Homosexuality: Disease or Way of Life?
Homosexuality: Disease or Way of Life? is a 1956 book by the psychoanalyst Edmund Bergler, in which the author argues that homosexuality is a curable illness. Bergler denies that homosexuality is caused by hormonal or other biological factors, the Oedipus complex, or having a dominant mother and a weak or absent father, instead attributing both male and female homosexuality to pre-Oedipal factors involving an unsolved masochistic conflict with the mother during the earliest period of infancy. According to Bergler, homosexuality in men reflects unconscious fear and hatred of women. Bergler argues that there are several different types of homosexuality, each with a distinct clinical profile. Bergler rejects the existence of bisexuality, maintaining that all supposed bisexuals are homosexuals, and criticizes the work of sex researcher Alfred Kinsey. He characterizes homosexual men as sexually promiscuous, and argues that this promiscuity is a result of their unsatisfying sex lives and masochistic craving for danger. Bergler argues against immediately repealing laws against homosexuality, though he suggests that such laws could perhaps be repealed in the future if other measures against homosexuality proved effective. Bergler proposes the publicizing of his ideas as a measure against homosexuality.
Cover of the first edition
|Publisher||Hill and Wang|
|Media type||Print (Hardcover and Paperback)|
|Pages||302 (hardcover edition)|
Unlike previous works by authors who had argued that homosexuality is a disease, Bergler's book provoked denunciation and rage. The hostile reception was partly due to awareness that the book could be used by opponents of gay rights. It was criticized in gay publications such as the Mattachine Review and The Ladder. Bergler's critics argued that he had based his conclusions on an unrepresentative sample of homosexuals. Bergler's views about homosexuality have been compared to those of analysts such as Melanie Klein, Irving Bieber, and Charles W. Socarides, and he has been seen as expressing the general psychoanalytic consensus about gay people at the time his book was written. The criticism that Homosexuality: Disease or Way of Life? received influenced the reception of later works such as Bieber et al.′s Homosexuality: A Psychoanalytic Study of Male Homosexuals (1962).
Bergler argues that the "problem of homosexuality" has become more important because of four factors: the increasing public awareness of homosexuality, the increasing prevalence of homosexuality due to "the dissemination of misleading statistics", the marriage of "so-called" bisexual men to women, and the discovery that "homosexuality is a curable illness." Bergler criticizes the biologist Alfred Kinsey's research on sex, writing that Kinsey exaggerated the number of homosexuals, and that homosexuals have used Kinsey's statistics to argue in defense of homosexuality. Bergler maintains that homosexuality is "a neurotic distortion of the total personality", involving an "unconscious wish to suffer". He supports his claims about the personality of homosexuals with transcripts of interviews with his homosexual patients and prospective patients. He dismisses the idea that homosexuals would be as happy as heterosexuals if society tolerated homosexuality, as well as the idea that homosexuality has biological or hormonal causes.
The "popular definition" of a male homosexual is understood by Bergler to be "a person who derives his sexual excitement and satisfaction from a person of his own sex in contradistinction to a heterosexual, who is sexually attracted only to members of the opposite sex." Bergler rejects this definition, which also separates exclusive homosexuals from bisexuals, as incorrect, maintaining that it wrongly "accepts the parity between homosexuals and heterosexuals as a matter of fact", "ignores the fact that homosexuality is a neurotic disease", "neglects the fact that specific neurotic defenses and personality traits that are partly or entirely psychopathic and specifically and exclusively characteristic of homosexuals, and that these defenses and traits put the homosexual into a special psychiatric category." Bergler maintains that heterosexuals, unlike homosexuals, have diverse clinical profiles, ranging from normality to any of a variety of different neurotic conditions. He relates homosexual men's "psychic masochism" to the oral stage of development.
