How Do I Know I'm Not Gay? (Homosexuality obsessions) |
Written by Administrator |
Thursday, 14 April 2011 15:11 |
"How Do I Know I'm Not Really Gay?"by Fred Penzel, Ph.D.In the last century, Obsessive-Compulsive Disorder (OCD) was known as "The Doubting Sickness." This is an entirely accurate description, as someone who suffers from it can have doubts about some of their most basic human experiences. These doubts can range from being uncertain of whether or not you have just moved a part of your body to wondering whether or not you are the parent of your own child. All these different and unpleasant doubts are disturbing in a variety of ways. One of the most fundamental is a type in which an obsessive individual begins to have doubts about his or her own sexual identity. This is not the same as the ordinary doubts people sometimes have about themselves and eventually answer in their own minds. With obsessions, questions are constantly repeated in a sufferer's mind, and they refuse to quit. Those with obsessions recognize that these doubtful thoughts are not their own, and try to resist them. "Could I be gay?" is a common question they ask themselves, or the reverse, as in the title above. The frequency and intensity of these thoughts can worsen under stress or during idle moments, and have a habit of happening at the worst possible times. As obsessive thoughts go, this type is probably more common than most people realize. Sufferers find them extremely difficult to reveal or discuss, due to the obvious embarrassment they feel. They live in isolation and shame as a result. This is true of most sexual obsessions. Note: Let me say here that I am not referring to those who are gay. I am talking about someone having an obsessive thought that happens to be about being gay. I lean toward the theory that sexual identity is imprinted before birth and that a person is really not given any choice in the matter, one way or the other. Homosexuality would seem to be a naturally occurring variation among humans and, as such, it is neither good nor bad. I'm sure there are some who would differ with me on this point. When we talk about removing these thoughts, we are only referring to working with those who truly are heterosexual and who only obsess about being gay. In order to have such a thought, a sufferer need not ever have had a homosexual experience, or even any sexual experience at all. I have observed this symptom in both children as well as in adults. It may begin in adolescence or crop up later in adulthood. As with other obsessions, the thought has a repetitious and nagging quality. Part of the distress connected with these thoughts must surely be social in origin. Let's face it: gay people have always been an oppressed minority within our culture, and to suddenly think of being in this position and to be stigmatized in this way can be frightening. People don't generally obsess about positive subjects. I have sometimes wondered if those who experience the most distress from such thoughts as these do so because they were raised with more strongly homophobic or anti-gay attitudes to begin with, or if it is simply because one's sexuality can be such a basic doubt. I suppose this remains a question for research to answer. Older psychoanalytic therapies often make people with this problem feel worse by saying that the thoughts represent true inner desires. This has never proven to be so. Obsessions eventually lead to mental or physical compulsions. This is because compulsions relieve the anxiety caused by obsessions, at least for a little while. Because compulsions are rewarding in this way, they tend to be repeated. In the case of homosexual obsessions, the most common compulsions people use to escape their fears are double-checking (especially mental self-checking), compulsive questioning, and avoidance. Checking can include:
Obviously, those who keep checking their own reactions to members of the opposite sex will create a paradox for themselves. They become so nervous about what they may see in themselves that they don't feel very excited, and then think that this must mean they are gay. When they are around members of their own sex, they also become anxious, which leads to further stress and, of course, more doubts about themselves. One other paradoxical aspect of this is that some people tend to mistake their own anxiety for signs that they are somehow physically aroused. This, of course, tends to happen in situations where they most don't want to feel aroused in any way. Compulsive questioning usually involves others who may be close to the sufferer. The questions are never-ending and repetitive. Some typical ones are these: Do you think I could be gay?
Obviously, no amount of this type of checking or questioning is ever enough to satisfy a sufferer for more than just a short time. As mentioned before, there may be some short-term relief from the anxiety, so this behavior tends to be repeated, and it becomes habit. Even occasional relief from the doubt is enough to keep it all going. Unfortunately, sufferers do not always realize that they have difficulty in processing this information. In reality, a sufferer could gather enough information and answers to fill an encyclopedia, and it still wouldn't satisfy the doubts for very long. The effect of the questioning behavior on friends and family can be rather negative, drawing a lot of angry responses or ridicule after the thousandth time. One young man I know questioned his girlfriend so often that she eventually broke up with him, and this added to his worries since he now wondered if she did so because he wasn't a "real man." One other way in which sufferers cope with the fears caused by the obsessions is through directly avoiding everyday situations that get the thoughts going. This can involve:
As with other types of OCD, there is no magical or instant "cure" for these thoughts. OCD, as we know, is chronic ebbing and flowing, but never totally disappearing. The news is not all bad, however. You can find recovery as others have via medication and behavior therapy. If the thoughts tend to be mild to moderate, it may even be possible to treat them behaviorally with the proven OCD treatment (Exposure and Response Prevention) alone while avoiding the standard OCD medications. More serious cases may require medication, however. It can be of great help, and is an important tool in helping people to do therapy. Exposure and Response Prevention basically involves facing and staying with the thoughts, while resisting the doing of compulsions. I like to tell my patients that the anxiety is not the problem - the compulsions are the problem. When you cease to do compulsions, you are staying with the anxiety and getting closer to the truth. E&RP is carried out in stages, and is based on a listing you and your therapist make in which you rank fearful situations in terms of how much they would bother you. They are usually rated from 0 to 100. Using this technique, you work with a therapist to expose yourself to gradually increasing levels of anxiety-provoking situations and thoughts. You learn to tolerate the fearful situations without resorting to questioning, checking, or avoiding. By allowing the anxiety to subside on its own, you slowly build up your tolerance to it, and it begins to take more and more to make you anxious. Eventually, as you work your way up the list to facing your worst fears, there will be little about the subject that can set you off, and it will no longer have any impact on you. You may still get the thoughts here and there, but you will no longer feel that you must react to them, and you will be able to let them pass. Some typical Exposure therapy homework assignments I have assigned to people are highlighted below (please note that these are in no special order):
Some typical Response Prevention exercises might include:
Although all of the above techniques are helpful, the audio recordings in particular are one of the most powerful. They help you to directly confront and build a tolerance for the thoughts. You can use a digital voice recorder or even your phone to make such recordings. Overcoming obsessive thoughts takes persistence, but it can be done. Old reports that they are harder to treat than compulsions simply aren't true. If you decide to go for help, be certain your therapist is qualified and experienced. Be sure to ask if he or she has treated such problems before and if he or she has specialized behavioral training. If the therapist starts talking about your symptoms as if they perhaps represent some kind of true inner desire that you are suppressing, you are not getting the right approach. Be a wise consumer. If you would like to read more about what Dr. Penzel has to say about OCD and related disorders, visit www.ocdbook.com to view information about his book "Obsessive-Compulsive Disorders: A Complete Guide to Getting Well and Staying Well," (Oxford University Press, 2000). |
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