Assexualidade em Múltiplas Dimensões
Possíveis Contribuições das Terapias Comportamentais Contextuais
DOI:
https://doi.org/10.31505/rbtcc.v28i1.2255Keywords:
Espectro assexual, Estresse de minoria, Terapias comportamentais contextuais, Competência cultural, Diversidade sexualAbstract
Este ensaio teórico discute a assexualidade como uma dimensão legítima da orientação e da diversidade sexual humana e analisa os impactos psicossociais associados à invisibilização e patologização dessa orientação. Por meio de uma reflexão teórica-conceitual analítico-comportamental, são apresentados aspectos históricos, conceituais e identitários da assexualidade, bem como mitos e estigmas que contribuem para sua patologização. A assexualidade é definida como uma orientação sexual na qual a pessoa não experimenta atração sexual por outras pessoas, ou a vivência de forma reduzida, rara ou condicional. Em seguida, analisa-se o impacto do estresse de minoria, da invisibilidade social e das microagressões na saúde mental de pessoas assexuais, destacando o papel das contingências culturais vigentes sobre sexualidade nos processos de estigmatização, coerção social e sofrimento psicológico. Por fim, discutem-se as contribuições clínicas das terapias comportamentais contextuais para práticas clínicas éticas e culturalmente competentes com essa população. Argumenta-se que o sofrimento associado à assexualidade decorre principalmente de processos sociais de invalidação e exclusão, evidenciando a necessidade de reconhecimento, validação e despatologização das pessoas assexuais.
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References
Alcaire, R. (2015). The pathologisation of sexual diversity: A critical scrutiny of the DSM. Ex Aequo, 32, 155–167. https://doi.org/10.22355/exaequo.2015.32.10
Alves, R. G., & Miranda, R. L. (2025). Por uma psicologia social comportamentalista radical a partir de Celso Pereira de Sá. Estudos De Psicologia (Campinas), 42. https://doi.org/10.1590/1982-0275202542e220081
American Psychological Association (2023). Sexual orientation and gender diversity. https://www.apa.org/topics/lgbtq
Antonsen, A. N., Zdaniuk, B., Yule, M., & Brotto, L. A. (2020). Ace and aro: understanding differences in romantic attractions among persons identifying as asexual. Archives of Sexual Behavior, 49(5), 1615–1630. https://doi.org/10.1007/s10508-019-01600-1
Berkowitz, L. (1993). Aggression: its causes, consequences, and control. Mcgraw-Hill.
Bogaert, A. F. (2015). Asexuality: What it is and why it matters. The Journal of Sex Research, 52(4), 362–379. https://doi.org/10.1080/00224499.2015.1015713
Brandley, B. & Dehnert, M. (2024). “I am not a robot, I am asexual”: a qualitative critique of allonormative discourses of ace and aro folks as robots, aliens, monsters. Journal of Homosexuality, 71(6), 1560–1583. https://doi.org/10.1080/00918369.2023.2185092
Brotto, L. A., & Yule, M. (2017). Asexuality: sexual orientation, paraphilia, sexual dysfunction, or none of the above? Archives of Sexual Behavior, 46(3), 619–627. https://doi.org/10.1007/s10508-016-0802-7
Brotto, L. A., Yule, M. A., & Gorzalka, B. B. (2015). Asexuality: an extreme variant of sexual desire disorder? The Journal of Sexual Medicine, 12(3), 646–660. https://doi.org/10.1111/jsm.12806
Carrigan, M. (2011). There’s more to life than sex? Difference and commonality within the asexual community. Sexualities, 14(4), 462–478. https://doi.org/10.1177/1363460711406462
Casado, C. C. C. (2012). Interações e relações de amizade: um estudo longitudinal no contexto de uma escola inclusiva [Tese de Doutorado, Universidade Federal do Pará]. Repositório da UFPA. http://repositorio.ufpa.br/jspui/handle/2011/10140
Cerankowski, K. J., & Milks, M. (2010). New orientations: asexuality and its implications for theory and practice. Feminist Studies, 36(3), 650–664. https://www.jstor.org/stable/27919126
Cerankowski, K. J., & Gupta, K. (2014). Asexualities: feminist and queer perspectives. Routledge.