Bergler denies that homosexuality is caused by "overpossessive mother love" or the Oedipus complex. He describes the idea that having a dominant mother and a weak or absent father causes homosexuality as "outdated". Bergler considers the "negative Oedipus complex", a variant of the Oedipus complex in which a boy rejects his father but also admires for his perceived strength and power, and identifies with his mother, one of Sigmund Freud's great discoveries, but sees it as having no importance in the psychology of homosexuals. He criticizes the analyst Sándor Ferenczi for maintaining otherwise. In Bergler's view, male and female homosexuality have pre-Oedipal origins, beginning in "an unsolved masochistic conflict with the mother of earliest infancy". Bergler considers the behavior of parents largely irrelevant to this conflict. Homosexuality is an unconscious response to the difficulty children experience in reconciling their objective dependence on their mothers with their subjective feeling of omnipotence, derived from the experience of life in the womb, where they felt entirely self-sufficient. While most children resolve this conflict, which inevitably ends in a recognition of dependence on the mother, without suffering permanent psychological damage, those who become homosexual do not, perhaps because of their greater inherited megalomania. They begin to hate themselves because of their physical inability to express their aggression, and their attempts to cope with the resulting pain lead to psychic masochism. When they later become physically able to express aggression, they continue to experience frustration because of the punishment they receive, which causes guilt and further reinforces the psychic masochism.
In Bergler's view, homosexuals differ from heterosexual neurotics because of their greater infantile fears "centered on the mother image" and their more extensive "masochistic elaboration". Bergler maintains that boys who become homosexuals try to make themselves independent of their mothers by unconsciously viewing their penises as equivalent to their mothers' breasts, based on the similarity in shape between the two organs and the fact that they both produce a fluid. Uncertain of his ability to duplicate the mother's breast, the boy in later life searches for a further duplication in the form of other men's penises, in which he recognizes his own penis. Bergler argues that this accounts for homosexual men's focus on the penises of their sexual partners and disregard for the rest of their bodies, as well as the narcissism of homosexual men, and their tendency to remember histories of feminine identification, expressed in behavior such as playing with dolls and wearing girls' clothes.
Bergler maintains that homosexual men unconsciously fear and hate women, and that their sexual attraction to men is due only to these negative attitudes toward women. He writes that homosexual men are typically sexually promiscuous and have contempt for their male sexual partners. Bergler argues that while homosexual men attribute their sexual promiscuity to their desire for variety and their "insatiable sexual appetites", its actual causes are the inherently unsatisfying nature of male homosexual sex and homosexual men's "constant masochistic craving for danger". Bergler writes that homosexual men typically suffer from a tendency toward megalomania.
According to Bergler, there are several different types of homosexuality. He identifies twelve types that he refers to as puberal homosexuality, active and passive roles in full-fledged perversion, homosexuality as an unconscious search for a duplicate of oneself as a boy, homosexuality of the positive magic gesture type, homosexuality of the negative magic gesture type, homosexuality of the protective type, homosexuality of the seeking the older protector type, homosexuality combined with other types of perversions, the bisexual, homosexuality of the criminal institution type, and homosexuality in fantasy. Bergler describes puberal homosexuality as harmless, and denies that it is "indicative of future homosexuality", criticizing Kinsey for including prepuberbal and early puberal sex play among boys in his estimates of homosexual activity among males. Bergler writes that while a relationship between "active" and "passive" homosexuals may appear to be an imitation of the "husband-wife relationship", it actually reenacts the relationship between a mother and her baby. He considers homosexuals who unconsciously search for duplicates of themselves as a boys to be dangerous because of their sexual interest in minors. Homosexuality of the positive magic gesture type involves a conflict between the unconscious ego and the inner conscience, which is expressed by performing a "good dead" toward a person such as a stranger, while that of the negative magic gesture type involves actions intended to show how the homosexual does not want to be treated.
Homosexuality of the protective type involves a motive that Bergler describes as an attempt to show that "father loves his little boy". Homosexuality of the seeking the older protector type is found in homosexual men who search for partners who resemble good fathers who can love them, but unconsciously want to be mistreated by a "bad mother". Homosexuality combined with other types of perversions may involve sado-masochism, exhibitionism, transvestism, urolagnia, or scatology. Bergler maintains that all supposed bisexuals are homosexuals, that bisexuality is a fraud perpetrated by homosexuals, and that efforts by homosexual men to have sex with women involve only "lustless mechanical sex". Homosexuality of the criminal institution type shows, according to Bergler, the similar psychological bases of homosexuality and criminal behavior. Homosexuality in fantasy involves masturbation with homosexual fantasies rather than sexual behavior with another person. Bergler considers all of these types to be based on an attempt to cope with unconscious masochism.
Bergler discusses and criticizes writers such as Oscar Wilde, Herman Melville, Stendhal, Marcel Proust, and Somerset Maugham. He denies that homosexuals have special artistic gifts. Bergler argues that laws against homosexuality should not be repealed at present, though he allows that it might be appropriate to repeal them in the future if other measures against homosexuality proved effective. Bergler proposes the publicizing of three of his conclusions as a measure against homosexuality: that homosexuality is a disease and that there is nothing glamorous about it, that it can be cured, and that it is a disorder associated with "severe unconscious self-damage".
