Most psychotherapy training programmes don’t incorporate elements which examine the special needs of the gay and lesbian populations. It is therefore questionable whether practitioners possess the basic necessary skills for assessing and employing interventions based on sexually sensitive material. An unexamined and untrained approach to working with homosexual populations can no longer be tolerated. This book edited by Christopher Shelley addresses some of the incoherence that exists in this field. The contributors propose theories and models of practice that will be more beneficial to the therapeutic needs of homosexual clients. Their accounts represent a significant step towards a better understanding of the needs of this client group.