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In addition to the stresses of everyday life, gay men, lesbians and bisexuals experience multiple pressures and constraints related to their chosen lifestyles. This volume examines the gay and lesbian experience in light of this additional tension - which can result in psychopathology - and points towards a future free of heterosexism. The internationally renowned contributors argue that the stress of `coming out', uncertainties concerning parenting children, and the difficulties facing ethnic minority lesbians, gay men and bisexuals cannot be adequately addressed without confronting the he

The Gilded Age Construction of American Homophobia is an analysis of the negative response to the discovery of the homosexual in late Nineteenth century America. In this period of social distress, many Americans came to doubt the underlying assumptions of national progress. If the United States were to remain true to its promise of earthly perfection, then the forces of social disharmony had to be overcome. Homosexuality, however, challenged the very notions of order and progress. This book investigates the responses of the emergent medical community to this problem, and concludes with a discussion of how the negative reception of the homosexual impacted the future social conception of gay men and women.

Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- About the Editor -- Foreword -- Preface: Developing the Context: The Impact of Homophobia and Heterosexism on the Health Care of Gay and Lesbian People -- Lesbian and Gay Youth in a Straight World: Implications for Health Care Workers -- Gay Men and the Health Care System -- Lesbians and the Health Care System -- Reproductive Issues for Lesbians -- Substance Abuse and Dependency in Gay Men and Lesbians -- Long-Term Care and Hospice: The Special Needs of Older Gay Men and Lesbians -- Legal Issues in Health Care for Lesbians and Gay Men -- Index.