Pink Therapy: A Guide for Counsellors and Therapists Working with Lesbian, Gay, and Bisexual Clients

By Dominic Davies; Charles Neal | Go to book overview

BERNARD RATIGAN


10
Working with older gay men

This chapter considers some of the themes encountered in psychodynamic counselling and psychotherapy with older gay men. It is a clinical account with no pretensions to be exhaustive. After some introductory material the chapter goes on to consider the need for careful assessment, then looks at questions around ageism, bereavement, internalized homophobia, cultural and ethnic differences and drug use.


Older gay men and therapy

There is as yet very little clinical material published in this area (see Lee 1991; Gutierrez 1992). Most of the clinical work on which the chapter is based is from my work as a psychoanalytic psychotherapist in a specialist public-sector adult psychotherapy service and from a small private practice. The National Health Service unit in which I work receives a considerable number of referrals of gay men (and lesbians). The reasons for this are not altogether clear but may include the willingness of gay, as distinct from heterosexual, men to seek therapeutic help, a possible greater incidence of psychological morbidity (Ross 1988; Catalan 1992) amongst gay men and/or the presence amongst the senior clinical staff of an out gay psychotherapist which perhaps encourages both potential patients to ask for referral and for referrers to refer. This chapter does not consider psychotherapeutic work with lesbians (who are equally well represented in my unit's work) as they are the subject of Chapter 9. As with any writing from a clinical context it is important to stress that my professional experience is with those gay men seeking or being referred for psychotherapeutic help.

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Pink Therapy: A Guide for Counsellors and Therapists Working with Lesbian, Gay, and Bisexual Clients
Table of contents

Table of contents

  • Title Page i
  • Contents v
  • Notes on Contributors vii
  • Acknowledgements ix
  • Introduction 1
  • Part 1 - Fundamental Issues 9
  • 1: An Historical Overview of Homosexuality and Therapy 11
  • 2: Towards a Model of Gay Affirmative Therapy 24
  • 3: Homophobia and Heterosexism 41
  • 4: Working with People Coming Out 66
  • Part II - Working with Particular Issues 87
  • 5: Working with Single People 89
  • 6: Working with People in Relationships 101
  • 7: Lesbian and Gay Parenting Issues 116
  • 8: Working with Young People 131
  • 9: Working with Older Lesbians 149
  • 10: Working with Older Gay Men 159
  • 11: Alcohol and Substance Misuse 170
  • 12: Partner Abuse 188
  • 13: Religious and Spirituality Conflicts 199
  • Appendix I - Resources 209
  • Appendix 2 - Community Resources 213
  • Appendix 3 - Books for Clients and Counsellors 217
  • References 222
  • Index 235
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