Harmful and Helpful Therapy Practices with Consensually Non-Monogamous Clients: Toward an Inclusive Framework

Drawing on minority stress perspectives, we investigated the therapy experiences of individuals in consensually nonmonogamous (CNM) relationships. Method: We recruited a community sample of 249 individuals engaged in CNM relationships across the U.S. and Canada. Confirmatory factor analysis structural equation modeling was used to analyze client perceptions of therapist practices in a number of exemplary practices (affirming of CNM) or inappropriate practices (biased, inadequate, or not affirming of CNM), and their associations with evaluations of therapy. Open-end responses about what clients found very helpful and very unhelpful were also analyzed. Results: Exemplary and inappropriate practices constituted separate but related patterns of therapist conduct. As expected, perceptions of exemplary and inappropriate practices predicted therapist helpfulness ratings and whether participants prematurely terminated their therapeutic relationships. Qualitative results point toward the importance of having/pursuing knowledge about CNM and using affirming, nonjudgmental practices. Conclusions: Therapists are positioned to either combat or perpetuate the minority stress faced by individuals engaged in CNM. The results of this study highlight the need for additional research, training, and guidelines regarding CNM clients and their therapy experiences

Internalized Consensual Non-Monogamy Negativity and Relationship Quality Among People Engaged in Polyamory, Swinging, and Open Relationships

Drawing on an internalized homonegativity and minority stress framework, the present study sought to address whether people engaged in consensual non-monogamy (CNM) internalize stigma toward their relationship style, and if internalized CNM negativity is associated with poorer relationship quality and functioning. We recruited a community sample of 339 people engaged in CNM (open, swinging, or polyamorous relationship) with at least two concurrent partners. Participants completed a newly developed measure of internalized CNM negativity (which assessed personal discomfort, social discomfort, and public identification) and four measures of relationship quality for each partner. Regression analyses showed that personal discomfort with CNM (e.g., wanting to change one’s relationship style or endorsing CNM as unnatural) was associated with lower satisfaction with romantic and sexual relationship agreements, global relationship satisfaction, and commitment (but not sexual satisfaction) in both concurrent relationships. The other two dimensions of internalized CNM negativity, social discomfort and public identification, were not related to relationship quality with either partner. These findings provide support for the notion that prevailing mononormativity (idealization of monogamy in society) can become applied to the self and negatively impact relationship quality. Understanding the processes in which broader societal stigma toward CNM can become internalized and affect well-being provides a new direction for research at the intersection of public health, psychology, and sexuality