Go beyond traditional approaches to therapy, research, and teaching Psychotherapy works toward change, but has traditionally focused solely on the individual. Today it is understood that discrimination and other adverse social conditions adversely affect the mental health of minority groups. Activism and LGBT Psychology takes note of the influence of social factors and offers examples of how mental health professionals can use their professional skills to empower the LGBT community. Respected leaders in the field of psychotherapy describe theoretical, clinical, community interventions, and personal approaches to changing attitudes toward LGBT people and within LGBT communities. Prejudice against a minority has an undeniable impact on mental health treatment. Recognizing and understanding this dynamic, Activism and LGBT Psychology reveals strategies to lessen societal discrimination, work for positive change, and reinforce LGBT-affirmative mental health practices. This valuable guide shows how to integrate the mental health professional's unique skills into activism for lesbian, gay, bisexual, and transgender issues. Topics in Activism and LGBT Psychology include: integrating activism into clinical practice theoretical alternatives for clinical practice mental health issues as the consequences of social injustice strategies for using liberation psychology in psychotherapy with LGBT clients practical strategies to bring an integrated clinical approach which encourages client empowerment and self-definition how research can be social activism providing training and support to make educational professionals agents of change personal accounts of integrating professional work with an activist role and more! Activism and LGBT Psychology is a positive, insightful guide for change that is valuable for community psychiatrists, psychologists, sociologists, educators, students, and professionals in the mental health field.

Interviews and first-hand accounts of an historic decision that affected the mental health profession-and American society and culture Through the personal accounts of those who were there, American Psychiatry and Homosexuality: An Oral History examines the 1973 decision by the American Psychiatric Association (APA) to remove homosexuality from its diagnostic and statistical manual of mental disorders (DSM). This unique book includes candid one-on-one interviews with key mental health professionals who played a role in the APA's decision, those who helped organize gay, lesbian, and bisexual psychiatrists after the decision, and others who have made significant contributions in this area within the mental health field. American Psychiatry and Homosexuality presents an insider's view of how homosexuality was removed from the DSM, the gradual organization of gay and lesbian psychiatrists within the APA, and the eventual formation of the APA-allied Association of Gay & Lesbian Psychiatrists (AGLP). The book profiles 17 individuals, both straight and gay, who made important contributions to organized psychiatry and the mental health needs of lesbian and gay patients, and illustrates the role that gay and lesbian psychiatrists would later play in the mental health field when they no longer had to hide their identities. Individuals profiled in American Psychiatry and Homosexuality include: Dr. John Fryer, who disguised his identity to speak before the APA's annual meeting in 1972 on the discrimination gay psychiatrists faced in their own profession Dr. Charles Silverstein, who saw the diagnosis of homosexuality as a means of social control Dr. Lawrence Hartmann, who helped reform the APA and later served as its President in 1991-92 Dr. Robert J. Campbell, who helped persuade the APA's Nomenclature Committee to hear scientific data presented by gay activists Dr. Judd Marmor, an early psychoanalytic critic of theories that pathologized homosexuality Dr. Robert Spitzer, who chaired the APA's Nomenclature Committee Dr. Frank Rundle, who helped organize the first meeting of what would become the APA Caucus of Gay, Lesbian and Bisexual Psychiatrists Dr. David Kessler, AGLP President from 1980-82 Dr. Nanette Gartrell, a pioneer of feminist issues within the APA Dr. Stuart Nichols, President of the AGLP in 1983-84 and a founding member of the Gay and Lesbian Psychiatrists of New York (GLPNY) Dr. Emery Hetrick, a founding member of both AGLP and GLPNY Dr. Bertram Schaffner, who was instrumental in providing group psychotherapy for physicians with AIDS Dr. Martha Kirkpatrick, a long-time leader in psychiatry and psychoanalysis, both as a woman and an "out" lesbian Dr. Richard Isay, the first openly gay psychoanalyst in the American Psychoanalytic Association Dr. Richard Pillard, best known for studying the incidence of homosexuality in families of twins Dr. Edward Hanin, former Speaker of the APA Assembly Dr. Ralph Roughton, the first openly gay Training and Supervising Psychoanalyst to be recognized within the American and International Psychoanalytic Associations American Psychiatry and Homosexuality presents the personal, behind-the-scenes accounts of a major historical event in psychiatry and medicine and of a decision that has affected society and culture ever since. This is an essential resource for mental health educators, supervisors, and professionals; historians; and LGBT readers in general.

