This book bridges psychoanalytic thought and sexual science. It brings sexuality back to the center of psychoanalysis and shows how important it is for students of human sexuality to understand motives that are often irrational and unconscious. The authors present a new perspective about male and female development, emphasizing the ways in which sexual orientation and homophobia appear early in life. The clinical section of the book focuses on the psychodynamics and treatment of homophobia and internalized homophobia.
Richard C. Friedman, M.D., is a clinical professor of psychiatry at Weill Medical College, Cornell University, and a lecturer at the Columbia University College of Physicians and Surgeons. He is the author of Male Homosexuality: A Contemporary Psychoanalytic Perspective.Jennifer I. Downey, M.D., is clinical professor of psychiatry at the Columbia University College of Physicians and Surgeons. She is the editor, with Richard C. Friedman, of Masculinity and Sexuality: Selected Topics in the Psychology of Men.Friedman and Downey have coauthored numerous articles on psychoanalysis and sexuality. They are psychoanalysts in private practice in New York City.
Part 1: Theoretical/Developmental 1. Sexual Fantasies in Men and Women 2. Genetic Influences on Sexual Orientation 3. Psychoendocrinology and Sexual Orientation 4. Psychoendocrinology and Role Behavior 5. Freud, Oedipus, and Homosexuality 6. Toward a Revised Formulation of Male Oedipal Aggression 7. Psychobiology of Late Childhood: Significance for Developmental Psychoanalytic Theory 8. Female Homosexuality: Classical Psychoanalytic Theory Reconsidered Part 2: Clinical 9. Homophobia, Internalized Homophobia, and the Negative Therapeutic Reaction 10. Internalized Homophobia, Pathological Grief, and High-Risk Behavior in a Gay Man with Multiple Psychiatric Disorders 11. Internalized Homophobia and Gender-Valued Self-Esteem in the Psychoanalysis of Gay Patients 12. Homophobic Parents 13. Psychopathology, Suicidality, and Homosexuality: New Developments 14. Coming Out at Eighty-Four: The Psychotherapeutic Treatment of Internalized Homophobia in a Lesbian Patient 15. Sexual Orientation and Psychoanalysis: Problems and Controversies 16. The Model of Homosexuality as Psychopathology: Science and Psychoanalysis