from my client work, but fortunately, my own training has an example which shows how difficult, but important these are. One of our last assignments was a series of filmed role play session, where we had to counsel someone who in the words of my tutor "pushed every single one of our buttons". Beforehand we had to consider which type of client we would find the most difficult to work with. Since the process of training to be a counsellor involves pulling yourself apart in front of your classmates, there was no getting away with,"well I might struggle with a Daily Express reader." I realized that I struggled to understand those women who stuck by their partners when they had been convicted of child abuse, rejecting the victim, their own child. I could honestly say I would have struggled with empathy, unconditional regard or a non judgmental attitude towards someone who had done this.
The point of the training is that to be a competent therapist you need to be able to leave those personal feelings outside the room. This is wider than arguments about whether a guest house can refuse gay couples, even if on first sight it appears very similar. Tennessee is not only saying it can overturn the rules an organization has around membership, but that counsellors do not have to demonstrate basic competency.
Being unable to offer non judgmental therapy makes someone unable to offer counseling. Indeed I would go as far as to say that a therapist who refuses to work with LGBTQ+ clients on religious grounds is not safe for anyone to work with. If as a therapist you bring so much of yourself, your views, your opinions, into the therapy room, no client will be able to benefit, you are taking up the space which belongs to them. Tennessee is not only passing an anti LGBTQ+ bill; it is passing a bill that protects inadequate, unethical, and dangerous therapists. It says so much about the vehemence of anti LGBTQ+ feeling that protecting vulnerable people matters less than making a political point. If you never cared before about the various laws being passed to make the lives of LGBTQ+ people worse, consider that legislators now see everyone, cis or trans, straight or queer as expendable in this fight they have created out of hate, prejudice and bigotry.