background image
86
therapist suggests to you that a particular sexual behavior
or lifestyle choice may be causing certain problems in your
life, that doesn't necessarily mean that he has negative
judgments about those choices; it may actually be the
case that your sexual lifestyle, or how you express it, has
reached a level where it is causing significant problems in
your life. On the other hand, the therapist's own conscious
or unconscious beliefs about alternative sexuality may
be affecting his judgment, causing him to address your
sexuality as a problem when it is not.
Addressing the problem should not mean giving up
your sexuality, only, perhaps, reorganizing how to make
it work for you. Remember, when heterosexuals go to a
therapist because their relationships are not working, the
therapist does not automatically suggest they try a gay
relationship.
DSM-IV (The Diagnostic and Statistical Manual,
fourth edition, published by the American Psychiatric
Association, which lists and defines the diagnostic
criteria for all psychiatric problems) makes an important
distinction in talking about non-traditional sexualities.
It defines "paraphilias" as "recurrent, intense sexually
arousing fantasies, sexual urges, or behaviors generally
involving 1) nonhuman objects, 2) the suffering or
humiliation of oneself or one's partner, or 3) children or
other nonconsenting persons, that occur over a period of
at least six months."
It also states that "Paraphilias must be distinguished
from the nonpathological use of sexual fantasies,
behaviors, or objects as a stimulus for sexual excitement
in individuals without a paraphilia. [Emphasis mine.] ....
Fantasies, behaviors, or objects are paraphiliac only when