ABSTRACT
This article describes certain theoretical and clinical problems commonly met with during the psychoanalytic treatment of adult homosexual patients. Difficulties discussed are selected out of extensive clinical experience and are described under several headings: general problems, such as selection of patients, motivation for seeking therapy, problems at the outset; the working alliance and its maintenance; transference problems and the issue of analyzability; problems secondary to deficiencies in the structure of the ego of the homosexual patient; the imperativeness of the homosexual impulse and the problem of acting out; extrinsic problems.
Subject(s)
Homosexuality , Psychoanalytic Therapy/methods , Acting Out , Anxiety/psychology , Ego , Gender Identity , Humans , Male , Neurotic Disorders/psychology , Transference, PsychologyABSTRACT
This paper presents an historical account and a critical analysis of the diagnostic problems surrounding our understanding of the sexual deviations and their position in our classification system. Appropriate therapy can only be based on accurate diagnosis. Exceptions of this principle of psychiatric care cannot be made for social/political reasons without incurring formidable difficulties both for the diagnostician and the patient as well.
Subject(s)
Manuals as Topic , Paraphilic Disorders/diagnosis , Homosexuality , Humans , Paraphilic Disorders/psychology , Psychoanalytic InterpretationABSTRACT
A discussion of "The Transsexual Wish in a Psychotic Character" by Katherine MacVicar, M.D. This paper reviews some of the major reports gradually emerging in the psychoanalytic literature which validate the belief that beneath the desire "to change sex" may lie serious, if not overwhelming, psychopathology-even of a psychotic nature. Transsexual wishes may arise from oedipal conflict, preoedipal fixation, or schizophrenic processes. This paper briefly describes the mechanisms involved in the development of psychotic reactions in those schizophrenics who desire and undergo sexual transformation surgery.
Subject(s)
Psychotic Disorders/complications , Transsexualism/complications , Follow-Up Studies , Humans , Male , Oedipus Complex , Projection , Psychoanalytic Therapy , Schizophrenia/complications , Transsexualism/surgery , Transsexualism/therapyABSTRACT
This paper is a critical evaluation of the nature and meaning of various radical changes in sexual customs and behavior and their clinical consequences. The author contends that many of the revolutional changes demonstrate a complete and disastrous disregard of knowledge gained through painstaking psychodynamic and psychoanalytic investigations over the past 75 years.