Conselho Federal de Psicologia. (2023). Referências técnicas para atuação de psicólogas, psicólogos e psicólogues em políticas públicas para população LGBTQIA+. CFP. https://site.cfp.org.br/publicacao/referencias-tecnicas-para-atuacao-de-psicologas-psicologos-e-psicologues-em-politicas-publicas-para-populacao-lgbtqia/
Chan, R. C. H., & Leung, J. S. Y. (2023). Experiences of minority stress and their impact on suicidality among asexual individuals. Journal of Affective Disorders, 325, 794–803. https://doi.org/10.1016/j.jad.2023.01.025
Chasin, C. D. (2011). Theoretical issues in the study of asexuality. Archives of Sexual Behavior, 40(4), 713–723. https://doi.org/10.1007/s10508-011-9757-x
Chasin, C. D. (2015). Making sense in and of the asexual community: navigating relationships and identities in a context of resistance. Journal of Community & Applied Social Psychology, 25(2), 167–180. https://doi.org/10.1002/casp.2203
Chu, J., Leino, A., Pflum, S., & Sue, S. (2016). A model for the theoretical basis of cultural competency to guide psychotherapy. Professional Psychology: Research and Practice, 47(1), 18–29. https://doi.org/10.1037/pro0000055
Conners, B. M., & Capell, S. T. (2021). Multiculturalism and diversity issues in applied behavior analysis: bridging theory and application. Routledge.
Costa, P. L., McDuffie, J. W., Brown, S. E. V., He, Y., Ikner, B. N., Sabat, I. E., & Miner, K. N. (2023). Microaggressions: mega problems or micro issues? A meta-analysis. Journal of Community Psychology, 51(1), 137–153. https://doi.org/10.1002/jcop.22885
Cottais, C. (2021, dezembro 20). Asexuality: a sexual orientation still unknown and pathologised. - Grow Think Tank. https://www.growthinktank.org/en/asexuality-a-sexual-orientation-still-unknown-and-pathologised/
Dahl, J., & Al, E. (2009). The art & science of valuing in psychotherapy: helping clients discover, explore, and commit to valued action using acceptance and commitment therapy. New Harbinger Publications.
Decker, J. S. (2015). The invisible orientation: an introduction to asexuality. Skyhorse Publishing.
Deutsch, T. (2018). Asexual people’s experience with microaggressions [Dissertação de mestrado, John Jay College of Criminal Justice]. CUNY Academic Works. https://academicworks.cuny.edu/jj_etds/52
Flanagan, S. K., & Peters, H. J. (2020). Asexual-identified adults: interactions with health-care practitioners. Archives of Sexual Behavior, 49(5), 1631–1643. https://doi.org/10.1007/s10508-020-01670-6
Fontanari, A. M. V., Vilanova, F., Schneider, M. A., Chinazzo, I., Soll, B. M., Schwarz, K., Lobato, M. I. R., & Brandelli Costa, A. (2020). Gender affirmation is associated with transgender and gender nonbinary youth mental health improvement. LGBT Health, 7(5), 237–247. https://doi.org/10.1089/lgbt.2019.0046
Foster, A. B., & Scherrer, K. S. (2014). Asexual-identified clients in clinical settings: Implications for culturally competent practice. Psychology of Sexual Orientation and Gender Diversity, 1(4), 422–430. https://doi.org/10.1037/sgd0000058
Foucault, M. (1980). História da Sexualidade. Edições Graal.
Furini, L. G., Henzel, G. A., Müller, S. A. Á. S., & Passos, J. A. F. (2023). Multiculturalidade e interseccionalidade nas terapias comportamentais contextuais. Perspectivas em Análise do Comportamento, 138–153. https://doi.org/10.18761/vecc291122
Gupta, K. (2015). Compulsory sexuality: evaluating an emerging concept. Signs, 41(1), 131–154. https://doi.org/10.1086/681774
Gupta, K. (2017). What does asexuality teach us about sexual disinterest? Recommendations for health professionals based on a qualitative study with asexually identified people. Journal of Sex & Marital Therapy, 43(1), 1–14. https://doi.org/10.1080/0092623X.2015.1113593
Guz, S., Hecht, H. K., Kattari, S. K., Gross, E. B., & Ross, E. (2022). A scoping review of empirical asexuality research in social science literature. Archives of Sexual Behavior, 51(4), 2135–2145. https://doi.org/10.1007/s10508-022-02307-6
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730. https://doi.org/10.1037/a0016441
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3
Hayes, S. C., Niccolls, R., Masuda, A., & Rye, A. K. (2002). Prejudice, terrorism, and behavior therapy. Cognitive and Behavioral Practice, 9(4), 296–301. https://doi.org/10.1016/S1077-7229(02)80023-2
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.
