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British psychiatry and homosexuality

Published online by Cambridge University Press:  03 January 2018

Michael King  and
Annie Bartlett
Michael King*
Affiliation:
Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, London
Annie Bartlett
Affiliation:
Section of Forensic Psychiatry, St George's Hospital Medical School, London
*
Professor Michael King, Royal Free and University College Medical School, Royal Free Campus, Rowland Hill Street, London NW3 2PF
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Abstract

Background

Opposition to homosexuality in Europe reached a crescendo in the 19th century. What had earlier been regarded as a vice evolved as a perversion or psychological illness. Official reviews of homosexuality as both an illness and (for men) a crime led to discrimination, inhumane treatments and shame, guilt and fear for gay men and lesbians. Only recently has homosexuality been removed from all international diagnostic glossaries.

Aims

To review how British psychiatry has regarded homosexuality over the past century.

Method

Review of key publications on homosexuality in British psychiatry.

Results

The literature on homosexuality reflects evolving theories on sexuality over the past century. The assumptions in psychoanalysis and the behavioural sciences that sexuality could be altered led to unscientific theory and practice.

Conclusions

Mental health professionals in Britain should be aware of the mistakes of the past. Only in that way can we prevent future excesses and heal the gulf between gay and lesbian patients and their psychiatrists.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 175 , Issue 2 , August 1999 , pp. 106 - 113
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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References

