Drs. Colarusso and Epstein will present material from a forensic evaluation and psychotherapy of a fifty-year-old man who was sexually abused for four years during adolescence. Differences between what can be learned—and understood—from conflicting information gathered during a thorough evaluation as opposed to ongoing therapy will be presented. The effect of early developmental experiences and traumas vs. adolescent sexual abuse will both be presented in an effort to address the central question of what were the major determinants to the sexual orientation that eventually solidified in this man. Each of the presenters will speak for 20-25 minutes, followed by a brief informal discussion between the presenters of areas of agreement and disagreement.
- Describe the etiology of homosexuality.
- List several ways to address and understand conflicting information about a patient.
- Explain the defining features of childhood sexual abuse.
Calvin Colarusso, M.D. is a board-certified Clinical Professor of Psychiatry, University of California, San Diego. He is also a Training and Supervising Analyst in child and adult psychoanalysis at the San Diego Psychoanalytic Center and an internationally known lecturer to students, professionals, and the general public on many aspects of normal and pathologic development. His books have been published in English, Korean, and Spanish. He has published over 50 articles in peer-reviewed journals.
Robert Epstein, M.D. is Clinical Assistant Professor, Psychiatry, University of California, San Francisco; former co-chair, Ethics and Impairment Committee, San Francisco Center for Psychoanalysis; member, Committee on Ethics, American Psychoanalytic Association.