Four men in treatment: an evolving perspective on homosexuality and bisexuality, 1965 to 2000.

Abstract:

:The author surveys his work with gay and bisexual men and his evolving clinical understanding, spanning a thirty-five-year period from 1965 to 2000. Four cases are discussed briefly, one from each decade, to illustrate the changing clinical approach, and the following conclusions drawn: (1) sexual orientation and mental health should be approached as independent dimensions; (2) heterosexual orientation is not a required outcome for successful analysis; (3) an analytic process focused on uncovering a presumed "pathological etiology" inevitably distorts the process and obscures more relevant analytic needs; (4) unrecognized heterosexist assumptions and unfamiliarity with norms of gay men's lives pose special barriers to analytic work with gay men. Ongoing self-analysis and self-education are necessary to reduce interferences that keep analysts from listening to their gay patients with open and unbiased attention.

journal_name

J Am Psychoanal Assoc

authors

Roughton RE

doi

10.1177/00030651010490042101

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

1187-217

issue

4

eissn

0003-0651

issn

1941-2460

journal_volume

49

pub_type

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