Psychotherapy with Gay Men and Lesbians

A History of Controversy
  • James P. Krajeski
Part of the Critical Issues in Psychiatry book series (CIPS)


The approach to psychotherapy with gay men and lesbians has undergone a remarkable evolution over the past decade. The production of this volume which views homosexuality as a normal variant of human behavior is evidence of the extent of this transformation of thought in the field of mental health. Although there are still those who will disagree with this view, it is quite clear that because of new knowledge and societal change the psychotherapeutic approach to gay and lesbian patients cannot remain static. There is no doubt that the gay patient today is regarded differently by our culture and is subject to different cultural influences than the gay patient of only a few years ago. The psychotherapist is also influenced by the same cultural forces, and of necessity as our culture changes so will our psychotherapeutic interventions. We have previously witnessed a similar process of change in our models for psychotherapy with other groups, most recently with women. This chapter will explore some of the significant developments within the psychiatric profession and in the scientific literature during this period of time in which a new treatment model for gay men and lesbians has been emerging. From this historical perspective one may be impressed both by the extensive changes and the new ideas which have come forth, as well as by the paucity of consideration given to certain major psychotherapeutic issues. It is hoped that an understanding of the changes that have taken place will facilitate the acceptance of new ideas and findings as they unfold in this continuing evolution.


Homosexual Behavior Lesbian Couple Male Homosexuality Homosexual Patient Homosexual Family 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1986

Authors and Affiliations

  • James P. Krajeski
    • 1
  1. 1.Private practiceSan FranciscoUSA

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