Updated LGBTQIA+ Affirmative Practice Guidelines for (South) African Psychology and Mental Health Care Professionals: An Intervention Tool in Hate Studies
South African psychology is leading a bold agenda to advance the public health of people who identify as sexually and/or gender diverse, that is, lesbian, gay, bisexual, transgender, queer, intersex, and/or asexual (LGBTQIA+). In particular, the Psychological Society of South Africa (PsySSA) has supported and led the development of Practice Guidelines for Psychology Professionals Working with Sexually and Gender-Diverse People , first published in 2017 and updated in 2025. These guidelines draw on affirmative practice, a lens and standpoint that recognises, respects, and remains informed about diverse identities, and uses this knowledge to enact progressive ways of working with and understanding LGBTQIA+ identities. Affirmative praxis, as a combination of critical theory and social action, is a counterweight against hate – where hate is to invalidate and ‘other’ a human being, affirmative praxis is a call to validate and respect LGBTQIA+ people. Evidence-based psychological science faces increasing pushback from the anti-gender and anti-rights movements, including repressive legislation in both African and Global North countries. This growing discourse of hate against LGBTQIA+ people necessitates renewed scholar-activism to protect and enhance the hard-won rights in a South African context. As part of this South African Journal of Psychology ( SAJP ) Special Section on Hate Studies, the article discusses how the updated guidelines respond to global and local shifts in LGBTQIA+ science, politics, and activism. The PsySSA guidelines amplify a call to action to practitioners to actively prevent the negation of sexually and gender diverse identities, work against homo-, bi- and transphobic discrimination and erasure, end unethical conversion practices, and reduce hetero-cisnormativity in all our areas of practice.
Authors
- Nkanyiso Madlala (ORCID: https://orcid.org/0000-0002-1622-9710)
- Christine McLachlan (ORCID: https://orcid.org/0000-0001-6277-339X)
- Cornelius J Victor (ORCID: https://orcid.org/0000-0002-0919-1937)
- Jenna-Lee Procter (ORCID: https://orcid.org/0000-0002-9535-7605)
- Suntosh R Pillay (ORCID: https://orcid.org/0000-0002-6013-9966)
- Juan A. Nel (ORCID: https://orcid.org/0000-0001-9013-5563)
- Sakhile Msweli (ORCID: https://orcid.org/0009-0003-2943-1154)
- Thembisile Dlamini
Institutions
- University of South Africa (ZA)
- Wellcome Centre for Infectious Diseases Research in Africa (ZA)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- South African Journal of Psychology
- Published
- 2026-09-08
- DOI
- https://doi.org/10.1177/00812463261481323
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 0.00