Meaning Transformation
When the therapist makes it clear that the adolescent boy “had no choice” other than to rely upon homosexual fantasy for emotional relief, he helps his patient take a big step toward self-acceptance. From this point, the therapist can help the patient approach the fantasies not as the “enemy” but the little boy’s safe haven.
Yet some men are threatened by this premise because it dramatically departs from the negative view they have held for so long. In most cases, these men have tried in vain to suppress the fantasies, especially during masturbation. They may be convinced that they must overcome the fantasies, because only then will they be able to comfortably pursue heterosexual relationships. Some men go so far as to set this as a precondition and thereby enforce an intractable resistance to growth.
The therapist’s success in addressing this resistance plays a pivotal role in determining the course of therapy. By referring back to the little boy’s dilemma of craving fatherly affection, he can enlist the patient’s acceptance of how unmet needs seek relief. It is important to stress the notion that his “boy” inside should not be blamed for what he could not control, and he cannot be expected to just abandon his dependency upon fantasy because the adult on the outside dictates it.
Such a demand only echoes the harsh treatment the boy received as a child when others demanded that he “measure up.”
Rather, the boy should be allowed to indulge in his fantasies during the times his needs require it, while the adult provides gentle encouragement to grow up. This encouragement comes in the form of goals and newly formed masculine attitudes that begin to exist side by side with the older child-based homosexual fantasy life. Essentially, the patient is told that the therapy aims for the evolution of a masculine self, not just a substitution to take the place of the old homosexual feelings and images.
The demystification of the fantasies can effectively remove any preconditions that the patient’s resistances put into place. In so doing, the patient is freed up to develop a strong masculine self-image at whatever pace his fears allow.
When confronted by skepticism and complaints that these ideas make it sound like I am suggesting it is acceptable to fantasize about homosexuality, I have used the following metaphor: “If we go back to the boy’s experience and remember how many times he had the door slammed before him when he wanted to join the other boys, to feel accepted as a boy, or just receive some affection for making his father proud of him, we get a picture of a shaky, insecure kid locked out of masculinity. His fantasies were the emotional band aids that helped him succeed in the other areas of his life. And now you’re telling him to strip off the band aids and get ready to be kicked out of the house? I think it’s better to first prepare him for what it’s like out there and keep the door open when he ventures out so he knows he can still return if he finds it necessary. In time, he’ll get a firmer feel under his feet for what masculinity is all about and build his own house. But there still may be times when he returns to visit the old house for one reason or another.”
In closing, I would like to stress that this paper presents many interventions that I have had hours to ponder over during the writing process. The written words are at best, only approximations of what I really said in sessions when I had only seconds to produce a response. Still, the gist of my approach is presented here. Yet during those occasions when my therapeutic attunement failed me and my words were insensitive or, at worst, hurtful, I looked for signs of that in my patients and tried to elicit their feelings. When I was able to elicit those hurt feelings, and they expressed their anger at me and requests for an apology, I humbly offered it and returned to gauging their progress on their own “measuring stick.”
Richfield, S. A. (8 February 2008). The Treatment of Ego-Dystonic Homosexuality: The Development of a Masculine Self-Image., from http://narth.com/docs/richfield.html
