Preface. General Issues. Twice removed: the stigma suffered by gay men with AIDS by Steven A. Cadwell, PhD. Impact of AIDS on adult gay male development: implications for psychotherapy by Rhonda Linde, PhD. Mourning within a culture of mourning by R. Dennis Shelby, PhD. The psychotherapist as spiritual helper by Rev. Jennifer M. Phillips, DMin. Suicidality and HIV in gay men by Marshall Forstein, MD. Neuropsychiatric dysfunction: impact on psychotherapy with HIV-infected gay men by Alexandra Beckett, MD, and Peter Kassel, PsyD. Taking a sexual history with gay patients in psychotherapy by Joel C. Frost, EdD. Testing for HIV: psychological and psychotherapeutic considerations by Marshall Forstein, MD. Treatment Modalities. The psychodynamics of AIDS: a view from self psychology by Sharone Abramowitz, MD, and Jeffrey Cohen, MD. The HIV-infected gay man: group work as a rite of passage by Shelley B. Brauer, PhD. Special issues in group psychotherapy for gay men with AIDS by Gil Tunnell, PhD. AIDS, sexual compulsivity, and gay men: a group treatment approach by Michael D. Baum, MA, MFCC, and James M. Fishman, LICSW. Home to die: therapy with HIV-infected gay men in smaller urban areas by Bruce J. Thompson, MSW, PhD. Psychotherapy with gay male couples: loving in the time of AIDS by Marshall Forstein, MD. Specific Treatment Populations. African American gay men and HIV and AIDS: therapeutic challenges by Shani A. Dowd, LCSW. Issues in the psychosocial care of Latino gay men with HIV infection by Jos A. Pars-Avila, MA, and Rubn Montano-Lopez, MA. Negotiating HIV infection in rural America: breaking through the isolation by Jane K. O'Rourke, LMSW, and Perry S. Sutherland, ACSW. Trauma revisited: HIV and AIDS in gay male survivors of early sexual abuse by Robert A. Burnham, Jr., PhD. HIV and substance abuse in the gay male community by Robert P. Cabaj, MD. Seronegative gay men and considerations of safe and unsafe sex by Walt Odets, PhD. Survivor guilt in seronegative gay men by Walt Odets, PhD. Impact on the Therapist. Empathic challenges for gay male therapists working with HIV-infected gay men by Steven A. Cadwell, PhD. Countertransference, the therapeutic frame, and AIDS: one psychotherapist's response by James M. Fishman, LICSW. Peer supervision and HIV: one group's process by Abraham Feingold, PsyD. When the Therapist Is HIV Infected. Necessary and unnecessary disclosure: a therapist's life-threatening illness by Claire E. Phillip, LISW. Therapists' disclosure of HIV status and the decision to stop practicing: an HIV-positive therapist responds by Michael Shernoff, CSW, ACSW. The process of closing a practice when the therapist has AIDS: a case study by Linda E. Hutton, PsyD. Epilogue: Where We Are Now by Steven A. Cadwell, PhD, Robert A. Burnham, Jr., PhD, and Marshall Forstein, MD. Index.