Get the latest on the controversies of the sexual and gender diagnoses contained in the current DSM The revision of the Diagnostic and Statistical Manual (DSM) is an ongoing process, and changes in criteria or terminology can have significant implications for diagnosis and treatment. Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM): A Reevaluation provides a range of viewpoints from noted authorities on gender and sexuality issues presently included in the DSM. Arguments for or against revisions of various gender and sexual diagnoses are presented-some may have repercussions regarding insurance reimbursement and patient access to care. This book is certain to raise questions for mental health professionals interested in how cultural influences affect psychiatric diagnoses. Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM) reviews those controversial gender issues previously seen as being a disorder. The book critically evaluates the medical, psychotherapeutic, and civil rights issues in the diagnosis, assessment, and treatment of GID in children, adolescents, and adults, and presents evidence and debates for its exclusion from the next DSM. Arguments for and against removal of paraphilias from the DSM are explored in detail. Finally, sexual pain criteria for diagnoses are examined, reviewing the latest studies that support or criticize the view that dyspareunia and vaginismus may be better classified as a pain disorder. Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM) presents controversial debate from experts such as: Robert Spitzer, MD Charles Moser, MD, and Peggy J. Kleinplatz, PhD Walter O. Bockting, PhD, and Randall Ehrbar, PsyD Kelley Winters, PhD Arlene Istar Lev, CSW-R, CASAC Paul Jay Fink, MD and other respected authorities! Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM) is thought-provoking, enlightening reading for psychiatrists, psychologists, mental health workers, epidemiologists, researchers, educators, and students.

Extremely gender variant children and adolescents (minors), increasingly referred to as 'trans' or 'transgender children,' are small in number. In recent years, their situation has become highly sensationalized, whilst the matter of how to best treat them remains an area of controversy. A growing body of research supports emerging treatment approaches, but more research is still needed to answer a host of questions: Do trans minors have a psychiatric disorder or a normal variation of gender presentation? Should treatment be aimed at helping them accept the bodies into which they were born or should parents, clinicians and schools accommodate their wishes of transition? At what age should transition begin? What are the implications - physical, psychological, social and ethical - of various treatment approaches? The first part of this volume explores different clinical approaches to transgender minors in the USA and abroad. The second part contains responses to these approaches by commentators from various fields including biology, child psychiatry, civil rights activism, ethics, law, gender studies, queer theory and psychoanalysis. The work will be an invaluable source for parents and families looking at how to proceed with a trans child, as well as clinicians seeking to make appropriate referrals. This book was originally published as a special issue of the Journal of Homosexuality.

Go beyond traditional approaches to therapy, research, and teaching Psychotherapy works toward change, but has traditionally focused solely on the individual. Today it is understood that discrimination and other adverse social conditions adversely affect the mental health of minority groups. Activism and LGBT Psychology takes note of the influence of social factors and offers examples of how mental health professionals can use their professional skills to empower the LGBT community. Respected leaders in the field of psychotherapy describe theoretical, clinical, community interventions, and personal approaches to changing attitudes toward LGBT people and within LGBT communities. Prejudice against a minority has an undeniable impact on mental health treatment. Recognizing and understanding this dynamic, Activism and LGBT Psychology reveals strategies to lessen societal discrimination, work for positive change, and reinforce LGBT-affirmative mental health practices. This valuable guide shows how to integrate the mental health professional's unique skills into activism for lesbian, gay, bisexual, and transgender issues. Topics in Activism and LGBT Psychology include: integrating activism into clinical practice theoretical alternatives for clinical practice mental health issues as the consequences of social injustice strategies for using liberation psychology in psychotherapy with LGBT clients practical strategies to bring an integrated clinical approach which encourages client empowerment and self-definition how research can be social activism providing training and support to make educational professionals agents of change personal accounts of integrating professional work with an activist role and more! Activism and LGBT Psychology is a positive, insightful guide for change that is valuable for community psychiatrists, psychologists, sociologists, educators, students, and professionals in the mental health field.

