Gay Patients in the Medical Setting

  • Nanette Gartrell
Part of the Critical Issues in Psychiatry book series (CIPS)


Approximately 20 million people in this country are predominantly homosexual for some part of their lives.1,2 An even larger number engage in homosexual activity from time to time. Although the average physician may not be aware of the sexual orientation of most patients, he can expect that about 5%–10% of patients are homosexual. This chapter examines the special needs and problems of the gay patient in seeking health care from non-gay physicians.


Sexual Orientation Anal Intercourse Congenital Adrenal Hyperplasia Sexual Problem Heterosexual Woman 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. Sexual behavior in the human male. Philadelphia: Saunders, 1948.Google Scholar
  2. 2.
    Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. H. Sexual behavior in the human female. Philadelphia: Saunders, 1953.Google Scholar
  3. 3.
    Lawrence, J. C. Homosexuals, hospitalization and the nurse. Nursing Forum, 1975, 14(3):305–317.PubMedCrossRefGoogle Scholar
  4. 4.
    Pauly, I., & Goldstein, S. Physicians’ attitudes in treating male homosexuals. Medical Aspects of Human Sexuality, 1970, 4:22–45.Google Scholar
  5. 5.
    Bell, A. P., & Weinberg, M. S. Homosexualities. New York: Simon and Schuster, 1978.Google Scholar
  6. 6.
    Bell, A. P. The homosexual as patient. In Green, R. (ed), Human sexuality. Baltimore: Williams and Wilkins, 1975.Google Scholar
  7. 7.
    Saghir, M. T., & Robins, E. Male and female homosexuality. Baltimore: Williams and Wilkins, 1973.Google Scholar
  8. 8.
    Siegelman, M. Adjustment of homosexual and heterosexual women. British Journal of Psychiatry,1972, 120:477–481.PubMedCrossRefGoogle Scholar
  9. 9.
    Siegelman, M. Adjustment of male homosexuals and heterosexuals. Archives of Sexual Behavior, 1972, 2(1):9–25.PubMedCrossRefGoogle Scholar
  10. 10.
    Freedman, M. J. Homosexuality among women and psychological adjustment. Dissertation Abstracts International, 1971, 38:347–350.Google Scholar
  11. 11.
    Hart, M., Roback, H., Tittle, B., Weitz, L., Walston, B., & McKee, E. Psychological adjustment of non-patient homosexuals: Critical review of research literature. Journal of Clinical Psychiatry, 1978, 39:604–608.PubMedGoogle Scholar
  12. 12.
    Freund, K. Should homosexuality arouse therapeutic concern? Journal of Homosexuality, 1977, 2(4):235–240.PubMedCrossRefGoogle Scholar
  13. 13.
    Brodie, H. K. H., Gartrell, N. K., Doering, C., & Kraemer, H. Plasma testosterone levels in heterosexual and homosexual men. American Journal of Psychiatry,1974, 131(1):82–83.PubMedGoogle Scholar
  14. 14.
    Gartrell, N. K., Loriaux, D. L., & Chase, T. N. Plasma testosterone in homosexual and heterosexual women. American Journal of Psychiatry, 1977, 134(10):1117–1119.PubMedGoogle Scholar
  15. 15.
    Meyer-Bahlburg, H. F. L. Sex hormones and male homosexuality in comparative perspective. Archives of Sexual Behavior, 1977, 6(4):297–325PubMedCrossRefGoogle Scholar
  16. 16.
    Meyer-Bahlburg, H. F. L. Sex hormones and female homosexuality: A critical examination. Archives of Sexual Behavior, 1979, 8(2):101–119.PubMedCrossRefGoogle Scholar
  17. 17.
    Hornstein, A., & Cook, C. Counseling patients with sexual identity stresses. Interaction, 1978, 2(2):1–12.Google Scholar
  18. 18.
    Kaplan, H. The new sex therapy. New York: Quadrangle, 1974.Google Scholar
  19. 19.
    Toder, N. Sexual problems of lesbians. In Vida, G. (ed). Our right to love. Englewood Cliffs, N.J.: Prentice-Hall, 1978.Google Scholar
  20. 20.
    Vida, G. (ed): Our right to love. Englewood Cliffs, N.J.: Prentice-Hall, 1978.Google Scholar
  21. 21.
    Carr, G., & William, D. Anal warts in a population of gay men in New York City. Sexually Transmitted Disease, 1977, 4(2):56–57.CrossRefGoogle Scholar
  22. 22.
    Felman, Y. M., & Morrison, J. M. Examining the homosexual male for sexually transmitted disease. JAMA, 1977, 238(19):2046–2047.PubMedCrossRefGoogle Scholar
  23. 23.
    Henderson, R. H. Improving sexually transmitted disease health services for gays: A national prospective. Sexually Transmitted Disease, 1977, 4(2):58–62.CrossRefGoogle Scholar
  24. 24.
    Judson, F. N., Miller, K. G., & Schaffnit, T. R. Screening for gonorrhea and syphilis in the gay baths-Denver, Colorado. American Journal of Public Health, 1977, 67(8):740–742.PubMedCrossRefGoogle Scholar
  25. 25.
    Merino, H., & Richards, J. An innovative program for venereal disease: Case finding, treatment and education for a population of gay men. Sexually Transmitted Disease, 1977, 4(2):50–52.CrossRefGoogle Scholar
  26. 26.
    Ostrow, D., & Shaskey, D. The experience of the Howard Brown Memorial Clinic of Chicago with sexually transmitted disease. Sexually Transmitted Disease, 1977, 4(2):53–55.CrossRefGoogle Scholar
  27. 27.
    Sohn, N., Robilotti, J. G. The gay bowel syndrome. American Journal of Gastroenterology, 1977, 67(5):478–484.PubMedGoogle Scholar
  28. 28.
    Smuzness, W., Much, M. L., & Prince, A. M. On the role of sexual behavior in the spread of Hepatitis B infection. Annals of Internal Medicine, 1975, 83:489–495.Google Scholar
  29. 29.
    Money, J., & Russo, A. Establishment of homosexual gender identity/role: Longitudinal follow-up of gender identity/role in childhood. Paper presented to 2nd International Congress of Sexology, Montreal, 1977.Google Scholar
  30. 30.
    Money, J., & Schwartz, M. Dating, romantic and nonromantic friendships, and sexuality in 17 early-treated adrenogenital females, aged 16–25. In Lee, P. A. (ed). Congenital adrenal hyperplasia. Baltimore: University Park Press, 1977.Google Scholar

Copyright information

© Plenum Press, New York 1983

Authors and Affiliations

  • Nanette Gartrell
    • 1
  1. 1.Departments of PsychiatryHarvard Medical School and Beth Israel HospitalBostonUSA

Personalised recommendations