Often such people will express strong prejudice towards those whose homosexuality seems to them ostentatious in some way, [including, for example, queeny or effeminate men] on whom they place the scorn they feel for their own feelings of unmasculinity. They may believe, consciously or unconsciously, that they are not truly esteemed in areas entirely separate from their erotic lives - in the workplace, for example - because they believe that those who perceive them to be gay believe them to be inferior.
"A negative view of self and inadequately masculine functions as an organizing unconscious fantasy." This fantasy is an element in a complex internal narrative whose major theme is I am an unworthy, in adequate, unmasculine man." People afflicted with these attitudes may attribute all the problems of their lives to their sexuality. "Negative self-valuation may come to be attributed to homosexual desires; thus although it may be rooted in phenomena that are quite different, the patient may consciously believe that he hates himself because he is homosexual."