Ten years after he first brought us the book Homophobia, which laid bare the harsh realities and harmful effects of this sexual bigotry, psychiatrist Martin Kantor delves again into prejudice and discrimination - even flat-out acts of absolute hatred - against gays in the United States. Have things changed? One might think so. Ten years ago Matthew Shephard was strung up to die on a fence, because he was gay. But no such blatant hatred has made headlines here since the turn of the millennium. Ten years ago, Pat Robinson authored a book that assured lasting peace would only occur when a group including "drug dealers, assassins, worshippers of Satan, and homosexuals" are no longer "on top." Yet, by 2007, Robinson was pledging support for pro-gay Republican presidential candidate Rudy Giuliani. And gays only longing for a formal relationship a decade ago are now entering into civil unions, even gay marriage, in states that have legalized the ceremonies. Hate crime laws have been revised to include gays, and gays are now recognized in "domestic partner" clauses common across insurance polices. People appear open about homosexuality in the media; gays are featured on television shows and in movies alongside straights. The advances seem great.