Hays, P. A. (2022). Addressing cultural complexities in counseling and clinical practice: An intersectional approach. (4th ed.). American Psychological Association.
Henrickson, M., Giwa, S., Hafford-Letchfield, T., Cocker, C., Mulé, N. J., Schaub, J., & Baril, A. (2020). Research ethics with gender and sexually diverse persons. International Journal of Environmental Research and Public Health, 17(18), 6615. https://doi.org/10.3390/ijerph17186615
Hille, J. J. (2023). Beyond sex: A review of recent literature on asexuality. Current Opinion in Psychology, 49, 101516. https://doi.org/10.1016/j.copsyc.2022.101516
Iraklis, G. (2023). Examining the social tabooisation of asexuality: the underpinnings of anti-asexual bias. Sex Res Soc Policy 21, 1432–1445 (2024). https://doi.org/10.1007/s13178-023-00884-2
Jagose, A. (1996). Queer theory: An introduction. New York University Press.
Johnson, M. (1977). Asexual and autoerotic women: two invisible groups. In H. Gorchros & J. Gochros (Eds.), The Sexually Oppressed. New York: Associated Press. https://files.acearchive.lgbt/r/eBfOdvW8kR86/asexual-and-autoerotic-women-transcript/
Jones, C., Hayter, M., & Jomeen, J. (2017). Understanding asexual identity as a means to facilitate culturally competent care: A systematic literature review. Journal of Clinical Nursing, 26(23–24), 3811–3831. https://doi.org/10.1111/jocn.13862
Kanter, J. W., Holman, G., & Wilson, K. G. (2014). Where is the love? Contextual behavioral science and behavior analysis. Journal of Contextual Behavioral Science, 3(2), 69–73. https://doi.org/10.1016/j.jcbs.2014.02.001
Kennedy, H. C. (1981). The “third sex” theory of Karl Heinrich Ulrichs. Journal of Homosexuality, 6(1–2), 103–111. https://doi.org/10.1300/J082v06n01_10
Kinsey, A. C., Pomeroy, W. R., & Martin, C. E. (1948). Sexual behavior in the human male. American Journal of Public Health, 93(6), 894–898. https://doi.org/10.2105/ajph.93.6.894
Lech, S., Köppe, M., Berger, M., Alonso-Perez, E., Gellert, P., Herrmann, W., & Buspavanich, P. (2024). Depressive symptoms among individuals identifying as asexual: A cross-sectional study. Scientific Reports, 14, 16120. https://doi.org/10.1038/s41598-024-66900-6
Leite, N. S. A. (2024). Avaliação de um treino de competência cultural em psicoterapia [Dissertação de mestrado, Instituto Par]. Instituto Par. https://mestrado.institutopar.org/wp-content/uploads/sites/2/2025/02/Natália-Sasdelli-Abrahão-Leite.pdf
Liang, Z., & Chen, Y. (2025). Intersectional impact of allosexism experiences on non-suicidal self-injury among asexual youth. Journal of Adolescence, 97(6), 1557–1568. https://doi.org/10.1002/jad.12518
MacInnis, C. C., & Hodson, G. (2012). Intergroup bias toward “Group X”: Evidence of prejudice, dehumanization, avoidance, and discrimination against asexuals. Group Processes & Intergroup Relations, 15(6), 725–743. https://doi.org/10.1177/1368430212442419
MacNeela, P., & Murphy, A. (2015). Freedom, invisibility, and community: A qualitative study of self-identification with asexuality. Archives of Sexual Behavior, 44(3), 799–812. https://doi.org/10.1007/s10508-014-0458-0
Masuda, A. (2014). Mindfulness and acceptance in multicultural competency: a contextual approach to sociocultural diversity in theory and practice. Context Press.
