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Textbook of Homosexuality and Mental Health


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Table of Contents

Section I: Homosexuality and Mental Health: Establishing the Professional Foundation. History of treatment. Homosexuality and the mental health professions: a contemporary history. Gay, lesbian, and bisexual mental health professionals and their colleagues. Section II: Understanding Homosexuality and Bisexuality: Demographic, Cultural, Genetic, Biological, and Psychological Perspectives. Prevalence of homosexuality in the United States. Issues in the cross-cultural study of homosexuality. The essentialist/social constructionist debate about homosexuality and its relevance for psychotherapy. Heterosexism and homophobia. Homosexuality from a familial and genetic perspective. Biology and homosexuality: implications of neuroendocrinological and neuroanatomical studies. Bisexuality: an examination of theory and research. Psychoanalytic subjectivity and male homosexuality. Psychoanalytic views of female homosexuality. Self-psychology and homosexuality: sexual orientation and maintenance of personal integrity. Section III: Homosexual and Bisexual Development Throughout the Life Cycle: From Childhood to Old Age. Sexual orientation identity formation: a Western phenomenon. Latency development in prehomosexual boys. Lesbian, gay, and bisexual development during adolescence and young adulthood. Midlife gay men and lesbians: adult development and mental health. Gay men and lesbians grown older. Section IV: Creating Relationships: Gay and Lesbian Couples, Children, and Families. Male couples. Lesbian couples. Lesbians as parents. Gay fathers and their children. Section V: Finding Support and Achieving Growth: Psychotherapy With Gay Men, Lesbians, and Bisexuals. Psychotherapy with women who love women. Psychotherapy with gay men. Psychotherapy with bisexuals. Psychoanalytic therapy with gay men: developmental considerations. Negative therapeutic reaction and self-hatred in gay and lesbian patients. Psychotherapeutic interventions with lesbian and gay couples. Lesbian, gay, and bisexual families: issues in psychotherapy. Sexual orientation of the therapist. A critique of approaches to changing sexual orientation. Nongay therapists working with gay men and lesbians: a personal reflection. Section VI: Differences and Diversity: Multicultural Identities and Communities. African American lesbians, gays, and bisexuals. Mental health issues for gay and lesbian Asian Americans. Latino men, latina women, and homosexuality. Native two-spirit people. Section VII: Learning New Paradigms: Training Mental Health Professionals. Teaching in the mental health training programs about homosexuality, lesbians, gay men, and bisexuals. Gay, lesbian, and bisexual issues in medical schools: implications for training. Issues for gay male, lesbian, and bisexual mental health trainees. Section VIII: Working With Gay Men and Lesbians in Different Clinical Settings. Lesbians in the medical setting. Gay and bisexual men and medical care. Care across the spectrum of mental health settings: working with gay, lesbian, and bisexual patients in consultation-liaison services, inpatient treatment facilities, and community outpatient mental health centers. Section IX: Special Topics/Special Concerns: Clinical Implications of Sexuality and Sexual Orientation. Gay and bisexual male sexuality. Lesbian sexuality. Transsexuals: the boundaries of sexual identity and gender. Institutional discrimination against lesbians, gay men, and bisexuals: the courts, legislature, and the military. Substance abuse in gay men, lesbians, and bisexuals. Impact of violence, childhood sexual abuse, and domestic violence and abuse on lesbians, bisexuals, and gay men. Suicide risk in lesbian, gay and bisexual youth. Mental health care providers working with HIV: avoiding stress and burnout. Mental health issues across the HIV-1 spectrum for gay and bisexual men. Spirituality and religion in the lives of lesbians and gay men. Ethical concerns with sexual minority patients. Epilogue: A conversation with Evelyn Hooker, Ph.D. Index.

Promotional Information

Textbook of Homosexuality and Mental Health is an invaluable resource for mental health and medical professionals. This collection of original multidisiciplinary articles provides an excellent synthesis of the most up-to-date and relevant information about the lives of gay, bisexual and transgendered women and men. The editors offer a set of material that is comprehensive both in the range of topics covered and in the variety of perspectives on each topic. The articles are grouped in a way that is conceptually coherent and practically useful. Each article covers its topic fully so that it can stand on its own. The writing style is accessible and could be useful to the general public as well as mental health and health care providers. Linda Garnets, Ph.D., Lecturer, Psychology and Women' Studies, UCLA, Santa Monica, California This important volume gathers some of the finest researchers, theorists, and therapists to write about a topic which all mental health professionals must understand. It is a wonderful introduction as well as a thoughtful treatise on topics related to homosexuality. Dee Mosbacher, M.D., Ph.D., President, Woman Vision Film Company, Past Mental Health Director, San Manteo County, Academy Awards Nominee Straight From The Heart and Others. The declassification of homosexuality as a mental disorder in 1973 freed homosexuals from the burden of viewing themselves as defective and, by definition, in need of psychiatric treatment. It also enabled mental health professionals to seek answers to a variety of questions about homosexuality and mental health rather than to exclusively focus on its treatment. This book, from a variety of perspectives, presents what is known about homosexuality and bisexuality. It is hard to imagine a question about this fascinating subject that is not addressed by one of the 39 chapters in this comprehensive review. Robert L. Spitzer, M.D., Professor of Psychiatry, Columbia University, New York, New York

