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That profession posited that a successful analysis of a homosexual was one in which his or her sexual orientation became heterosexual. It was thus, to them, an undesirable trait. The main question of this book is, how should barebacking be viewed?
Even today, many of these questions are relevant for therapists to inquire about in their work with gay men who are taking sexual risks. Gay men were often wracked by feelings of worthlessness, guilt, shame, and survivor guilt, associated with the rekindled internalized homophobia discussed earlier.