McInroy, L. B., Beaujolais, B., Leung, V. W. Y., Craig, S. L., Eaton, A. D., & Austin, A. (2022). Comparing asexual and non-asexual sexual minority adolescents and young adults: Stressors, suicidality and mental and behavioural health risk outcomes. Psychology & Sexuality, 13(2), 387–403. https://doi.org/10.1080/19419899.2020.1806103
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
Mizael, T. M., & de Rose, J. C. (2017). Análise do comportamento e preconceito racial: Possibilidades de interpretação e desafios. [Behavior analysis and racial prejudice: Potential interpretations and challenges.]. Acta Comportamentalia, 25(3), 365–377.
Mizael, T. M., Dáhas, L., Zamignani, D. R. (Eds.). (2022). Volume especial sobre estresse de minorias [Edição temática]. Revista Perspectivas, v. 13 n. 1. https://www.revistaperspectivas.org/perspectivas/issue/view/47
Mwambene, L., & Wheal, M. (2015). Realisation or oversight of a constitutional mandate? Corrective rape of black African lesbians in South Africa. https://doi.org/10.17159/1996-2096/2015/V15N1A3
Neves, A. B., & Cihon, T. (2023). Culturo-behavioral functional analysis: Guidelines for including cultural phenomena in the behavior analytic clinical setting. Perspectivas Em Análise Do Comportamento, 103–121. https://doi.org/10.18761/vecc0122023
Ngongoma, S., & Maweni, V. (2023). The criminological analysis of communal motives on corrective rape in african communities: a case study of Pietermaritzburg, Kwa-Zulu Natal. Critical Criminology, 31(4), 989–1005. https://doi.org/10.1007/s10612-024-09749-5
Paletta, D. (2023). 2023 in review: The new laws affecting LGBTI communities worldwide. ILGA World. https://ilga.org/news/2023-in-review-new-laws-affecting-lgbti-communities-worldwide/
Passos, J. A. F., Weydmann, G., Motta, P., & Dias, A. C. G. (2023). Interfaces entre as psicoterapias comportamentais e a cultura. Perspectivas em Análise do Comportamento, 065–087. https://doi.org/10.18761/vecc21112022
Prause, N., & Graham, C. A. (2007). Asexuality: classification and characterization. Archives of Sexual Behavior, 36(3), 341–356. https://doi.org/10.1007/s10508-006-9142-3
Villa, C. P., & Muchon, C. (2021). Um mapeamento da sexualidade em B. F. Skinner. Acta Comportamentalia: Revista Latina de Análisis Del Comportamiento, 29(4). https://doi.org/10.32870/ac.v29i4.80316
Sacramento, L. de T. e, & Rezende, M. M. (2006). Violências: Lembrando alguns conceitos. Aletheia, 24, 95–104. https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942006000300009&lng=pt&nrm=iso&tlng=pt
Scherrer, K. S. (2010). Asexual relationships: what does asexuality have to do with polyamory? Em Understanding Non-Monogamies. Routledge.
Sidman, M. (1989). Coercion and its fallout. Authors Cooperative.
Silveira, J. M. (Ed.). (2023). Volume especial sobre clínica e cultura [Edição temática]. Revista Perspectivas. https://www.revistaperspectivas.org/perspectivas/issue/view/52
Skinner, B. F. (1953). Science and Human Behavior. Free Press.
Skinner, B. F. (1981/2007). Seleção por conseqüências. Revista Brasileira de Terapia Comportamental e Cognitiva, 9(1), 129–137. https://doi.org/10.31505/rbtcc.v9i1.150
Skinta, M. D. (2021). Contextual behavior therapy for sexual and gender minority clients. Routledge.
Skinta, M. D., & Curtin, A. (2016). Mindfulness and acceptance for gender and sexual minorities: A clinician’s guide to fostering compassion, connection and equality using contextual strategies (p. xvi, 312). New Harbinger Publications, Inc.
