Sex assignment, gender assignment, and affectional orientation: Applying continua of congruence to dismantle dichotomies

Document Type

Book Chapter

Publication Date


Originally Published In

M. Nickerson' s (Ed.), Cultural Competence and Healing Culturally-Based Trauma with EMDR Therapy: Innovative Strategies and Protocols. New York, NY: Springer Publishing

Page Numbers



Understanding the variance across the sex/gender/affectional continua is a foundational part of clinical practice with gender influenced client issues. All clients have biological developments that lead to sex/gender/affectional differentiation and variance. As a specialist in this topic area, I have discovered that most of my clients have experienced indirect clinical barriers that required focused treatment on sex/gender/affectional issues. In this chapter, I will share how I have improved positive treatment outcomes by integrating a sex/gender/affectional continua and Eriksonian psychosocial development across all phases of EMDR therapy. This chapter will offer an explanation of sex/gender/affectional continua and Eric Erickson' s psychosocial stage of adolescence, ego identity versus role confusion.