Vignette One You schedule an intake session with an elderly couple who self-identify as Hispanic American gay men. The couple was referred to you by a physician to deal with age related medical issues and sexual dysfunction. The couple comes in for their first session and you immediately recognize one of them. You are both members of the same self-help support group. He enters the room and gives you a hug, which is common amongst members of your support group. This gentleman tells you that he is delighted that you are able to help him and his significant other, as he trusts your ability to understand him in ways that he feels others would not