Sex, Drugs, Rock ‘n’ Roll…and Children

Abstract In this article we identify some of the challenges for gay men who desire to create more intimate relationships and more stable families in the evolving and potentially more conducive socio-political environment of the 21st century in the United States. Secondly, we delineate a multi-systemic structural model of working with male couples and families that addresses the interplay of the couple's interactional system with larger religious, civil and social systems. Finally, we demonstrate systemic interventions with a case example of a male couple and their family coping with 21st century challenges.