Allen, C. (1958) Homosexuality: Its Nature, Causation and Treatment. London: Staples Press.Google Scholar
Altman, D. (1971) Homosexual Oppression and Liberation. London: Allen Lane.Google Scholar
Bailey, I. M. & Bell, A. P. (1993) Familiality of female and male homosexuality. Behavioural Genetics, 23, 313–322.Google Scholar
Bailey, I. M., Pillard, R. C., Neale, M. C., et al (1993) Heritable factors influencing sexual orientation in women, Archives of General Psychiatry, 50, 217–223 Google Scholar
Bancroft, J. (1969) Aversion therapy of homosexuality. A pilot study of 10 cases. British Journal of Psychiatry, 115, 1417–1431.CrossRefGoogle ScholarPubMed
Bancroft, J. (1970) Aversion therapy of homosexuality (correspondence). British Journal of Psychiatry, 116, 676–677.CrossRefGoogle Scholar
Bancroft, J. (1975) Homosexuality and the medical profession: a behavirourist's view. Journal of Medical Ethics, 1, 176–180.CrossRefGoogle ScholarPubMed
Bancroft, J. (1991) The sexuality of sexual offending: the social dimension. Criminal Behaviour and Mental Health, 1, 181–192.Google Scholar
Bancroft, J. (1995) From behaviour modifier to behavioural psychotherapist: the personal journey of a sex therapist. Behavioural Cognitive Bulletin, 3, 7–13.Google Scholar
Bene, E. (1965a) On the genesis of female homosexuality. British Journal of Psychiatry, 111, 815–821.CrossRefGoogle ScholarPubMed
Bene, E. (1965b) On the genesis of male homosexuality: an attempt at clarifying the role of the parents. British Journal of Psychiatry, 111, 803–813.CrossRefGoogle ScholarPubMed
Bhugra, D. & King, M. B. (1989) Controlled comparison of attitudes of psychiatrists, general practitioner, homosexual doctors and homosexual men to male homosexuality. Journal of the Royal Society of Medicine, 82, 603–605.CrossRefGoogle ScholarPubMed
Bloch, S. (1997) Psychiatry: an impossible profession. Australia and New Zealand Journal of Psychiatry, 31, 172–183.Google Scholar
Boswell, J. (1980) Christianity, Social Tolerance and Homosexuality, Chicago, IL: University of Chicago Press.Google Scholar
Bourdieu, P. (1991) Language and Symbolic Power. Cambridge: Polity Press.Google Scholar
British Medical Association (1955) Memorandum on Homosexuality and Prostitutes Drawn up by a Special Committee of the British Medical Association. London: BMA.Google Scholar
Byne, W. & Parsons, B. (1993) Human sexual orientation, The biologic theories reappraised. Archives of General Psychiatry, 50, 228–239.CrossRefGoogle ScholarPubMed
Byrne, P. (1977) Psychiatric stigma: past, passing and to come. Journal of the Royal Society of Medicine, 90, 618–621.Google Scholar
Chapman, D. (1991) Inventing Ourselves – Lesbian Life Stories, pp. 45–58. London Routledge.Google Scholar
Church, K. (1995) Forbidden Narratives Critical Autobiography of Social Science. Luxembourg: Gordon & Breach.Google Scholar
Cline, S. (1997) Rodclyffe Hall: A Woman Called John. London: John Murray.Google Scholar
Crompton, L. (1980/1981) The Myth of Lesbian Impunity: Capital Laws from 1270–1791. Journal of Homosexuality, 6, 11–25.CrossRefGoogle Scholar
Crown, S. (1992) Expert opinion: “When is a pervert not a pervert?” Psychiatric Bulletin., 16, 210–211.CrossRefGoogle Scholar
Cunningham, R. (1991) When is a pervert not a pervert? British Journal of Psychotherapy, 8, 48–70.CrossRefGoogle Scholar
Curran, D. & Parr, D. (1957) Homosexuality: an analysis of 100 male cases seen in private practice. British Medical Journal, i, 797–801.Google Scholar
Dancey, C. P. (1990) Sexual orientation in women and investigation of hormonal and personality variables. Biological Psychology, 30, 251–264.CrossRefGoogle ScholarPubMed
Davenport-Hines, R. (1990) Sex, Death and Punishment. Attitudes to Sex and Sexuality in Britain since the Renaissance. London: Collins.Google Scholar
Davies, D. & Neal, C. (1996) Pinks Therapy – a Guide for Counsellors and Therapists Working with Lesbian, Gay and Bisexual Clients. Buckingham: Open University Press.Google Scholar
Davison, K., Brierley, H. & Smith, C. (1971) A male monozygotic twinship discordant for homosexuality. A repertory grid study. British Journal of Psychiatry, 118, 675–682.CrossRefGoogle ScholarPubMed
De Beauvoir, S. (1949) The Second Sex (reprinted 1972). Harmondsworth: Penguin.Google Scholar
Dewhurst, K. (1969) Sexual activity and urinary steroids in man with special reference to male homosexuality. British Journal of Psychiatry, 115, 1413–1415.Google Scholar