Homosexuality: Disease or Way of Life? received a positive review in Time magazine, which endorsed Bergler's views and praised him for discrediting "popular misconceptions" such as that "homosexuality is an incurable, hereditary condition" and therefore normal for some people.
According to Ronald Bayer, the author of a survey of attitudes to homosexuality in American psychiatry, Homosexuality: Disease or Way of Life? was, unlike previous works by authors who had argued that homosexuality is a disease, greeted with an "outpouring of denunciatory rage" from gay rights activists. Bayer writes that this outrage represented "a shifting tone in the discussion of psychiatry within the homophile movement", and was partly due to awareness that Bergler's book could be used by opponents of gay rights. The Mattachine Review, the journal of the Mattachine Society, and The Ladder published articles critiquing the book. It was discussed in the Mattachine Review by authors such as Sam Morford, the journalist Gilbert Cant, Peter Jackson, Robert Phillips, Luthor Allen, and Richard Mayer, and was reviewed in The Ladder by Carol Hales.
Hales argued that Bergler was "anti-homosexual" and refused to recognize a distinction between stable and unstable homosexuals. She questioned whether Bergler believed his own claims, and suggested that he might have studied "only emotionally immature and mentally disturbed homosexuals." Hales considered it regrettable that Bergler's book had been published at a time when gay people were beginning to gain greater acceptance, because it could be used by "bigots and the prejudiced", but concluded that it could not "delay the march to progress." Hales urged gay readers of Bergler's book to consider it a challenge and refute his claims. According to Bayer, Morford argued that because Bergler had simply defined homosexuality as a disease, he was not writing as a scientist, and that rather than being objective, Bergler's work was motivated by "maniacal moralism". Morford referred to Bergler as a pompous neo-Freudian. Cant's review was the subject of several letters to the Mattachine Review, and Cant responded to these letters.
According to Bayer, Phillips argued that Bergler had "drawn his conclusions from an unrepresentative sample of homosexuals", while the authors of letters to the Mattachine Review compared Bergler's approach to a sociological study of "mankind" based upon a population drawn from San Quentin State Prison and argued that Bergler ignored homosexuals who were free of obsessive conflicts and led happy and contented lives. Bayer, summarizing the criticism directed against Bergler, writes that though some reviewers distinguished Bergler from more responsible psychiatrists, others perceived him as representative of the psychiatric profession. He suggests that the critics who charged in gay publications that Bergler had based his conclusions on an unrepresentative sample of homosexuals had been influenced by the work of the psychologist Evelyn Hooker.
The novelist Richard Hall discussed Homosexuality: Disease or Way of Life? in ONE magazine, comparing Bergler's views about homosexuals to antisemitic and racist prejudice. Hall suggested that "homosexuality in some cases is a disease, and in other cases is a way of life — depending entirely on the feelings a homosexual has about himself."
Scientific and academic journalsEdit
John F. Oliven gave Homosexuality: Disease or Way of Life? a mixed review in the American Journal of Public Health and the Nation's Health, published by the American Public Health Association. Oliven wrote that Bergler engaged in "vigorous polemicizing", and that while Bergler showed "many flashes of brilliance", his opinions had become increasingly dogmatic over time. Oliven noted that many "experienced students of sexual pathology" would disagree with Bergler's denial of the existence of bisexuality as a clinical entity. Oliven described Homosexuality: Disease or Way of Life? as "only moderately well organized" and "heavily padded" with material on various literary figures.
The psychiatrist William S. Meyer, writing in Smith College Studies in Social Work, described Bergler as "the most outspoken, vulgar, and damaging" of those psychoanalysts opposed to homosexuality, citing Homosexuality: Disease or Way of Life? in support of this assessment.
