"This strange disease": adolescent transference and the analyst's sexual orientation.
The treatment of adolescents by gay analysts is uncharted territory regarding the impact of the analyst's sexuality on the analytic process. Since a core challenge of adolescence involves the integration of the adult sexual body, gender role, and reproductive capacities into evolving identity, and since adolescents seek objects in their environment to facilitate both identity formation and the establishment of autonomy from primary objects, the analyst's sexual orientation is arguably a potent influence on the outcome of adolescent development. However, because sexual orientation is a less visible characteristic of the analyst than gender, race, or age, for example, the line between reality and fantasy is less clearly demarcated. This brings up special considerations regarding discovery and disclosure in the treatment. To explore these issues, the case of a late adolescent girl in treatment with a gay male analyst is presented. In this treatment, the question of the analyst's sexual orientation, and the demand by the patient for the analyst's self-disclosure, became a transference nucleus around which the patient's individual dynamics and adolescent dilemmas could be explored and clarified.
Division of Child and Adolescent Psychiatry, Columbia College of Physicians and Surgeons, 101 Fifth Avenue, New York, NY 10003, USA. johnkburtonmd@gmail.com
John K
JK
Burton
Karen
K
Gilmore
D000293:Adolescent; D000328:Adult; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D008297:Male; D011369:Professional-Patient Relations; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D012725:Sexual Behavior; D014167:Transference, Psychology