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Stuart, C. (2002). Shameful Cravings: A Review of Addictions in the Gay and Lesbian Community, edited by Jeffrey R. Guss and Jack Drescher. Binghamton, NY: The Haworth Medical Press, 2000. 191 pp.. Contemp. Psychoanal., 38(2):380-384.

(2002). Contemporary Psychoanalysis, 38(2):380-384

Shameful Cravings: A Review of Addictions in the Gay and Lesbian Community, edited by Jeffrey R. Guss and Jack Drescher. Binghamton, NY: The Haworth Medical Press, 2000. 191 pp.

Review by:
Catherine Stuart, Ph.D.

Among The Most Recent and dramatic developments in psychoanalysis are the rapid and far-reaching changes in theories about and treatment of gay men and lesbians. Whereas classical psychoanalysis tended to see human beings as constitutionally polymorphously perverse, but progressing in a normative developmental line toward opposite-sex attraction, current views are shifting to a less pathologizing view of the varieties of adult sexual orientations. Still, few works have focused on the specific problems this patient population brings into the treatment setting.

This edited volume explores the reasons for the high rate and unique aspects of substance abuse in the gay, lesbian, and bisexual communities. It also suggests modifications for treatment. The book includes chapters compelling to any analyst curious about gay identities.

The papers collected in this volume range from a focus on the prevalence of addiction to ways of dealing with the psychoanalytic treatments of sexually compulsive gay men. Each of the chapter's authors note the impact of the social and cultural context on the development and maintenance

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