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.
