Homosexuality and the Mental Health Professions: The Impact of Bias Book

I. INTRODUCTION

II: THE DIMENSIONS OF ANTIHOMOSEXUAL BIAS
A. Historical Influences on AHB
B. Attitudes Toward Homosexuality
1. Attitudes in the General Population
2. Attitudes within Dynamic Psychiatry
3. Attitudes in Fundamentalist Religion
C. Definitions and Issues
D. Psychological Mechanisms in AHB
1. Paranoid Mechanisms
2. Phobic Mechanisms
3. Internalized Homophobia
E. The Impact of AHB on Psychological Growth and Development
1. AHB in Boys
2. AHB in Girls
F. Conclusions

III: AHB IN THE CLINICAL SETTING
A. Introduction
B. Types of AHB in the Clinical Setting
Pathologizing
Stereotype, stigma, misattribution
Empathic Failure
Heterosexism
Unsolicited attempts to change a patients sexual orientation
C. Psychotherapy with Individuals
D. Psychotherapy with Families, Couples, Children, and Adolescents
E. AHB in Hospital Settings

IV: THE IMPACT OF AHB ON SUPERVISION AND PROFESSIONAL TRAINING
A. Introduction
B. The Special Problem of Institutional AHB and Disclosure of Gay or Lesbian Identity ("Coming Out")
C. Power Differential between supervisor and trainee
D. Antihomosexual Bias in Training Settings
1. Medical School
2. Residency Training
3. Psychoanalytic Training Programs
E. Conclusion

V.LEGAL ASPECTS OF ANTIHOMOSEXUAL BIAS AND MENTAL HEALTH
A. Introduction
B. Privacy and Rights of Association
C. Institutions and Employment
D. Marriage and Spousal Benefits
E. Custody, Adoption, Procreation and Visitation
F. Conclusions

VI: HIV AND AHB IN MENTAL HEALTH
A. AHB and Bias Against Persons With AIDS in Society
B. AHB and AIDS Bias In Health Care Professionals
C. Fear of Contagion as a Source of Bias
D. Cultural Aspects of AHB and Fear of HIV in Health Workers
E. Impact of AHB on Patient Care
F. Implications for the Clinician
G. Conclusion

VII: CONCLUSION