Dr. Nicolosi's book is very helpful in describing the feelings and mechanisms behind homosexual compulsion. Having actually read the book, unlike most if not all the suspiciously-similar 1-star reviewers, and also being homosexual, I can say that his theory makes sense. It is most certainly not the entire picture - but I think Nicolosi's work moves us significantly closer to understanding homosexuality.
One thing you need to do before reading this book is understand it's premises; You will have to adopt a new one to read it correctly. The premise is this: "Homosexuality is not the same as heterosexuality. It is a manifestation of something maladaptive or abnormal or a mechanism not serving it's purpose, a psychological illness." I know that today this would be a
radical
premise - it is completely the opposite of what we would deem "acceptable opinion". But this was the way we looking at it in the past; and we had good reason for it. For a very long time, homosexuality was classified as a sexual perversion, a maladaptive mode of the sexual instinct. This was because it had very similar symptomatology to other perversions. It was highly likely to correlate with other psychological issues in the individual. And also because there was evidence coming to light about the causal factors by the psychoanalysts.
Now, I won't go into why or how homosexuality became declassified as a disorder (when it was removed from the DSM, the book of psychological disorders, which literally defines what is and is not a psychological issue). Suffice to say that if you read the history thoroughly you would have to admit that it's removal was anything but rationally-motivated and scientifically-sound.
Once you do adopt the premise (that homosexuality is in fact a problem), the book will open itself to you. It will show you some of your habits. It will explain, in a rough way, some of your thoughts, emotions and behaviours. It shows you the causal pathway, as far as it is psychoanalytically understood, down the homosexual road you've likely taken. It describes recurring pattens: in the relationship between the homosexual boy and his mother, in the relationship between the boy and his father, as he grew up.
Nicolosi introduces a model of self-states (like four different states of your consciousness), and shows you how you move through each self-state from the Assertion state, through the Shame State, into the Grey Zone, and then into homosexual activity. He explains why this pattern arose - to avoid dealing with a traumatic reality in childhood. He explains that the homosexual urges are ultimately seeking authentic, masculine affirmation from other males - something tragically absent in the childhood of the homosexual boy. He describes the alienation felt by the boy, and how homosexual activity is an attempt to repair the wound and avoid the inner conflict.
Then he describes a method of procedure to help resolve the conflict - through body-work and going through the grieving process. This is done in the presence of an affirming male in the psychologist.
When you're done reading this you'll think well, was this really much of a surprise? The gay culture openly and self-deprecatingly admits to the prevalence of 'daddy issues' in the community. Most gay people know they have psychological wounds. I think many would deeply suspect something isn't right. Most of us just don't have the courage to admit it.
Nicolosi's work is one of the last islands in the sea of chaos about this topic floating around. There are others to read as well, Charles Socarides being another good author.