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Changes might include a decision in 1973 by the American Psychiatric association not to regard homosexuality as a mental illness. There were wider changes in attitude in some areas of the US. Gradually, it was more acceptable for openly gay people to take public office. The most notable example was the career of Harvey Milk who led a successful campaign in San Francisco to protect gay people from being fired from their jobs. There were also some changes in the political establishment. In 1980 the Democrats were the first party to endorse a gay rights platform. The extent of changing attitudes however might be questioned, and the opposition was considerable while change might have been more noticeable in urban centres than in rural/middle America. The discussion could centre on how far change came about because of wider social and economic developments and how much it resulted from the work of activists. 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One reason is the stand taken by individuals and groups of activists and protesters. After Stonewall in 1969 there were more open demonstrations for gay rights. There was also a change in attitude of health professionals. Changes might include a decision in 1973 by the American Psychiatric association not to regard homosexuality as a mental illness. There were wider changes in attitude in some areas of the US. Gradually, it was more acceptable for openly gay people to take public office. The most notable example was the career of Harvey Milk who led a successful campaign in San Francisco to protect gay people from being fired from their jobs. There were also some changes in the political establishment. In 1980 the Democrats were the first party to endorse a gay rights platform. The extent of changing attitudes however might be questioned, and the opposition was considerable while change might have been more noticeable in urban centres than in rural/middle America. The discussion could centre on how far change came about because of wider social and economic developments and how much it resulted from the work of activists. It could be argued that increasing protest about civil rights and the passing of legislation led to a wider debate which extended to women's rights and gay rights. Changes in the economic and social independence of the post war generation by the 1960s produced a culture more open to different lifestyles and choices. Educational expansion and the impact of mass communications changed some elements of society though deep-rooted attitudes hostile to gay rights remained strong.

In terms of change it could be argued that there was a greater understanding of the nature of sexuality deriving from the Kinsey Report with less of a distinct 'straight- gay' dichotomy. There was also more social protest and less acceptance of discrimination. Landmarks might be the Compton Cafeteria unrest in 1966 in San Francisco and the much more famous Stonewall riots of 1969. That protest was open and seen in some ways as a parallel to the Civil Rights unrest was a considerable change.

The politicisation of protest as in the Homophile movement and the demonstration in Philadelphia in 1965 followed by the organised political activity of the Gay Liberation Front and Radical lesbians was an indication of a demand for change and a confidence in organising and protesting. Gay newspapers emerged in the late 60s and 70s which helped establish communication and raise political issues. The Metropolitan Community Church founded in New Orleans in 1968 not only provided religious services for the gay community but bookshops, cafes and community centres.

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