Sexual Orientation and Psychodynamic Psychotherapy: Sexual Science and Clinical Practice

Sexual Orientation and Psychodynamic Psychotherapy: Sexual Science and Clinical Practice

by Richard Friedman, Jennifer Downey

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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.

Product Details

ISBN-13: 9780231530217
Publisher: Columbia University Press
Publication date: 03/24/2008
Sold by: Barnes & Noble
Format: NOOK Book
Pages: 368
File size: 778 KB

About the Author

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.

Table of Contents

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

What People are Saying About This

Michael Stone

This is a brilliant book. Friedman and Downey have seen the flaws in Freudian theory and have had the courage to point up the shortcomings of earlier assumptions. They then present a revised theory that is a model for our time, a ground-breaking work that will serve to guide us in our thinking about sexuality in all its aspects as we enter the new century and millenium.

Michael Stone, M.D., Columbia University

Harold I. Lief

Brilliant and original, this pioneering book by the eminent scholars Friedman and Downey synthesizes modern knowledge about sexuality with psychoanalytic developmental theory. Its engrossing clinical section provides the gold standard for the pyschotherapeutic treatment of gay men and lesbians with internalized homophobia. This book is a joy to read and offers a blueprint for the way psychoanalysts and psychotherapists should think about human sexual orientation.

Harold I. Lief, M.D., emeritus professor of psychiatry, University of Pennsylvania

Stuart Yudofsky

An extraordinary book! Drawing upon a vast, varied and fascinating body of neurobiological, psychological, sociological, and anthropological scholarship while wielding formidable skills, sensitivities and insights gleaned from extensive clinical experience, psychiatrists Richard Friedman and Jennifer Downey bring light and lucidity to our understanding of sexual orientation in men and women.

Stuart Yudofsky, M.D., editor, Journal of Neuropsychiatry and Clinical Neurosciences

John M. Oldham

This is a truly remarkable book. In clear, compelling language, Friedman and Downey present a balanced, thoughtful, scholarly review of an important and complex yet often highly charged subject. They review scientific studies of genetic and biological factors relevant to sexual orientation and gender role behavior against a backdrop of historically influential psychoanalytic theories. Refreshingly, the authors present their own multidetermined, revisionist position based on scientific evidence, the ideas of persuasive thinkers, and their own clinical experience. Illustrative case material links new scientific knowledge with consulting room experience. This is a gem of a book that every clinician should read.

Judith Schacter

This book holds particular interest for anyone concerned with or responsible for the care of children. Parents, teachers, pediatricians, as well as therapists will benefit from the discussion of developmental research that makes even psychoendocrinology an understandable part of the child's endowment and world. Discussion of the different developmental tracks of boys and girls focuses on implications for the development of homophobia in each sex and thus makes an important addition to our understanding of the middle school and subsequent years.

Judith Schacter, M.D., past president, American Psychoanalytic Association

Otto F. Kernberg

A masterful synthesis of current research on homosexuality, both male and female, and a focused exploration of the influences of cultural biases and ideological commitments on scientific inquiry and clinical practice in this field. With rich clinical illustrations, they examine the genetic, neurobiological, psychodynamic, and psychosocial factors codetermining core sexual identity, gender role identity, and object choice at both a theoretical and a practical level. This book raises challenging questions for psychoanalysis as well as for the present explosion of neurobiological research and is a must for clinicians as well as researchers.

Kenneth J. Zucker

Friedman and Downey tackle a subject that has elicited enormous controversy and conflict, both within and outside of the psychoanalytic community. This volume provides a unique and thoughtful blend of clinical and scientific expertise and will be of great interest to the practicing clinician, the laboratory researcher, and the scholar in the social sciences who seeks a sophisticated understanding of sexual orientation development

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