Theoretical considerations in psychotherapy with gay men and lesbians

This paper examines certain issues relevant to psychotherapy with gay men and lesbians. The roles of general factors in psychotherapy in relation to homosexuality, including the theoretical orientation of the therapist, the nature of the presenting problem, the mode of therapy, and the personal characteristics of the therapist, are discussed. Special issues of concern to gay men and lesbians, specifically the question of pathology, the amount of information the therapist has about homosexuality, the sexual orientation of the therapist, and the unique problems of gay men and lesbians, are reviewed. Finally, an overview of the role of homophobia in psychotherapy is presented, and the importance of further exploration in this area is discussed.