IPA Podcast Talks On Psychoanalysis

Talks On Psychoanalysis shares topics published in the IPA Society Journals and Congress debates worldwide, brought to you through the voices of the original authors. This podcast is produced by the International Psychoanalytical Association. 

Podcast Team Coordinator

Gaetano Pellegrini

Collaborators

French: Johanna Velt & Julia-Flore Alibert 
German: Monica D’Alançon &  Alice Färber
Spanish: Ana María Martín Solar
Portuguese: Isabel Silveira
Japanese: Soh Agatsuma, Atsumi Minamisawa & Kouhei Harada

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Latest Episode 62
Jack Drescher - Attending To Sexual Compulsivity in a Gay Man

Themes of hiding abound in the developmental narratives of boys who grow up to be gay. Their need to hide is reinforced by the traumatizing public humiliation that ensues from either open expressions of same-sex desire or gender- nonconforming behavior. The experience of being discovered, punished, and humiliated for showing or acting on such feelings or behaviors can lead to hiding activities that persist long after the actual trauma is forgotten. When open expressions of same-sex intimacy are driven underground, clandestine and forbidden sexual activities, highly tinged with interpersonal anxiety, may become a significant mode of relatedness. This papers offers a clinical psychoanalytic approach for working with gay men that distinguishes the concept of sexual compulsion from that of sexual identity. Harry Stack Sullivan’s conceptualization of dissociative defenses is useful in clinically understanding and therapeutically working with gay men in general, and with sexually compulsive gay men in particular. This approach allows the sexual identities of gay men to be respected while addressing the compulsive behaviors that some of them find so troubling.
Jack Drescher is a psychiatrist and psychoanalyst in private practice in New York City, a Clinical Professor of Psychiatry at Columbia University and a Faculty Member of their Psychoanalytic program and their Division of Gender, Sexuality and Health. He is an adjunct Professor at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis and a Training and Supervising Analyst at the William Alanson White Institute. He also serves as a consultant to IPA’s Committee on Gender and Sexual Diversity.

15 November 2021

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