Much has been written about the impact of gender and sexual orientation on the intersubjective field. Yet remarkably little has been written about the unique dilemmas faced by gay clinicians who treat patients of different genders and sexual orientations. Given the particularities of growing up gay in our culture, issues of secrecy, shame, alienation, difference, and internalized homophobia necessarily enter into any gay therapist's developmental history. These factors have a shaping impact on the gay analyst's sensibility, on the way he learns to listen to his patients.

In Notes...