Evaluations in booksEdit
The psychoanalyst Irving Bieber and his colleagues, writing in Homosexuality: A Psychoanalytic Study of Male Homosexuals (1962), note that Bergler's view that the oral phase is the most determining factor in the development of homosexuality was also held by the analyst Melanie Klein. Bayer writes that Bieber's work received a negative response from the gay movement that "followed a pattern" set by the earlier critiques of works such as Homosexuality: Disease or Way of Life? The psychiatrist Daniel Cappon describes Bergler's division of homosexuality into different types as "anecdotal and dynamic", adding that the types are "partly descriptive and partly interpretative", and that Bergler's list is "probably grossly incomplete." Cappon criticized Bergler's approach to classification on the grounds that, "There seems to be no logical scheme for deriving an argument or a design of homosexual configurations from the life history of individuals." The psychoanalyst Charles W. Socarides cited Homosexuality: Disease or Way of Life? in his work, expressing agreement with Bergler's conclusion that homosexuality has a masochistic basis, as well as with Bergler's views on topics such as female homosexuality. He noted that Bergler was only one of numerous authors to report success in "the psychoanalytic treatment of homosexual patients". Bayer noted Bergler's use of aggressive and intemperate language in Homosexuality: Disease or Way of Life?, writing that in his comments on homosexuals Bergler had gone beyond the conventional view of homosexuality as a psychiatric disorder.
Harry M. Benshoff writes that Bergler's claim that homosexuality had become more widespread through the "creation of new recruits as a result of the dissemination of misleading statistics" is an expression of the paranoia about homosexuality that was typical of the time Bergler was writing, adding that Homosexuality: Disease or Way of Life?, as well as Bergler's other writings, "seem fueled by a neurotic hysteria found more regularly among Fundamentalist preachers and right-wing politicians." Kenneth Lewes, author of a survey of psychoanalytic views on homosexuality, writes that he was surprised and shocked by Bergler's comments about homosexuals in Homosexuality: Disease or Way of Life?, which he describes as one of a number of works in which Bergler "provided a whole bestiary of homosexual monstrosities". Lewes characterized Bergler's views as extreme, but nevertheless identified him as "the most important analytic theorist of homosexuality in the 1950s" and wrote that his statements about homosexuals represent the general psychoanalytic consensus at the time his book was written, which he summarizes as maintaining that homosexuals were incapable of "achieving any peace of mind, any satisfying relations with other people, or any genuine artistic accomplishment." Lewes writes that of all psychoanalysts it was Bergler who waged "the most vigorous campaign against connecting homosexuality with creativity", with Homosexuality: Disease or Way of Life? being a continuation of Bergler's previous efforts. Lewes criticized Bergler for his "insularity and imperviousness to criticism", giving as an example Bergler's insistence on the representativeness of his clinical experience.
The psychoanalyst Richard Isay criticized Bergler and other analysts for arguing that legal restrictions on homosexuality are necessary, describing their views as part of a set of outdated anti-gay attitudes. Max Scharnberg has cited Bergler's characterizations of homosexuals in Homosexuality: Disease or Way of Life? as an example of the absurdity of psychoanalytic propositions. Jennifer Terry describes Bergler's book as one of several "xenophobic Cold War texts attacking homosexuality as a morbid psychological condition that threatened the security of the family and the nation", comparing it to works by Frank Caprio and Bieber. The psychiatrist Richard Pillard compares Bergler's views to those of Socarides, Lawrence Hatterer, and members of the New York Society of Medical Psychoanalysis. Tim Dean and Christopher Lane write that with his emphasis on using psychoanalysis as a "cure" for homosexuality, Bergler helped to bring psychoanalytic arguments about homosexuality in the United States into alignment with psychiatric treatment, a development that encouraged "increasingly severe clinical techniques" in the 1950s and 1960s. Robert R. Reilly cites Berger's book to support his claim that there are experts who maintain that a homosexual orientation can be changed; according to Reilly, "former homosexuals" Sy Rogers and Alan Medinger have also cited the work this way.
- Bergler 1957, pp. 7–9, 49-66.
- Bergler 1957, pp. 15-16.
- Bergler 1957, pp. 31-34, 108, 110-112, 263.
- Bergler 1957, pp. 47-48.
- Bergler 1957, pp. 17-20.
- Bergler 1957, pp. 67-87.
- Bergler 1957, pp. 8, 77-87, 89.
- Bergler 1957, pp. 93-102, 117-175, 230, 292, 302.
- Lewes 1995, p. 250.
- Terry 1999, p. 466.
- Time 1956, p. 76.
- Bayer 1987, pp. 78-80, 226.
- Cant 1957, p. 4.
- Jackson 1957, p. 11.
- Phillips 1957, p. 11.
- Allen 1957, p. 12.
- Mayer 1957, p. 21.