What does it mean to be member of a gay/lesbian couple or family? The contributors to Uncoupling Convention: Psychoanalytic Approaches to Same-Sex Couples and Families address this question by drawing on two cultural movements of the twentieth century: psychoanalysis and the gay/lesbian civil rights movement. Taken together, these traditions provide a framework for understanding, and providing psychotherapeutic assistance to, gay and lesbian patients who present with troubled relationships. The contributors to this volume espouse a clinical focus that supplants the heterosexual perspectives of traditional psychoanalysis with new narratives about family life. Drawing on cultural, feminist, gay/lesbian, and queer studies, they illustrate how concepts of gender and sexuality are routinely informed by unproven heterosexist assumptions - both conscious and unconscious. By examining the changing developmental needs and family dynamics of gay and lesbian families, the contributors broaden our very understanding of what a family is. They illustrate how contrasting cultural constructions of homosexuality and family life play out in same-sex couples. They delineate the multiple realities of gender subjectivity, both in children and in their gay parents. They ponder how technology is shaping reproductive experiences, as lesbians become part of the biomedical system. And they explore recurrent themes of feeling different and ashamed, including the shameful secrecy surrounding same-sex couples' financial matters. In uncoupling conventions, the contributors are effectively coupling post-Freudian psychoanalysis with the insights of queer theory and the critical edge of contemporary cultural studies. The result is a framework for addressing the relational and family-related challenges of gay and lesbian patients that ranges far beyond traditional approaches and will benefit analytic, couples, and family therapists alike.

Defenders and critics of the controversial Spitzer study analyze its methodologies and findings In 2001, Robert L. Spitzer, MD, presented his study on sexual conversion therapy with its controversial findings that some homosexuals can change their sexual orientation. The resulting media sensation and political firestorm enraged the study's critics and emboldened its supporters. Ex-Gay Research: Analyzing the Spitzer Study and Its Relation to Science, Religion, Politics, and Culture presents leading experts examining Spitzer's research methodology and findings to discern whether the study itself deserves deeper consideration or outright dismissal. Every facet of the study is reviewed to discuss the positive or negative aspects of the results, its significance in political and social terms, and the implications for the future. Dr. Spitzer himself was an instrumental figure in the American Psychiatric Association's decision in 1973 to remove homosexuality as a mental illness listing from the Diagnostic and Statistical Manual-III. His later study that states that in some individuals, homosexuality may be more fluid than previously thought stirred controversy in the psychiatric community and society at large. His study is presented here to allow the reader to evaluate and consider it for themselves. Leading experts then voice their own pro or con views on the methodology and findings. Ex-Gay Research: Analyzing the Spitzer Study and Its Relation to Science, Religion, Politics, and Culture fearlessly illustrates the sometimes fuzzy boundary between science and politics, courageously spotlighting the culture wars now dividing our society. Ex-Gay Research: Analyzing the Spitzer Study and Its Relation to Science, Religion, Politics, and Culture discusses: the ex-gay movement the nature of scientific inquiry the relationship between science and politics the results of sexual conversion therapies gay and lesbian rights Ex-Gay Research: Analyzing the Spitzer Study and Its Relation to Science, Religion, Politics, and Culture is essential reading for sex researchers, mental health professionals, pastoral counselors, political activists, and any person asking if one can truly change his or her homosexuality.

