Frequently Asked Questions about Sexuality
Sexual orientation is an enduring emotional, romantic, sexual, or affectional attraction toward others. It is easily distinguished from other components of sexuality including biological sex, gender identity (the psychological sense of being male or female), and the social gender role (adherence to cultural norms for feminine and masculine behavior).
Sexual orientation exists along a continuum that ranges from exclusive heterosexuality to exclusive homosexuality and includes various forms of bisexuality. Bisexual persons can experience sexual, emotional, and affectional attraction to both their own sex and the opposite sex. Persons with a homosexual orientation are sometimes referred to as gay (both men and women) or as lesbian (women only).
Sexual orientation is different from sexual behavior because it refers to feelings and self-concept. Individuals may or may not express their sexual orientation in their behaviors.
What Causes a Person To Have a Particular Sexual Orientation?
There are numerous theories about the origins of a person’s sexual orientation. Most scientists today agree that sexual orientation is most likely the result of a complex interaction of environmental, cognitive and biological factors. In most people, sexual orientation is shaped at an early age. There is also considerable recent evidence to suggest that biology, including genetic or inborn hormonal factors, play a significant role in a person’s sexuality.
It’s important to recognize that there are probably many reasons for a person’s sexual orientation, and the reasons may be different for different people.
Is Sexual Orientation a Choice?
No, human beings cannot choose to be either gay or straight. For most people, sexual orientation emerges in early adolescence without any prior sexual experience. Although we can choose whether to act on our feelings, psychologists do not consider sexual orientation to be a conscious choice that can be voluntarily changed.
Can Therapy Change Sexual Orientation?
No; even though most homosexuals live successful, happy lives, some homosexual or bisexual people may seek to change their sexual orientation through therapy, often coerced by family members or religious groups to try and do so. The reality is that homosexuality is not an illness. It does not require treatment and is not changeable. However, not all gay, lesbian, and bisexual people who seek assistance from a mental health professional want to change their sexual orientation. Gay, lesbian, and bisexual people may seek psychological help with the coming out process or for strategies to deal with prejudice, but most go into therapy for the same reasons and life issues that bring straight people to mental health professionals.
What About So-Called “Conversion Therapies”?
Some therapists who undertake so-called conversion therapy report that they have been able to change their clients’ sexual orientation from homosexual to heterosexual. Close scrutiny of these reports, however. show several factors that cast doubt on their claims. For example, many of these claims come from organizations with an ideological perspective that condemns homosexuality. Furthermore, their claims are poorly documented; for example, treatment outcome is not followed and reported over time, as would be the standard to test the validity of any mental health intervention.
The American Psychological Association is concerned about such therapies and their potential harm to patients. In 1997, the Association’s Council of Representatives passed a resolution reaffirming psychology’s opposition to homophobia in treatment and spelling out a client’s right to unbiased treatment and self-determination. Any person who enters into therapy to deal with issues of sexual orientation has a right to expect that such therapy will take place in a professionally neutral environment, without any social bias.
Is Being Gay a Mental Illness or Emotional Problem?
No. Psychologists, psychiatrists, and other mental health professionals agree that homosexuality or being gay is not an illness, a mental disorder, or an emotional problem. More than 35 years of objective, well-designed scientific research has shown that homosexuality, in and itself, is not associated with mental disorders or emotional or social problems. Homosexuality was once thought to be a mental illness because mental health professionals and society had biased information.
In the past, the studies of gay, lesbian, and bisexual people involved only those in therapy, thus biasing the resulting conclusions. When researchers examined data about such people who were not in therapy, the idea that homosexuality was a mental illness was quickly found to be untrue.
In 1973 the American Psychiatric Association confirmed the importance of the new, better-designed research and removed homosexuality from the official manual that lists mental and emotional disorders. Two years later, the American Psychological Association passed a resolution supporting this removal.
For more than 25 years, both associations have urged all mental health professionals to help dispel the stigma of mental illness that some people still associate with homosexual orientation.
Association, A. (2016). Frequently Asked Questions about Sexuality. Psych Central. Retrieved on September 19, 2017, from https://psychcentral.com/lib/frequently-asked-questions-about-sexuality/