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Just out of alcohol rehabilitation treatment, he'd begun attending AA meetings, where he'd shared parts of his story. He described a long struggle with his sexual orientation, growing up in a devoutly Roman Catholic family, where he learned that his sexual attraction to men was cause for eternal damnation. Perhaps to overcome his shame, he excelled academically, medicated himself with alcohol, and married a Roman Catholic woman his parents considered the perfect mate for him. After college, he became a lawyer, fathered three children (now 13, 15, and 18), and started his own law firm with a colleague. Outwardly, he was the epitome of success, admired and envied by his siblings as the star of the family inwardly, he experienced himself as fraudulent, hopeless, and trapped. Finally, out of desperation, he told his wife, Mia, about his lifelong sexual attraction to men. To Rob's surprise, Mia didn't reject him. To the contrary, she thanked him for his honesty and assured him they'd be able to "get through this together"-as long as Rob remained true to his faith and worked on their marriage. Mia consulted their priest, conducted extensive research on the Internet, and identified a reparative therapist to help him "overcome" his homosexual impulses. But after months of reparative therapy, he found himself even more depressed, drinking more heavily, unable to function at work, and still lying to Mia about his sexual attractions. He contacted a therapist in Chicago who identified as gay and, upon hearing Rob's story, took a decidedly different therapeutic tack: in his first session, he advised him to move out and begin the process of divorce. Rob panicked, drank to the point of passing out, and decided to enter alcohol rehab.
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Men in circumstances similar to Rob's frequently describe their experiences in therapy as confusing and polarizing whether they see gay-identified therapists or heterosexual therapists, they face a strong bias toward full disclosure and divorce. Many men have shared with me their panic after initial sessions with well-meaning therapists who supported "authenticity" while not acknowledging the complexity of honoring multiple and complex identities. Like Rob, these men report loving their wives, loving their children, loving God, and being attracted to men-all at the same time. My work with gay and bisexual men over the past 10 years has taught me to see psychotherapy as a place to hold dynamic tensions without easy, premature resolutions. As a therapist, I saw my job in this case as conducting a careful conversation with Rob about how he viewed the incongruity of his identities, and through gentle challenging of his assumptions, helping him discover a way to live with greater clarity, which might conceivably include even greater ambiguity. So after he'd finished his introduction, I simply said, "You sure have a lot to manage. To me, it seems that our challenge is to help you find a way to honor all these parts of yourself. So what might that mean for you?" Rob's breathing visibly slowed, he put his head back on the cushion of the couch, and exhaled. "I don't feel like I fit anywhere," he continued. "I don't feel straight' enough in the straight world, and I don't feel gay' enough in the gay world.
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Our initial sessions began by simply acknowledging many conflicting desires: to be a good Roman Catholic, to be gay, and to stay married to his wife and live with his children. We focused on the fact that, whatever it meant for him, his sexual orientation might feel like a significant threat to others in his life, especially Mia, who unambiguously envisioned a traditional marriage with him.