Sex Therapy for Gay and Bisexual Men
Andrew E. Behrendt and Kenneth D. George
Although there has been considerable literature on sex therapy for treatment of sexual dysfunctions ( Kaplan 1974; Leiblum & Rosen 1989; Masters & Johnson 1970), little has been written about sex therapy with gay and bisexual men. This chapter describes four specific therapeutic issues that cause stress for gay and bisexual men and may cause or contribute to a sexual dysfunction: stereotypic male gender roles, stereotypic male sexual roles, homophobia, and HIV/AIDS- related issues. The specific male sexual dysfunctions are then discussed and suggestions for treatment are given.
The discussion will be limited to treatment that is specific to gay and bisexual men, for there exists a wealth of generalized material about sexual dysfunctions and their treatment ( Kaplan 1974; Leiblum & Rosen 1989; Masters & Johnson 1970). Four specific issues need to be examined with gay and bisexual men who seek treatment. These issues cause stress and anxiety, which can reduce sexual pleasure and relationship intimacy. Alone or in combination they can cause or contribute to any of the sexual dysfunctions.
The adoption of and adherence to the stereotypic male gender role affects gay and bisexual men's sexual functioning ( George & Behrendt 1987). The stereo-