What does it mean to be member of a gay/lesbian couple or family? The contributors to Uncoupling Convention: Psychoanalytic Approaches to Same-Sex Couples and Families address this question by drawing on two cultural movements of the twentieth century: psychoanalysis and the gay/lesbian civil rights movement. Taken together, these traditions provide a framework for understanding, and providing psychotherapeutic assistance to, gay and lesbian patients who present with troubled relationships.
The contributors to this volume espouse a clinical focus that supplants the heterosexual perspectives of traditional psychoanalysis with new narratives about family life. Drawing on cultural, feminist, gay/lesbian, and queer studies, they illustrate how concepts of gender and sexuality are routinely informed by unproven heterosexist assumptions - both conscious and unconscious.

By examining the changing developmental needs and family dynamics of gay and lesbian families, the contributors broaden our very understanding of what a family is. They illustrate how contrasting cultural constructions of homosexuality and family life play out in same-sex couples. They delineate the multiple realities of gender subjectivity, both in children and in their gay parents. They ponder how technology is shaping reproductive experiences, as lesbians become part of the biomedical system. And they explore recurrent themes of feeling different and ashamed, including the shameful secrecy surrounding same-sex couples' financial matters. In uncoupling conventions, the contributors are effectively coupling post-Freudian psychoanalysis with the insights of queer theory and the critical edge of contemporary cultural studies. The result is a framework for addressing the relational and family-related challenges of gay and lesbian patients that ranges far beyond traditional approaches and will benefit analytic, couples, and family therapists alike.

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 tohomosexuality.

For more than half a century, The Group for the Advancement of Psychiatry (GAP) has produced position statements on relevant and controversial psychiatric topics. This latest monograph", ""Homosexuality and the Mental Health Professions: The Impact of Bias, "continues a tradition of timely publications dealing with specific aspects of bias, discrimination, and human sexuality"."

This monograph acutely identifies problems of bias, overt and covert, as they affect the treatment of lesbian and gay patients and as they influence the training of mental health professionals. Incorporating clinical vignettes that detail actual incidents from a wide range of clinical and professional encounters, the report enables the clinician not only to review his or her own experience, but also to envision alternative possibilities of constructive and caring intervention.

As psychiatry enters a new era of understanding the full range of normal variation in human sexuality, this monograph will serve both as an indispensable teaching tool and as an invaluable touchstone for assessing quality of care with gay and lesbian patients.

For more than half a century, The Group for the Advancement of Psychiatry (GAP) has produced position statements on relevant and controversial psychiatric topics. This latest monograph, Homosexuality and the Mental Health Professions: The Impact of Bias, continues a tradition of timely publications dealing with specific aspects of bias, discrimination, and human sexuality. This monograph acutely identifies problems of bias, overt and covert, as they affect the treatment of lesbian and gay patients and as they influence the training of mental health professionals. Incorporating clinical vignettes that detail actual incidents from a wide range of clinical and professional encounters, the report enables the clinician not only to review his or her own experience, but also to envision alternative possibilities of constructive and caring intervention. As psychiatry enters a new era of understanding the full range of normal variation in human sexuality, this monograph will serve both as an indispensable teaching tool and as an invaluable touchstone for assessing quality of care with gay and lesbian patients

Extremely gender variant children and adolescents (minors), increasingly referred to as 'trans' or 'transgender children,' are small in number. In recent years, their situation has become highly sensationalized, whilst the matter of how to best treat them remains an area of controversy. A growing body of research supports emerging treatment approaches, but more research is still needed to answer a host of questions: Do trans minors have a psychiatric disorder or a normal variation of gender presentation? Should treatment be aimed at helping them accept the bodies into which they were born or should parents, clinicians and schools accommodate their wishes of transition? At what age should transition begin? What are the implications - physical, psychological, social and ethical - of various treatment approaches? The first part of this volume explores different clinical approaches to transgender minors in the USA and abroad. The second part contains responses to these approaches by commentators from various fields including biology, child psychiatry, civil rights activism, ethics, law, gender studies, queer theory and psychoanalysis. The work will be an invaluable source for parents and families looking at how to proceed with a trans child, as well as clinicians seeking to make appropriate referrals. This book was originally published as a special issue of the Journal of Homosexuality.

