Writing this book has forced me to review all the pertinent literature on sexual anomalies including the work my colleagues and I have done over the past ten years. I have experienced many emotions doing so, among them delight, anger and hope.
It has been a pleasure seeing all the pieces in one place and integrated. It offers a new starting point for research. I am amazed how much I had forgotten or tucked away deep in my memory and which now appears in the foregoing pages.
At times I have felt great anger about the wide range of theoretical folly which has been used in diagnosis and treatment of trusting and unsuspecting patients. There is no room for such confidence. We need many more facts before we can make even rudimentary conclusions. This theme has run through the book and for some it may mean disappointment. For me it has helped dissipate my anger which has been replaced by hope.
Although the evidence has been an indictment for some theories and treatments, at the same time many paths have been suggested for new directions in understanding and treating sexual anomalies. It is my hope that some readers will examine the hypotheses with empirical studies.
In comparing case studies and controlled experiments in groups, I am constantly amazed at how divergent conclusions can be. Some of my clinical colleagues refuse to accept research findings which do not agree with their own experience. To me, this represents an uncontrolled case or group study. How often does a theory hold for clinicians because they have one patient who displayed certain features fitting their theory? It is not perceived as an accidental association but etiologically significant. My viewpoint for these