Souza, J. dos S., Marques, J. M., Scanavino, M. de T., Zamignani, D. R., & Costa, A. B. (2022). Desfechos negativos em saúde mental de minorias de sexo e de gênero: Uma análise comportamental a partir da teoria do estresse de minorias. Perspectivas em Análise do Comportamento, 13(1), 069–085. https://doi.org/10.18761/DH027.mart22
Spitzer, R. L., & Wakefield, J. C. (1999). DSM-IV diagnostic criterion for clinical significance: Does it help solve the false positives problem? American Journal of Psychiatry, 156(12), 1856–1864. https://doi.org/10.1176/ajp.156.12.1856
Sue, D. W., Sue, D., Neville, H. A., & Smith, L. (2022). Counseling the culturally diverse: Theory and Practice. Wiley.
Sue, S., Zane, N., Nagayama Hall, G. C., & Berger, L. K. (2009). The case for cultural competency in psychotherapeutic interventions. Annual Review of Psychology, 60, 525–548. https://doi.org/10.1146/annurev.psych.60.110707.163651
Tennov, D. (1999). Love and Limerence. Scarborough House. (Original work published 1979)
Terra, T., Schafer, J. L., Pan, P. M., Costa, A. B., Caye, A., Gadelha, A., Miguel Filho, E. C., Bressan, R. A., Rohde, L. A., & Salum, G. A. (2022). Mental health conditions in lesbian, gay, bisexual, transgender, queer and asexual youth in Brazil: A call for action. Journal of affective disorders, 298, 190–193. https://doi.org/10.1016/j.jad.2021.10.108
Tessler, H. (2023). Aromanticism, asexuality, and relationship (non-)formation: How a-spec singles challenge romantic norms and reimagine family life. Sexualities, 13634607231197061. https://doi.org/10.1177/13634607231197061
Tsai, M., Kohlenberg, R. J., Bolling, M. Y., & Terry, C. (2009). Values in therapy and green FAP. Em A guide to functional analytic psychotherapy: Awareness, courage, love, and behaviorism (p. 199–212). Springer Science + Business Media. https://doi.org/10.1007/978-0-387-09787-9_9
van Dyk, I. S. (2023). The “A” is not for ally: The continued pathologization of asexual people in modern mental health practice. the Behavior Therapist, 46(8), 337–342.
Van Houdenhove, E., Gijs, L., T’Sjoen, G., & Enzlin, P. (2014). Asexuality: few facts, many questions. Journal of Sex & Marital Therapy, 40(3), 175–192. https://doi.org/10.1080/0092623X.2012.751073
Vandenberghe, L. (2008). Culture-sensitive functional analytic psychotherapy. The Behavior Analyst, 31(1), 67–79. https://doi.org/10.1007/BF03392162
Vandenberghe, L. (2023). O potencial da FAP como terapia culturalmente responsiva. Perspectivas em Análise do Comportamento, 042–052. https://doi.org/10.18761/vecc191022
Williams, M. T., Rosen, D. C., Kanter, J. W., & Arredondo, P. (Orgs.). (2019). Eliminating race-based mental health disparities: Promoting equity and culturally responsive care across settings. Context Press.
Winer, C. (2024). Splitting attraction: differentiating romantic and sexual orientations among asexual individuals. Social Currents, 23294965241305170. https://doi.org/10.1177/23294965241305170
Woodruff, E. M., Degges-White, S., & Carter, A. W. (2023). The multidimensional nature of asexual identities: an exploration of wellness, social support, and experiences of microaggressions. Journal of LGBTQ Issues in Counseling, 17(2), 94–111. https://doi.org/10.1080/26924951.2022.2113491
Yoshino, K. (2000). The epistemic contract of bisexual erasure. Stanford Law School, 52(2), 353.
Yule, M. A., Brotto, L. A., & Gorzalka, B. B. (2014). Mental health and interpersonal functioning in self-identified asexual men and women. Em Asexuality and Sexual Normativity. Routledge.
Zheng, L., & Su, Y. (2022). Sexual minority identity and mental health among individuals on the asexuality spectrum in China: A longitudinal study. Archives of Sexual Behavior, 51. https://doi.org/10.1007/s10508-022-02395-4
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