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Bias towards gay patients by psychoanalytic clinicians: An empirical investigation

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Abstract

Results of an empirical investigation of psychoanalysts' attitudes towards and clinical assessment of gay patients are reported. The study employed matched-vignette methodology; analysts rated their reactions on the Semantic Differential to homosexual and heterosexual patients with identical histories. They also rated degree of impairment in psychological functioning on the Global Assessment of Functioning and made DSM-III-R diagnoses. Results indicate that psychoanalysts maintain a subtle but significant negative bias towards homosexual patients, particularly those that have serious psychopathology. A negative bias towards the mentally ill in general also emerged. Suggestions for future studies and implications for training clinicians are discussed.

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References

  • American Psychiatric Association. (1952).Diagnostic and Statistical Manual of Mental Disorders, APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1968).Diagnostic and Statistical Manual of Mental Disorders, 2nd ed., APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1980).Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., APA, Washington, DC.

    Google Scholar 

  • Bayer, R. (1981).Homosexuality and American Psychiatry: The Politics of Diagnosis, Basic Books, New York.

    Google Scholar 

  • Bieber, I., Dain, H., Dince, P., Drellich, M., Grand, H., Gundlach, R., Kramer, M., Rifkin, A., Wilbur, C., and Bieber, T. (1962).Homosexuality: A Psychoanalytic Study, Basic Books, New York.

    Google Scholar 

  • Friedman, R. C. (1988).Male Homosexuality: A Contemporary Psychoanalytic Perspective, Yale University Press, New Haven.

    Google Scholar 

  • Garnets, L., Hancock, K. A., Cochran, S. D., Goodchilds, J., and Peplau, L. A. (1991). Issues in psychotherapy with lesbians and gay men: A survey of psychologists.Am. Psychol. 46: 964–972.

    PubMed  Google Scholar 

  • Green, R. (1992).Sexual Science and the Law. Harvard University Press, Cambridge, MA.

    Google Scholar 

  • Isay, R. A. (1989).Being Homosexual, Farrar, Straus & Giroux, New York.

    Google Scholar 

  • Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948).Sexual Behavior in the Human Male, Saunders, Philadelphia, PA.

    Google Scholar 

  • Lewes, K. (1988).The Psychoanalytic Theory of Male Homosexuality, Simon & Schuster, New York.

    Google Scholar 

  • Panel. (1993). Anti-homosexual bias in Psychiatry. Presented at the annual meeting of the American Academy of Psychoanalysis.

  • Rudolph, J. (1989). Effects of a workshop on mental health practitioners' attitudes towards homosexuality and counseling effectiveness.J. Counsel. Dev. 68: 81–85.

    Google Scholar 

  • Socarides, C. W. (1978)Homosexuality. Free Press, New York.

    Google Scholar 

  • Socarides, C. W., and Volkan, V. (1991).The Homosexualities and the Therapeutic Process. International University Press, Madison, CT.

    Google Scholar 

Download references

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Lilling, A.H., Friedman, R.C. Bias towards gay patients by psychoanalytic clinicians: An empirical investigation. Arch Sex Behav 24, 563–570 (1995). https://doi.org/10.1007/BF01541835

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