About the Author

Robert Paul Cabaj, M.D., is a psychiatrist, certified by the American Board of Psychiatry and Neurology, with many years of clinical experience specializing in the treatment of gay men, lesbians, bisexuals, and people facing issues related to HIV and AIDS. He is an Associate Clinical Professor in Psychiatry at the University of California, San Francisco, and certified in Addiction Medicine by the American Society of Addiction Medicine. He served as Medical Director of Mental Health and Addictions for the Fenway Community Health Center -- the largest center for the treatment of gay men, lesbians, bisexuals, and the HIV-infected in Boston, Massachusetts. He has been President of both the Gay and Lesbian Medical Association and the Association of Gay and Lesbian Psychiatrists. Within the American Psychiatric Association, he has served as Chairperson of both the Committee on Minority and Under-Represented Groups and the Committee of Gay, Lesbian, and Bisexual Issues, as the Deputy Representative for the Caucus of Lesbian, Gay, and Bisexual Psychiatrists to the Assembly of the American Psychiatric Association (APA), and as a member of the Commission on AIDS, the Council on Addiction Psychiatry, and the Council on National Affairs. Terry S. Stein, M.D., a board-certified psychiatrist, is a Professor in Psychiatry and Director of the AIDS Education Project at Michigan State University in East Lansing, Michigan. He has received numerous federal, state, and university grants and contracts for education of health care providers about HIV/AIDS and for research concerning the mental health needs of gay men and lesbians. A Fellow of the American Psychiatric Association, he has served as Chair of the APA's Committee on Gay, Lesbian, and Bisexual Issues, Chair of the Council on National Affairs, and a consultant to the Council on International Affairs. Dr. Stein is currently Associate Editor of the Journal of Gay and Lesbian Psychotherapy. He is Past President of the Association of Gay and Lesbian Psychiatrists.


This Textbook is an excellent resource regarding a breadth of historical and contemporary issues related to matters of sexual orientation and mental health. For the most part, chapters are written in both a scientific and objective manner. A particular strength is its candid acknowledgment that many areas of controversy still require additional study... It also functions as a useful guide regarding how to provide quality mental health care to those lesbian, gay male, bisexual, and transsexual patients who may be in need of such assistance... to clearly spell out the issues is characteristic of this text, an important resource for all mental health professionals. The Journal of Nervous and Mental Disease This is an interesting and essential book for those mental health professionals who should be knowledgeable about gay and lesbian mental health. That must be most of us. One particular characteristic marks this book out for special attention. Many of its contributors are themselves gay or lesbian. Although not unique it still makes a refreshing change. Psychological Medicine This comprehensive textbook fills an important void in the psychiatric literature, coming at a time when there is consensus among both psychiatric and psychoanalytic professional organizations that homosexuality is not a mental illness or a sign of psychopathology... The book is well-written and thoughtful and likely to become a classic. It should be in the library of every mental health professional and enable us to be a more effective resource for our gay, lesbian, and bisexual patients. News for Women in Psychiatry The material is essential information that would benefit the most sophisticated instructor of a course at the advanced undergraduate or graduate level... the Textbook admirably reflects a range of topics, gender differences, and ethnic and cultural diversity. Contemporary Psychology This book would be useful for anyone treating homosexual patients, and probably the homosexual therapist, as it is a thought-provoking book which encourages a re-evaluation of attitudes towards homosexuality and challenges the assumption that in this liberal age we are free of prejudice and negative attitudes. Australian & New Zealand Journal of Psychiatry [T]his is a well-written, up-to-date, and comprehensive volume that will serve as a valuable reference in the field for many years. Readings: A Journal of Reviews and Commentary in Mental Health The quality of contributions is excellent. The authors appear to be a who's who list in the field of homosexuality research. Sexual and Marital Therapy

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