Psychoanalysis and Homosexuality This important book examines the ways in which same- sex desire, or “homosexuality” has been theorised by psy- choanalysis during its history to date and the impact of that on clinical practice. The authors explore a brief history of the developing social attitudes which influenced the evolution of psycho- analysis, from Freud’s radical questioning of psychosexu- ality, to the later developments that assumed a moral high ground for heteronormativity and led to the diagnosis of other forms of sexual expression as perversions requiring treatment. The book elucidates contemporary develop- ments in psychoanalytic thinking about sexuality from a post-heteronormative standpoint, including an exam- ination of how heteronormative bias has relegated lived sexual experience to the sidelines. The book challenges this bias and introduces new ways of using psychoanalytic ideas as well as illustrating their relevance to clinical prac- tice. Drawing on vignettes, the authors describe current challenges that clinicians face and discuss the dilemmas that these challenges present, both for qualified clinicians as well as those in training. By approaching “homosexuality” from a contempo- rary post-heteronormative position, the authors advocate a more flexible encounter in the consulting room in a way that can illuminate an understanding of all sexualities, including heterosexuality. Leezah Hertzmann is principal couple and individual psy- choanalytic psychotherapist at the Tavistock and Portman NHS Foundation Trust (London, UK) and in private prac- tice. She has a career-long interest in psychoanalytic theory and technique with LGBTQ+ individuals and couples and is a member of the British Psychoanalytic Council’s Advi- sory Committee on Sexual and Gender Diversity. She has been the recipient of two British Psychoanalytic Council awards: one in 2015 for innovation in relation to developing evidence-based interventions for couple conflict/violence, and the second in 2019 with Juliet Newbigin, for Psychoa- nalysis and Diversity. Leezah teaches and publishes widely. Juliet Newbigin is a psychoanalytic psychotherapist with a long-standing interest in the impact of the wider social context on the development of individual identity within the family. She has been particularly concerned about the troubled history of the heteronormative understanding of sexual orientation in both psychoanalysis and Jungian analysis, and their failure to recognise the experience of the LGBTQI community. She has twice been given the BPC’s Bernard Rattigan Award for Psychoanalysis and Diversity, in 2015, jointly with Frank Lowe, and in 2019 with Leezah Hertzmann. She currently chairs the British Psychoana- lytic Council’s Advisory Committee on Sexual and Gender Diversity. Routledge Introductions to Contemporary Psychoanalysis Series Editor: Aner Govrin, Ph.D. Executive Editor: Tair Caspi, Ph.D. Assistant Editor: Yael Peri Herzovich “Routledge Introductions to Contemporary Psychoanalysis” is one of the prominent psychoanalytic publishing ventures of our day. It will comprise dozens of books that will serve as concise introductions dedicated to influential concepts, theories, leading figures, and techniques in psychoanalysis covering every important aspect of psychoanalysis. The length of each book is fixed at 40,000 words. The series’ books are designed to be easily accessible to provide informative answers in various areas of psycho- analytic thought. Each book will provide updated ideas on topics relevant to contemporary psychoanalysis – from the unconscious and dreams, projective identification and eating disorders, through neuropsychoanalysis, coloni- alism, and spiritual-sensitive psychoanalysis. Books will also be dedicated to prominent figures in the field, such as Melanie Klein, Jaque Lacan, Sandor Ferenczi, Otto Kernberg, and Michael Eigen. Not serving solely as an introduction for beginners, the purpose of the series is to offer compendiums of infor- mation on particular topics within different psychoana- lytic schools. We ask authors to review a topic but also address the readers with their own personal views and contribution to the specific chosen field. Books will make intricate ideas comprehensible without compromising their complexity. We aim to make contemporary psychoanalysis more accessible to both clinicians and the general educated public. Aner Govrin - Editor Psychoanalytic Field Theory: A Contemporary Introduction Giuseppe Civitarese Psychoanalysis and Colonialism: A Contemporary Introduction Sally Swartz W.R. Bion’s Theories of Mind: A Contemporary Introduction Annie Reiner Herbert Rosenfeld: A Contemporary Introduction Robert Hinshelwood Neuropsychoanalysis: A Contemporary Introduction Georg Northoff Spiritually-Sensitive Psychoanalysis: A Contemporary Introduction Gideon Lev Psychoanalysis and Homosexuality: A Contemporary Introduction Leezah Hertzmann and Juliet Newbigin Melanie Klein: A Contemporary Introduction Penelope Garvey Psychoanalysis and Homosexuality A Contemporary Introduction Leezah Hertzmann and Juliet Newbigin Designed cover image: © Michal Heiman, Asylum 1855–2020, The Sleeper (video, psychoanalytic sofa and Plate 34), exhibition view, Herzliya Museum of Contemporary Art, 2017 First published 2023 by Routledge 4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 605 Third Avenue, New York, NY 10158 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2023 Leezah Hertzmann and Juliet Newbigin The right of Leezah Hertzmann and Juliet Newbigin to be identified as authors of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN: 978-1-032-20007-1 (hbk) ISBN: 978-1-032-22098-7 (pbk) ISBN: 978-1-003-27116-1 (ebk) DOI: 10.4324/9781003271161 Typeset in Times by KnowledgeWorks Global Ltd. Contents Introduction 1 1 The social origins of the concept of homosexuality 8 2 Freud and the evolution of his theories of sexuality 28 3 Psychoanalysis and homosexuality after Freud 56 4 Internalised homophobia and shame 89 5 Clinical challenges 113 Postscript: The past, present and future 136 Public apology of the Finnish Psychoanalytic Society 139 viii Contents British Psychoanalytic Council statement of regret January 2021 141 American Psychoanalytic Association issues overdue apology to LGBTQ community 143 Bibliography 145 Index 158 Introduction Psychoanalysis and homosexuality are relatively recent inventions, both having appeared during the last half of the nineteenth century. In this book, we trace their involvement with one another and the story of changing attitudes to both. As we hope to show, psychoanalysis could claim to have played a leading role in the develop- ment of what we understand to be homosexuality today. In Chapter 1, we describe how the emergence of the theo- retical human sciences in the nineteenth century involved the energetic production of systems by which human behaviour could be classified, taking a particular interest in what could be described as “deviant”. This involved the naming and anatomising of non-heterosexual practices. The philosopher, Michel Foucault, described how as a result of this activity, “the homosexual became a person- age, a past, a case history, and a childhood, in addition to being a type of life, a life form, and a morphology …” (Foucault 1978/1998, p. 43). Freud’s relatively tolerant although ultimately critical theoretical assessment played a significant part in devel- oping an understanding of homosexuality as a medical disorder. This was uncritically taken much further by his followers, who prescribed treatment to “convert” the homosexual patient to “healthy” heterosexuality, DOI: 10.4324/9781003271161-1