The historical moment in the analysis of gay men.

The meanings of men's same-sex desire have changed rapidly in the last fifty years. As a result it is common that patients and analysts (or psychotherapists) have dissonant implicit understandings of the significance of this desire. This dissonance can have untoward clinical consequences, some of which are explored here, and may be partly mitigated to facilitate better analytic and psychotherapeutic work with gay men.