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Bremmer and Hillin (1993) observe that it leads to an ego-dystonic identity, an internal conflict with one's sexuality.
Obsessive compulsive disorder is characterized by recurrent and persistent ideas, thought, impulses, or images (obsessions) that are ego-dystonic and/or repetitive, purposeful, and intentional behaviors (compulsions) that are recognized by the person as excessive or unreasonable.
The labeling of homosexuality as ego-dystonic is thus political because societal norms are clearly implicit in its categorization as such.
I am not speaking of the ego-dystonic obsessionalism that one finds in obsessive-compulsive disorder, but the ego-syntonic obsessional traits of the bureaucrat.
Their findings revealed that although clients' intake concerns primarily focused on career exploration issues, clients also cited the need to address education-related issues and ego-dystonic emotions related to work.
John McNeill, a former Jesuit and an acknowledged homosexual, says that clergy are ego-dystonic, that is, with abnormal egos.
But note that some ego-dystonics, even without being exposed to their wives, search for treatment of their free will.