Downey, J., Herhardt, A. A., Schiffman, M., et al (1987) Sex hormones in lesbian and heterosexual women. Hormones and Behaviour, 21, 347–357.Google Scholar
Drescher, J. (1998) I'm your handyman. A history of reparative therapies. Journal of Homosexuality, 36, 19–42.Google Scholar
Eckert, E. D., Bouchard, T. J., Bohlen, J., et al (1986) Homosexuality in monozygotic twins reared apart. British Journal of Psychiatry, 148, 421–425.Google Scholar
Eisenger, A. J., Huntsman, R. G., Lord, J., et al (1972) Female homosexuality. Nature, 238, 106.Google Scholar
Ellis, M. L. (1994) Lesbians, gay men and psychoanalytic training. Free Associations, 4, 501–517.Google Scholar
Ellis, M. L. & Ames, M. A. (1987) Neurohormonal functioning and sexual orientation: a theory of homosexuality heterosexuality. Psychology Bulletin, 101, 233–258.Google Scholar
Ellis, H. & Symonds, J. A. (1897) Studies in the Psychology of Sex, Vol. I: Sexual Inversion. London: Wilson & Macmillan.Google Scholar
Ettorre, E. M. (1980) Lesbians, Women in Society. London: Routledge and Kegan Paul.Google Scholar
Evans, J. K., Bingham, J. S., Pratt, K., et al (1993) Attitudes of medical students to HIV and AIDS. Genitourinary Medicine, 69, 377–380.Google ScholarPubMed
Faderman, L. (1985) Surpassing the Love of Men: Romantic Friendship and Love Between Women from the Renaissance to the Present. London: The Women's Press.Google Scholar
Foucault, M. (1981) The History of Sexuality. Volume I – An Introduction. Harmondsworth: Penguin.Google Scholar
Freud, S. (1905) Three essays on the theory of sexuality. Reprinted (1953–1974) in The Standard Edition of the Complete Psychological Works of Sigmund Freud (trans. and ed. Strachey, J.). vol. 7. pp. 123–246. London: Hogarth.Google Scholar
Freud, S. (1923) Some neurotic mechanisms in jealousy, paranoia and homosexuality, Reprinted (1953–1974) in The Standard Edition of the Complete Psychological Works of Sigmund Freud (trans. and ed. Strachey, J.). vol. 18, pp. 145–172. London: Hogarth.Google Scholar
Freud, S. (1935) Anonymous (letter to an American mother). Reprinted in The Letters of Sigmund Freud (ed. E. Freud), 1960. New York: Basic Books.Google Scholar
Freund, K., Langevin, R., Cibiri, S., et al (1973) Heterosexual aversion in homosexual males. British Journal of Psychiatry, 122, 163–169.CrossRefGoogle ScholarPubMed
Freund, K., Langevin, R., Laws, R., et al (1974) Femininity and preferred partner age in homosexual and heterosexual males. British Journal of Psychiatry, 125, 442–446.Google Scholar
Fuss, D. (1990) Essentially Speaking: Feminism, Nature and Difference. London: Routledge.Google Scholar
Gladue, B. A. Green, R. & Hellman, R. E. (1983) Neuroendocrine response to estrogen and sexual orientation. Science, 225, 1496–1499.CrossRefGoogle Scholar
Glasser, M. (1977) Homosexuality in adolescence, British Journal of Medical Psychology, 50, 217–225.CrossRefGoogle ScholarPubMed
Goffman, E. (1963) Stigma. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Goffman, E. (1968) Stigma: Notes on the Management of Spoiled identity. Reprinted 1990, London: Penguin.Google Scholar
Golding, J. (1997) Without Prejudice: Mind – Lesbian, Gay and Bisexual Mental Health Awareness Research. London: Mind.Google Scholar
Griffiths, P. D., Merry, J., Browning, M. C. K., et al (1974) Homosexual women: an endocrine and psychological study. Endocrinology, 63, 549–556.Google Scholar
Haldeman, D. C. (1994) The practice and ethics of sexual orientation conversion therapy. Journal of Clinical and Consulting Psychology, 62, 221–227.Google Scholar
Hamer, D. H., Hu, S., Magnuson, V. L., et al (1993) A linkage between DNA markers on the X chromosome and male sexual orientation. Science, 261, 321–327.Google Scholar
Hamer, D. H., & Copeland, P. (1995) The Science of Desire: the Search for the Gay Gene and Biology of Behaviour. New York: Simon & Schuster.Google Scholar
Harrison, P. J., Everall, I. P. & Catalan, J. (1994) Is homosexual behaviour hardwired? Sexual orientation of brain structure. Psychological Medicine, 24, 811–816.Google Scholar
Hirschfeld, M. (1920) Die Homosexualität des Mannes und des Weibes. Berlin: Marcus.Google Scholar
Illich, I. (1975) Medical Nemesis. The Expropriation of Health. London: Marion Boyars.Google Scholar
