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Freud replied in a letter that later became famous: Activism against conversion therapy increasingly focused on the DSM's designation of homosexuality as a psychopathology. The patient should be told that his choice of a passive partner allows him to enjoy a passive or receptive mode, while his choice of an active partner allows him to recapture his lost masculinity. In a certain number of cases we succeed in developing the blighted germs of heterosexual tendencies, which are present in every homosexual; in the majority of cases it is no more possible. Psychiatrist Robert Spitzer, a member of the APA's Committee on Nomenclature, played an important role in the events that led to this decision.

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The Stonewall riot acquired symbolic significance for the gay rights movement and came to be seen as the opening of a new phase in the struggle for gay liberation. Some might have no real desire to become heterosexual, seeking treatment only to convince themselves that they had done everything possible to change, leaving them free to return to homosexuality after the failure they expected. Bergler openly violated professional ethics to achieve this, breaking patient confidentiality in discussing the cases of patients with other patients, bullying them, calling them liars and telling them they were worthless. Freud replied in a letter that later became famous: Following these events, conversion therapy came under increasing attack. By asking me if I can help [your son], you mean, I suppose, if I can abolish homosexuality and make normal heterosexuality take its place. Klein claimed that he illustrated pathologies that enter into all forms of homosexuality: In a certain number of cases we succeed in developing the blighted germs of heterosexual tendencies, which are present in every homosexual; in the majority of cases it is no more possible. Brill criticised physical treatments for homosexuality such as bladder washing, rectal massage, and castration, along with hypnosis , but referred approvingly to Freud and Sadger's use of psychoanalysis, calling its results "very gratifying". Patients often wanted to become heterosexual for reasons Freud considered superficial, including fear of social disapproval, an insufficient motive for change. The result of treatment cannot be predicted. Ferenczi hoped to cure some kinds of homosexuality completely, but was content in practice with reducing what he considered gay men's hostility to women, along with the urgency of their homosexual desires, and with helping them to become attracted to and potent with women. Sigmund Freud's views on homosexuality Freud — was skeptical of the possibility of therapeutic conversion. Stekel believed that "success was fairly certain" in changing homosexuality through psychoanalysis provided that it was performed correctly and the patient wanted to be treated. President Barack Obama expressed opposition to the practice in The Psycho-Analysis of Children ends with the analysis of Mr. In his view, a gay man who was confused about his sexual identity and felt himself to be "a woman with the wish to be loved by a man" was not a promising candidate for cure. The other reason is that readers may take this as a confirmation that all analysis can do is to convince patients that their defects or 'immoralities' do not matter and that they should be happy with them. In Freud's view, the prognosis was unfavourable because of the circumstances under which she entered therapy, and because homosexuality was not an illness or neurotic conflict. In her view, it was important to pay attention to the interaction of passive and active homosexual fantasies and strivings, the original interplay of which prevented adequate identification with the father. He told The Washington Post that the study "shows some people can change from gay to straight, and we ought to acknowledge that". A Psychoanalytic Study of Male Homosexuals , in which they concluded that "although this change may be more easily accomplished by some than by others, in our judgment a heterosexual shift is a possibility for all homosexuals who are strongly motivated to change". The analysis of homosexuality required dealing with paranoid trends based on the oral stage. Deutsch indicated that she would have considered heterosexuality a better outcome. Kinsey's work, and its reception, led Bergler to develop his own theories for treatment, which were essentially to " blame the victim ", in the evaluation of Jennifer Terry, associate professor of Woman's Studies. Activism against conversion therapy increasingly focused on the DSM's designation of homosexuality as a psychopathology. It is a question of the quality and the age of the individual.

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