- Hales 1957, pp. 12-13.
- Bayer 1987, pp. 79, 226.
- Arndt 1957, p. 7.
- Bayer 1987, pp. 79-80, 225-226.
- Hall 1960, pp. 7-8, 21.
- Oliven 1957, p. 621.
- Drescher 2010, p. 432.
- Meyer 2013, p. 20.
- Bieber et al., pp. 6, 351.
- Bayer 1987, p. 80.
- Cappon 1965, p. 54.
- Socarides 1979, p. 46-47, 158, 404.
- Bayer 1987, p. 78.
- Benshoff 1997, pp. 123-124, 168.
- Lewes 1995, pp. 3-4, 137-138, 142.
- Isay 1989, pp. 3-4, 136.
- Scharnberg 1993, p. 78.
- Terry 1997, p. 277.
- Pillard 1997, p. 227.
- Dean & Lane 2001, pp. 14-15.
- Reilly 2014, pp. 134-135.
- Bayer, Ronald (1987). Homosexuality and American Psychiatry: The Politics of Diagnosis. Princeton: Princeton University Press. ISBN 0-691-02837-0.
- Benshoff, Harry M. (1997). Monsters in the closet: Homosexuality and the Horror Film. Manchester: Manchester University Press. ISBN 978-0719044731.
- Bergler, Edmund (1957). Homosexuality: Disease or Way of Life?. New York: Hill and Wang, Inc.
- Bieber, Irving; Dain, Harvey J.; Dince, Paul R.; Drellich, Marvin G.; Grand, Henry G.; Gundlach, Ralph H.; Kremer, Malvina W.; Rifkin, Alfred H.; Wilbur, Cornelia B.; Bieber, Toby B. (1962). Homosexuality: A Psychoanalytic Study of Male Homosexuals. New York: Basic Books.
- Cappon, Daniel (1965). Toward an Understanding of Homosexuality. Englewood Cliffs, New Jersey: Prentice-Hall, Inc.
- Dean, Tim, Editor; Lane, Christopher, Editor (2001). Homosexuality and Psychoanalysis. Chicago: University of Chicago Press. ISBN 978-0226139371.
- Isay, Richard A. (1989). Being Homosexual: Gay Men and their Development. London: Penguin Books. ISBN 0-14-017488-5.
- Lewes, Kenneth (1995). Psychoanalysis and Male Homosexuality. Northvale, New Jeresy: Jason Aronson. ISBN 1-56821-484-7.
- Pillard, Richard; Rosario, Vernon A., Editor (1997). Science and Homosexualities. New York: Routledge. ISBN 0-415-91502-3.
- Reilly, Robert R. (2014). Making Gay OK: How Rationalizing Homosexual Behavior Is Changing Everything. San Francisco: Ignatius Press. ISBN 978-1-58617-833-8.
- Scharnberg, Max (1993). The Non-Authentic Nature of Freud's Observations. Vol. 1: The Seduction Theory. Uppsala: Uppsala Studies in Education. ISBN 91-554-3123-2.
- Socarides, Charles W. (1979). Homosexuality. New York: Jason Aronson. ISBN 0-87668-355-3.
- Terry, Jennifer (1999). An American Obsession: Science, Medicine, and Homosexuality in Modern Science. Chicago: University of Chicago Press. ISBN 978-0226793672.
- Terry, Jennifer; Rosario, Vernon A., Editor (1997). Science and Homosexualities. New York: Routledge. ISBN 0-415-91502-3.
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- Cant, Gilbert (1957). "The Malady of Sexual Inversion". Mattachine Review. 3 (5). – via EBSCO's Academic Search Complete (subscription required)
- Drescher, Jack (2010). "Queer Diagnoses: Parallels and Contrasts in the History of Homosexuality, Gender Variance, and the Diagnostic and Statistical Manual". Archives of Sexual Behavior. 39 (2). doi:10.1007/s10508-009-9531-5.
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- Mayer, Richard (1957). "Quote cure unquote...: A la Bergler". Mattachine Review. 3 (5). – via EBSCO's Academic Search Complete (subscription required)
- Meyer, William S. (2013). "Part 1: The Psychoanalyst and the "Homosexual": A Long, Dark Journey Into Light". Smith College Studies in Social Work. 83 (1).
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- Phillips, Robert (1957). "From one degree to another". Mattachine Review. 3 (5). – via EBSCO's Academic Search Complete (subscription required)
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