Even in today's more enlightened society, it takes courage for many lesbian, gay, bisexual, and transgender (LGBT) individuals to "come out of the closet" and embrace their sexual orientation and identity. Coming out, or facing internal and societal conflicts related to sexuality, involves a great deal of anxiety that can permeate other aspects of an LGBT individual's life -- particularly when seeking psychiatric treatment. The goal of The LGBT Casebook is to help clinicians, trainees, and other mental health professionals address the mental health needs of LGBT people in the context of problems these individuals face in their everyday lives, including homophobia and discrimination.

The LGBT Casebook begins with five chapters devoted to basic concerns that affect LGBT populations, including coming out, heterosexist attitudes, the "don't ask, don't tell" mentality, legal issues, gay parenting, and sexual identity in patient-therapist relationships. In the rest of the book, clinician-authors present case studies of 20 patients with different DSM diagnoses, illuminating the impact of LGBT identity and illustrating a way of working with each presented patient. Features and benefits of The LGBT Casebook include: - Insights into the unique problems LGBT people face in their everyday lives when compared with heterosexual individuals.- Problems that are common to all LGBT individuals, such as the anxiety of being in the closet (hiding one's identity) or coming out (embracing one's identity).- Practitioners with little experience in working with the LGBT population can gain a better understanding of psychiatric diagnoses within the context of an LGBT individual's everyday life.- The book can be read cover-to-cover to gain insights into the full diversity of the LGBT population, or by specific chapters of interest to help with the diagnosis of a patient currently in treatment.- A glossary at the back of the book defines both clinical and colloquial terms and phrases that clinicians and patients use to define themselves and their peers.

While The LGBT Casebook is the ideal general overview and roadmap for the clinician new to treating LGBT patients, it also provides new pearls of wisdom and insights for psychiatrists, residents, medical students, nurses, and clinical social workers who are already familiar with working with the LGBT community. By introducing a diverse range of people, diagnoses, and presenting problems, it will serve as a valuable reference book for all mental health professionals when assessing and treating the mental health concerns of lesbian, gay, bisexual, and transgender patients.

Do the conventional insights of depth psychology have anything to offer the gay patient? Can contemporary psychoanalytic theory be used to make sense of gay identities in ways that are helpful rather than hurtful, respectful rather than retraumatizing? In Psychoanalytic Therapy and the Gay Man Jack Drescher addresses these very questions as he outlines a therapeutic approach to issues of sexual identity that is informed by traditional therapeutic goals (such as psychological integration and more authentic living) while still respecting, even honoring, variations in sexual orientation.
Drescher's exploration of the subjectivities of gay men in psychoanalytic psychotherapy is more than a long-overdue corrective to the inadequate and often pathologizing tomes of traditional psychoanalytic writers. It is a vitally human testament to the richly varied inner experiences of gay men. Drescher does not assume that sexual orientation is the entire or even major focus of intensive psychotherapy. But he does argue, passionately and convincingly, that issues of sexual identity - which encompass a spectrum of possibilities for any gay man - must be addressed in an atmosphere of honest encounter that allows not only for exploration of conflict and dissociation but also for restitutive confirmation of the patient's right to be himself.
Through its abundance of first-person testimony from both clinical and literary sources, Psychoanalytic Therapy and the Gay Man provides the reader with an unforgettable grasp of what it is like to discover that one is gay in our society and then to find the courage and humanity to live with that knowledge. Any mental health professional - regardless of his or her sexual orientation - who wishes to deal therapeutically with gay men will find Drescher's work indispensable. But it will also be compelling reading for anyone seeking psychological insight into gay men's lives and concerns.