Ingleby, D. (1981) Understanding mental illness. In Critical Psychiatry: The Politics of Mental Health (ed. Ingleby, D.), pp. 23–71. Harmondsworth: Penguin.Google Scholar
Jackson, C. (1998) Mad to be gay, Mental Health Care, 1, 222.Google Scholar
Kellett, J. (1998a) The man who did not fancy his financée. Trends in Urology. Gynaecology and Sexual Health, 3, 50–51.Google Scholar
Kellett, J. (1998b) Masturbatory shaping. Trends in Urology. Gynaecology and Sexual Health, 3, 48.Google Scholar
Kendell, R. E. (1975) The concept of disease and its implication for psychiatry. British Journal of Psychiatry, 127, 305–315.Google Scholar
Kenyon, F. E. (1968) Studies in female homosexuality IV. Social and psychiatric aspects. V. Sexual development, attitudes and experience. British Journal of Psychiatry, 114, 1337–1350.Google Scholar
King, H. (1995) Conversion, disorder and hysteria. In The History of Clinical Psychiatry: The Origin and History of Psychiatric Disorders (eds Berrios, G. & Porter, R.), pp. 442–450. London: Athlone Press.Google Scholar
Kitzinger, C. (1987) The Social Construction of Lesbianism. London: Sage.Google Scholar
Klein, M. (1931) The Psychoanalysis of Children. London: Hogarth.Google Scholar
Krafft-Ebing, R. von (1892) Psychopathia Sexualis (trans. Chaddock, C. G., from 7th German edition). Philadephia, PA: F. A. Davis.Google Scholar
Krajeski, J. (1996) Homosexuality and the mental health professions. A contemporary history. In Textbook of Homosexuality and Mental Health (eds Cabaj, R. P. & Stein, T. S.), pp. 17–31. Washington, DC: American Psychiatric Press.Google Scholar
Laing, R. D. (1967) The Politics of Experience. London: Penguin.Google Scholar
Lang, T. (1940) Studies on the genetic determination of homosexuality. Journal of Nervous and Mental Disease, 92, 55–64.Google Scholar
LeVay, S. (1995) The Sexual Brain. Cambridge, MA: MIT Press.Google Scholar
LeVay, S. (1996) Queer Science. The Use and Abuse of Research on Homosexuality. Cambridge, MA: MIT Press.Google Scholar
Limentani, A. (1977) The differential diagnosis of homosexuality. British Journal of Medical Psychology, 50, 209–216.Google Scholar
Loraine, J. A., Ismail, A. A. A. & Adamopoulos, D. A. (1970) Endocrine function in male and female homosexuals. British Medical Journal, 4, 406–408.CrossRefGoogle ScholarPubMed
Loraine, J. A., Adamopoulos, D. A., Kirkham, K. E., et al (1971) Pattens of hormone excretion in male and female homosexuals. Nature, 234, 552–555.Google Scholar
Maletzky, B. M. & George, F. S. (1973) The treatment of homosexuality by ‘assisted’ covert sensitisation. Behaviour Research and Therapy, 11, 655–657.Google Scholar
Marks, I. (1981) Review of behavioural psychotherapy, II; sexual disorders. American Journal of Psychiatry, 138, 750–756.Google Scholar
McColl, P. (1994) Homosexuality and mental health services. British Medical Journal, 308, 550–551.Google Scholar
McConaghy, N. (1969) Subjective and penile Plethysmograph responses following aversion-relief and apomorphine aversion therapy for homosexual impulses. British Journal of Psychiatry, 115, 723–730.Google Scholar
McConaghy, , (1970) Subjective and penile Plethysmograph responses to aversion therapy for homosexuality: a follow-up study. British Journal of Psychiatry, 117, 555–560.Google Scholar
McConaghy, , (1975) Aversive and positive conditioning treatments of homosexuality. Behaviour Research and Therapy, 13, 309–319.CrossRefGoogle ScholarPubMed
McConaghy, , (1976) Is a homosexual orientation irreversible? British Journal of Psychiatry, 129, 556–563.Google Scholar
McConaghy, Armstrong, M. S. & Blaszezynski, A. (1981) Controlled comparison of aversive therapy and covert sensitization in compulsive homosexuality. Behaviour Research and Therapy, 19, 425–434.CrossRefGoogle Scholar
McCullch, M. J. & Feldman, M. P. (1967) Aversion therapy in management of 43 homosexuals. British Medical Journal, ii, 594–597.CrossRefGoogle Scholar
McCullch, M. J. & Feldman, M. P. (1970) Aversion therapy of homosexuality (correspondence). British Journal of Psychiatry, 116, 673–676.Google Scholar
McDougall, (1970) Homosexuality in women. In Female Sexuality and New Psychoanalytic Views (ed. Chasseguet-Smirgel, J.). Ann Arbor, MI: Michigan University Press.Google Scholar
McDougall, (1979) The Homosexual Dilemma. In: Sexual Deviation (ed. Rosen, I.). Oxford: Oxford University Press.Google Scholar
