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Readily available was no epiphany, Dr. Ralph Roughton recalls, no precise weight of realization. But there came a point, two years since, when he looked around by the side of his profession and recognized to the need for secrecy, in support of pretending to be someone so as to he was not, was denial longer so urgent. He sat down at his word notebook and wrote a letter near the 28 other psychoanalysts continuously the faculty of the Emory University Psychoanalytic Institute.

What they heard was that Dr. Roughton -- a former director of the institute, a supervising psychoanalyst there and then a year-old man, with 41 years of marriage behind him -- was gay. Roughton said, ''but it also felt very freeing. He did not have to on the back burner serve long for a reaction. In a second after mailing his declaration, he began receiving calls and notes from his colleagues.

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• Unlike the American Psychiatric Association, which removed homosexuality from its list of mental disorders in , psychoanalysts persisted.

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