This article describes homophobia—both institutionalized and internalized—and offers two transactional analysis models for understanding it. The author then discusses homophobia within psychotherapy, including transactional analysis, and deals with clinical issues relating to psychotherapy with lesbian and gay people. A gay affirmative psychotherapy that includes consideration of transference and countertransference phenomena and the therapeutic relationship is described along with a gay affirmative transactional analysis treatment model.

This article explores rupture and failure within transactional analysis psychotherapy from ethical, cultural, theoretical, and clinical perspectives. The author offers a relational frame of reference, which views failure and rupture as inevitable and necessary in the therapeutic encounter. A relational therapeutic sequence is described, and a relational aspect is added to Berne's (1972) game formula and illustrated with a case example.

This article discusses the development of childhood and adult sexuality from a relational and cultural perspective. The roots of shame are identified and the affect of shame is described. The strong links between sexuality and shame are explored. The author suggests that sexual shame is a Type III impasse, and its resolution within the context of therapeutic relatedness is addressed. The article's central point is the unique, individual, and shifting character of each person's sexuality.

In this article, I articulate the challenges and reshaping that the global pandemic has brought to the practice and ethics of a relational transactional analysis psychotherapy. I describe the interweave of political, social and psychosocial contexts which have led to life‐threatening emergencies within a society in which inequalities are endemic; and link the impact of these contexts to a relational transactional analysis practice using, as a compass, features of classical transactional analysis, radical psychiatry and feminist thought. I outline an approach to the work which accounts for the life‐changing impact of the pandemic, which I call ‘the COVID Third’. Speaking from the experience of COVID‐19 in the United Kingdom, I imagine, other countries will have experienced different political situations but have associated emotional personal responses which are brought to psychotherapy.

This article presents a detailed case study of a single transactional analysis consultation session based on the supervisory processes first described by Eric Berne (1968/1977) and John O'Hearne (1972). The consultation process included the client directly in discussion about the ongoing therapy, including its successes and points of impasse. The consultant, the therapist, and the client each reflect on the results of the consultation.