‘This volume is a must have for affirmatively working with queer clients and their relationships of today and tomorrow. Relationally Queer is as ground breaking to the psychotherapy field as earlier volumes of the Pink Therapy series. Chapters address areas ranging from challenging monogamism to counselling people who sex work to addressing health issues – and more! A thoughtful overview of the gender, sex, and relationship diversities (GSRD) framework is also provided’. Markie L.C Twist, PHD, LMFT, LMHC, CSE-S, Teaching Faculty, Antioch University New England; Editor-in-Chief, Sexual and Relationship Therapy ‘Having trained relationship therapists – globally – for decades GSRD is of great value to me: it recognises, defines and positions a wide range of relationship expressions as either including everyone (and especially indigenous groups) or to stand accused of perpetuating colonialism. This work hits the spot and I commend the authors for this ground-breaking, courageous work. I am particularly excited by the chapters on collectivist communities (African, Jewish, Muslim et al) in which individualist psychotherapy models have limited value’. Bernd Leygraf, Consultant Psychotherapist, CEO Naos-Institute (www.naos-institute.com and www.psychosexualtraining.org.uk) ‘Relationally Queer is THE book that all GSRD specialists (including mental health professionals in training) are waiting for. The publication fills in the gaps in existing writings on the topic. It not only gives a fresh perspective of how to talk about and talk to GSRD clients but also how to include practical tools into the therapeutical space. The importance of perspective “nothing about us without us” can help us create safer environment and change the world’. Agata Loewe-Kurilla, PhD, Psychotherapist, Sexologist, Sexospher and Tutor. Founder of Sex Positive Institute Relationally Queer Relationally Queer explores diverse intimate relationship styles and the connections with self for clinicians interested in gender, sex and relationship diversity. Offering readers a more inclusive and queer-friendly way of thinking about relationships, the book covers a range of topics that include intersectionality, consensual non-monogamy, working with shame, intimate partner violence, religious identities and living with HIV. Exploring beyond a Eurocentric perspective, the book features a chapter on African-centred therapy and also includes the relationships of often erased populations such as bisexual people, sex workers, people with chronic health issues and trans people. The book will help psychosexual and relationship therapists, counsellors and psychologists who work with clients of diverse genders, sexualities and relationships. Silva Neves is a COSRT-accredited and UKCP-registered psychotherapist specialising in sexology and intimate relationships. He is a Pink Therapy clinical associate. He is a course director for the Contemporary Institute of Clinical Sexology (CICS), an international speaker, broadcaster and author. Dominic Davies is the Founder of Pink Therapy, a clinical supervisor and sexologist and course director of two training programmes in gender, sex and relationship diversity therapy. He has been internationally recognised as one of 50 gender and sexual health revolutionaries. Relationally Queer A Pink Therapy Guide for Practitioners Edited by Silva Neves and Dominic Davies Designed cover image: © Thomas Dyson First published 2023 by Routledge 4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 605 Third Avenue, New York, NY 10158 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2023 selection and editorial matter, Silva Neves and Dominic Davies; individual chapters, the contributors The right of Silva Neves and Dominic Davies to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN: 978-1-032-19725-8 (hbk) ISBN: 978-1-032-19724-1 (pbk) ISBN: 978-1-003-26056-1 (ebk) DOI: 10.4324/9781003260561 Typeset in Times New Roman by Apex CoVantage, LLC Contents Acknowledgements ix List of contributors xi Foreword by Meg-John Barker xiv Introduction 1 SILVA NEVES AND DOMINIC DAVIES 1 Getting real about monogamism: disrupting mononormative bias in sex therapy and relationship counselling 5 DR Y GÁVRIEL ANSARA 2 Loving freedom (beyond monogamy – opening up a dyad) 24 NIKI D 3 Common presenting issues in consensual non-monogamy 41 DK GREEN 4 When sex, health and stigma collide: counselling people who sex work (and their partners) 58 CYNDI DARNELL 5 The trans compass: a way of hearing and understanding trans people’s relationships with their identities 74 ELLIS MORGAN 6 Working with bi+ clients: considerations for individual and relationship therapy 87 DR SUSANNAH GRANT viii Contents 7 Sankofa’s Quest: Cultivating Queer, African-centred, homecomings through intersectionality in therapy 107 JOEL SIMPSON 8 Working with intimate partner violence in GSRD intimate relationships 123 RIMA HAWKINS 9 Exploring the impact of a religious background or identity on LGBTQ people 141 SAQUIB AHMAD 10 Chronic health issues, disability and Queer people 156 DR ALEX IANTAFFI 11 The impact of antiretroviral therapies and PrEP on gay men 170 GUILLERMO LLORCA 12 GSRD-affirmative supervision of psychotherapy 186 DR DANIEL BĄK 13 Living and working within our communities 204 DOMINIC DAVIES Conclusion 228 SILVA NEVES AND DOMINIC DAVIES Index 230 Acknowledgements Silva and Dominic would like to thank: All our authors who contributed chapters for this book. We are grateful for their hard work, their time and for sharing their expert knowledge. Our dear colleague Meg-John Barker for writing a Foreword to the book and offering excellent coaching to some of our authors who were writing for print for the first time. Dr Agata Loewe-Kurilla, Professor Markie L.C Twist and Bernd Leygraf for being willing to read a draft of the book and say great things about it on the back cover. Thanks, too, to Thomas Dyson for the fab book cover. We would also like to thank the people of Pignetto in Rome, the neighbour- hood where we completed this book. To Nadia, our Airbnb host, the cafe owners, restauranteurs and gelateria all contributed vital sustenance in our short breaks away from the laptops. We are both sustained by the 3,000 therapists on our Pink Therapy Facebook group and supported by the volunteer moderators. We are incredibly grateful to our students, who entrust us with their hearts and minds to train them to serve our GSRD communities better. Silva would like to thank: Dominic Davies for being a wonderful co-editor on this book and being so generous with his knowledge and great clinical experience. My colleagues and friends whose love, kindness and support are invaluable: Julie Sale, Rima Hawkins, Lorraine McGinlay, Dr Francesca Tripoli, Babette Rothschild, Kate Moyle, Dr Roberta Babb, Lohani Noor, Aoife Drury, Remziye Kunelaki, Juliette Clancy, Lisa Etherson, Diana Moffat, Andrew Mirrlees, Julie Gaudion, David Piner and Clare Staunton, to name just a few. I’m so lucky to have them in my life. My followers on my professional social media platforms who identify as Queer and Queer allies. It feels good to see them out there. The College of Sexual and Relationship Therapists (COSRT). I’m proud to be an accredited member. My husband, Dr James Rafferty, for his consistent love and unwavering support of my work. He brings much Queer joy to my life.