McDougall, (1995) The Many Faces of Eros – A Psychoanalytic Exploration of Human Sexuality, pp. 32–38. London: Free Association Books.Google Scholar
McFariane, E. (1997) Diagnosis Homophobic – The Experiences of Lesbians. Gay Men and Bisexuals in Mental Health Services, London: PACE.Google Scholar
Maudsley, H. (1874) Responsibility in Mental Disease (2nd edn). London: Kegan Paul.Google Scholar
Maudsley, H. (1895) The Pathology of Mind: A Study of its Distempers, Deformities, and Disorders. London and New York: Macmillan.Google Scholar
Meyer-Bahlburg, H. E. L. (1982) Hormones and psychosexual orientation: implications for the management of inter-sexuality, homosexuality and transexuality clinics. Endocrinology and Metabolism, 11, 681–701.Google Scholar
Meyer-Bahlburg, H. E. L. (1984) Psychoendocrine research on sexual orientation: current status and future options. Progress in Brain Research, 71, 375–397.Google Scholar
Miller, C. (1996) Stages of Desire, Gay Theatre's Hidden History. London: Cassell
Money, J. (1988) Gay, Straight and Inbetween. The Sexology of Erotic Orientation. New York: Oxford University Press.Google Scholar
Morris, P. A. (1973) Doctors' attitudes to homosexuality. British Journal of Psychiatry, 122, 435–436.Google Scholar
O'Connor, N. & Ryan, J. (1993) Wild Desires and Mistaken Identities: Lesbianism and Psychoanalysis. London: Virago.Google Scholar
Orwin, A., James, S. R. N. & Turner, R. K. (1974) Sex chromosome abnormalities, homosexuality and psychological treatment. British Journal of Psychiatry, 124, 293–295.Google Scholar
Pfeiffer, E. (1922) Ein geheilter Fall von Homosexualität durch Hoden-transplantation. Deutsche Medizinsche Wochenschrift, 48, 660–662.Google Scholar
Plummer, K. (ed.) (1981) The Making of the Modern Homosexual, London: Hutchinson.Google Scholar
Porter, R. (1997) The Greatest Benefit to Mankind. A Medical History of Humanity from Antiquity to the Present, pp. 702–705. London: Harper Collins.Google Scholar
Power-Smith, P. (1992) Encounters with older lesbians in psychiatric practice. Sexual and Marital Therapy, 7, 179–185.Google Scholar
Quinodoz, J. (1989) Female homosexual patients in psychoanalysis. Journal of Psychoanalysis, 70, 55–63.Google Scholar
Raboch, J. & Nedoma, K. (1958) Sex chromatin and sexual behaviour: a study of 36 men with female nuclear pattern and of 194 homosexuals. Psychosomatic Medicine, 20, 55–59.Google Scholar
Rado, S. (1940) A critical examination of the concept of bisexuality. Psychosomatic Medicine, 11, 458–467.Google Scholar
Rado, S. (1969) Adaptational Psychodynamics: Motivation and Control. New York: Science House.Google Scholar
Rich, A. (1980) Compulsory heterosexuality in lesbian existence. Signs, 5, 631–660.Google Scholar
Ripa, Y. (1990) Women and Madness, the Incarceration of Women in the 19th Century. Cambridge: Polity Press.Google Scholar
Rogers, A. (1998) Consenting adults. BMA News Review, May, 27.Google Scholar
Rodo, I. (ed.) (1996) Sexual Deviation. Oxford: Oxford University Press.Google Scholar
Sengoopta, C. (1998) Glandular politics: experimental biology, clinical medicine, and homosexual emancipation in the early twentieth century. ISIS, 89, 445–473.Google Scholar
Showalter, E. (1987) The Female Malady: Women, Madness and English Culture 1830–1980. London: Virago.Google Scholar
Slater, E. & Cowle, V. (1971) The Genetics of Mental Disorders, London: Oxford University Press.Google Scholar
Stapleton, R. M. V. (1975) Picking up the pieces after aversion therapy. British Journal of Sexual Medicine, 2, 34–36.Google Scholar
Storr, A. (1964) Sexual Deviation. Harmondsworth: Penguin.Google Scholar
Saaz, T. S. (1960) The myth of mental illness, American Psychologist, 15, 113–118.Google Scholar
Tanner, B. A. (1973) Shock intensity and fear of shock in the modification of homosexual behaviour in males by avoidance learning. Behaviour Research and Therapy, 11, 213–218.Google Scholar
Weeks, J. (1977) Coming Out: Homosexual Politics in Britain from the 19th Century to The Present. London: Quartet Books.Google Scholar
West, D. J. (1968) Homosexuality (3rd edn), p. 247. London: Pelican.Google Scholar
Wolff, C. (1971) Love Between women. London: Duckworth.Google Scholar
Woodward, M. (1956) The diagnosis and treatment of homosexual offenders. British Journal of Delinquency, 9, 44–59.Google Scholar
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
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