Abstract
None of the adults I have treated have had major disturbances in their sexual identity except for the selection of the sex
of the person with whom they express their sexual feelings. Only one lives out a role that is ambisexual. All the men I have
seen have been able to relate sexually to women with varying degrees of comfort. Six have had sexual intercourse with women
and can function physiologically but without a sense of closeness or satisfaction, and five have been able to achieve climax.
Some decided not to stay in their marriages, divorced, and adopted an overtly homosexual lifestyle. Some felt increasing ability
to relate to women and decided to marry. Still others resolved current conflicts with their gay partners and felt no need
for further therapy. All but one were actively employed and functioning well by external observation in demanding jobs requiring
postgraduate college education. In terms of the detailed analytic work, there were no sets of insights that resulted in a
major sexual partner reorientation. Those who decided to marry did so when they felt more able to resolve their narcissistic
needs and make a relationship with a caring tolerant woman. They maintained their homosexual fantasies though the fantasies
were more acceptable and less disruptive. It was not always the partner's penis that determined the sexual interest of these
men. More often, it was the contour of the male body, the firmness of the musculature, the masculine bodily movements, the
very identity and role of the father in the family. I did not see these foci of interest only as displacements from the genitals
but rather as primary erotogenic stimuli. It is the seeking of a narcissistic object, the self in the other. This very orientation
may be the innate variable. This position is spelled out in some detail by Leavy (1985). To varying degrees, the families
of all these men were experienced as being composed of vigorous, active, articulate, determined, aspiring mothers and rather
quiet, removed, passive fathers. The reported presence of this general pattern is impressive though the prominence of these
characteristics differed from family to family. I have not postulated that these parental-child relations are causative in
the boy's development of a homosexual life. However, they may be crucial if the genetic and/or constitutional factors discussed
above are also present.(
ABSTRACT TRUNCATED AT 400 WORDS)
Links
Authors
Institution
Houston-Galveston Psychoanalytic Institute, TX, USA.
Source
American journal of psychoanalysis 55:2 1995 Jun pg 103-20; discussion 121-7MeSH
AdultHomosexuality, Male
Humans
Male
Orientation
Psychoanalytic Therapy
Sexual Behavior
Transference (Psychology)
Pub Type(s)
Case ReportsJournal Article
Language
eng
PubMed ID
7653710
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