The psychiatric view of homosexuality has undergone a fascinating evo lution in recent years. This includes not only the change from viewing homosexuality as a diagnosable illness, as opposed to an alternative life style, but also the development of considerable professional concern for providing appropriate mental health services to this previously under served minority community. There has been an increasing recognition of the need for comprehensive services including, but not limited to, counseling, individual psychotherapy, and couples therapy. This book is written for the practicing clinician, and offers a compre hensive survey of the important clinical issues involved in the counsel ing and psychotherapy of gay men and lesbian women. It is an extraor dinarily practical book and its breadth and depth make it appropriate for both the novice and the experienced therapist. SHERWYN M. WOODS Series Editor ix Preface We hear our mentors but do not often heed them. Freud's supportive, nonjudgmental approach to homosexuality provided an ambience with in which discoveries could be made, that is, the discovery that homosex uality was not a disease of mental degeneration and that sexuality, in the sense of a fundamental human propensity to find pleasure in social and physical attachments, was at its root directed to both sexes. The ad herence to a nonjudgmental approach was short-lived, suffered repres sion by homophobic defenses, and scientific zeal was directed toward "cure" rather than comprehension of the homosexual state.

Examine gay and lesbian psychoanalysis from a variety of perspectives! Psychotherapy with Gay Men and Lesbians: Contemporary Dynamic Approaches presents case histories of psychotherapy sessions with gay and lesbian patients, focusing on today's psychoanalytical approaches. Dedicated to enhancing the emotional, psychological, and psychiatric treatment of gay men, lesbians, and bisexuals, the book features prominent analysts with a wide range of clinical and theoretical approaches. The foremost experts in the therapeutic field address issues affecting gay and lesbian patients from psychoanalytic perspectives that respect the patients' sexual identities. Psychotherapy with Gay Men and Lesbians reflects the significant clinical and theoretical changes therapists face in dealing with issues of gender and sexuality. New ways of thinking coexist with traditional theory as paradigm shifts in psychotherapy and psychoanalysis affect the treatment of gay, lesbian, and bisexual patients. This book provides a forum to address those changes through clinical papers and discussions. Psychotherapy with Gay Men and Lesbians includes discussion of case reports that deal with: gay therapists treating gay patients countertransferential enactments of sex and gender in treatment rethinking the meanings of homosexuality psychotherapeutic treatment of gay male patients with AIDS and much more! Psychotherapy with Gay Men and Lesbians is an essential forum for the exchange of clinical information on gay and lesbian psychotherapy. The book is a valuable resource for psychiatrists, psychologists, social work therapists, psychoanalysts, and anyone interested in today's psychoanalytic approaches to homosexuality.

Debra A. Hope The Nebraska Symposium on Motivation is steeped in history and tradition. Over the years the series editors have striven to maintain the highest standards of a- demic excellence and to highlight some of the most important trends in psychology. Perusing the chapter titles in the first 53 volumes shows the shifting emphasis as the science of psychology developed in the latter half of the twentieth century. All of the most important topics are there — drive theory, social learning, the cognitive revolution, developing perspectives on understanding individual differences and the role of culture, and the increasing role of neuroscience. The key figures are there as well — Harry Harlow, Kenneth Spence, Raymond Cattell, George Kelly, Albert Bandura, Carl Rogers, Carroll Izard, Walter Mischel, Sandra Bem, Sandra Spence, Herbert Simon, David Barlow, and many others. In late 2004, I met with a group of interested graduate students, and together we developed a proposal to join this long and proud tradition with a volume on sexual orientation. Our motivation stemmed, in part, from the events around us. The same-sex m- riage debate was covered extensively in the media, reflecting a rapid and important discussion about sexual orientation that we were having (and are still having) as a society. Psychology and related fields have much to offer on many of the issues raised in this debate.

This text addresses some of the issues that surround psychotherapy training programmes and the special needs of the gay and lesbian populations. It examines theories and models of practice that should be more beneficial to the therapeutic needs of homosexual clients.

Examine gay and lesbian psychoanalysis from a variety of perspectives! Psychotherapy with Gay Men and Lesbians: Contemporary Dynamic Approaches presents case histories of psychotherapy sessions with gay and lesbian patients, focusing on today's psychoanalytical approaches. Dedicated to enhancing the emotional, psychological, and psychiatric treatment of gay men, lesbians, and bisexuals, the book features prominent analysts with a wide range of clinical and theoretical approaches. The foremost experts in the therapeutic field address issues affecting gay and lesbian patients from psychoanalytic perspectives that respect the patients' sexual identities. Psychotherapy with Gay Men and Lesbians reflects the significant clinical and theoretical changes therapists face in dealing with issues of gender and sexuality. New ways of thinking coexist with traditional theory as paradigm shifts in psychotherapy and psychoanalysis affect the treatment of gay, lesbian, and bisexual patients. This book provides a forum to address those changes through clinical papers and discussions. Psychotherapy with Gay Men and Lesbians includes discussion of case reports that deal with: gay therapists treating gay patients countertransferential enactments of sex and gender in treatment rethinking the meanings of homosexuality psychotherapeutic treatment of gay male patients with AIDS and much more! Psychotherapy with Gay Men and Lesbians is an essential forum for the exchange of clinical information on gay and lesbian psychotherapy. The book is a valuable resource for psychiatrists, psychologists, social work therapists, psychoanalysts, and anyone interested in today's psychoanalytic approaches to homosexuality.

Debra A. Hope The Nebraska Symposium on Motivation is steeped in history and tradition. Over the years the series editors have striven to maintain the highest standards of a- demic excellence and to highlight some of the most important trends in psychology. Perusing the chapter titles in the first 53 volumes shows the shifting emphasis as the science of psychology developed in the latter half of the twentieth century. All of the most important topics are there — drive theory, social learning, the cognitive revolution, developing perspectives on understanding individual differences and the role of culture, and the increasing role of neuroscience. The key figures are there as well — Harry Harlow, Kenneth Spence, Raymond Cattell, George Kelly, Albert Bandura, Carl Rogers, Carroll Izard, Walter Mischel, Sandra Bem, Sandra Spence, Herbert Simon, David Barlow, and many others. In late 2004, I met with a group of interested graduate students, and together we developed a proposal to join this long and proud tradition with a volume on sexual orientation. Our motivation stemmed, in part, from the events around us. The same-sex m- riage debate was covered extensively in the media, reflecting a rapid and important discussion about sexual orientation that we were having (and are still having) as a society. Psychology and related fields have much to offer on many of the issues raised in this debate.

Grounded in current research, this comprehensive volume lays thefoundations for effective, affirmative therapeutic practice with lesbian, gay, and bisexual clients. Addressed are family of origin issues; coupleproblems, including sex therapy with same-sex partners; vocational andworkplace issues; and more. The extensive appendix lists a broad array of publications, advocacy groups, and Web-based resources for bothprofessionals and consumers. 12/01.