Gay male couples: the importance of coming out and being out to parents.

This exploratory study applied grounded theory methodology to examine what coupled gay men thought were the relationship impacts of being out to parents and in-laws. Data were collected from an accidental sample of 40 men in 20 homosexual couples using a standardized, open-ended interview. Virtually all of the respondents who had come out to their parents experienced initial and ongoing parental and in-law disapproval for their lifestyles and relationships. However, most men believed that it benefitted their unions to be out to their parents and partner's parents. Not having to hide the relationship was seen as a primary relationship advantage. Inclusion of one's partner in family events also emerged as a significant benefit. In contrast to the existing literature, a large proportion of respondents believed that parental/in-law antagonism had no adverse impacts on their dyads. They shielded their relationships by maintaining a strong sense of independence and in turn solid intergenerational boundaries. This study provides evidence to suggest that disclosure of sexual orientation to parents may be a distinctive, important developmental task for gay men which is critical to their relationships with their partners. Based on the findings of this research, mental health practitioners would be advised to assist gay men in the establishment and maintenance of strong intergenerational boundaries to protect their unions from parental/in-law disapproval.

A randomized, controlled, phase II trial comparing escalating doses of subcutaneous interleukin-2 plus antiretrovirals versus antiretrovirals alone in human immunodeficiency virus-infected patients with CD4+ cell counts >/=350/mm3.

A total of 73 patients with baseline CD4+ cell counts >/=350 cells/mm3 who were receiving combination antiretroviral therapy (ART) were randomized to receive subcutaneous interleukin-2 (IL-2; n=36) in addition to ART or to continue ART alone (n=37). Subcutaneous IL-2 was delivered at 1 of 3 doses (1.5 million international units ¿MIU, 4.5 MIU, and 7.5 MIU per dose) by twice-daily injection for 5 consecutive days every 8 weeks. After 24 weeks, the time-weighted mean change from baseline CD4+ cell count was 210 cells/mm3 for recipients of subcutaneous IL-2, compared with 29 cells/mm3 for recipients of ART alone (P<.001). There were no significant differences between treatment groups for measures of plasma human immunodeficiency virus RNA (P=.851). Subcutaneous IL-2 delivered at doses of 4.5 MIU and 7.5 MIU resulted in significant increases in CD4+ cell count (P=.006 and P<.001, respectively), compared with that seen in control patients. These changes were not significant in the 1.5 MIU dose group compared with that in the control patients (P=.105). Side effects that occurred from subcutaneous IL-2 administration were generally low grade, of short duration, and readily managed in an outpatient environment.

Lesbians, gay men, and their parents: family therapy for the coming-out crisis.

It is considered psychologically healthy for lesbians and gay men to come out and live outside of the closet. However, parents tend to react with shock, disappointment, and shame when they learn of a son's or daughter's gay sexual orientation. Disclosure often precipitates a painful family crisis, which can lead to cutoffs between members. This article describes family therapy theories and interventions that can aid therapists in sheparding families through the initial stages of the coming-out crisis. Family therapists are advised to acknowledge and address the distinct emotional needs of coming-out individuals and their parents. Parents must grieve and obtain accurate information about gay lifestyles. Lesbians and gay men need support as they struggle to cope with their parents' negative reactions. Family members should be coached to maintain non-combative communication following the disclosure, even if contacts are initially brief and superficial. Case examples, drawn from the author's clinical work, will demonstrate how to address the separate needs of lesbians, gay men, and their parents while maintaining (or rebuilding) family relationships and ultimately guiding families toward successful resolution of this crisis.