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 Homosexuality a Mental Illness or Emotional Problem?
No. Psychologists, psychiatrists, and other mental health professionals agree that
homosexuality 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.
Can Lesbians, Gay Men, and Bisexuals Be Good Parents?
Yes. Studies comparing groups of children raised by homosexual and by heterosexual parents find no developmental differences between the two groups of children in four critical areas: their intelligence, psychological adjustment, social adjustment, and popularity with friends. It is also important to realize that a parent's sexual orientation does not indicate their children's.
Another myth about homosexuality is the mistaken belief that gay men have more of a tendency than heterosexual men to
sexually molest children. There is no evidence to suggest that homosexuals molest children.
Why Do Some Gay Men, Lesbians, and Bisexuals Tell People About Their Sexual Orientation?
Because sharing that aspect of themselves with others is important to their mental health. In fact, the process of identity development for lesbians, gay men and bisexuals called "coming out" has been found to be strongly related to psychological adjustment;the more positive the gay, lesbian, or bisexual identity, the better one's mental health and the higher one's self-esteem.
Why Is the "Coming Out" Process Difficult for Some Gay, Lesbian and Bisexual People?
For some gay and bisexual people the "coming out" process is difficult; for others it is not. Often lesbian, gay and bisexual people feel afraid, different, and alone when they first realize that their sexual orientation is different from the community norm. This is particularly true for people becoming aware of their gay, lesbian, or bisexual orientation in childhood or adolescence, which is not uncommon. And depending on their families and their communities, they may have to struggle against prejudice and misinformation about homosexuality.
Children and adolescents may be particularly vulnerable to the harmful effects of bias and stereotypes. They may also fear being rejected by family, friends, co-workers, and religious institutions. Some gay people have to worry about losing their jobs or being harassed at school if their sexual orientation became well known.
Unfortunately, gay, lesbian, and bisexual people are at a higher risk for physical assault and violence than are heterosexuals. Studies done in California in the mid-1990s showed that nearly one-fifth of all lesbians who took part in the study, and more than one-fourthof all gay men who participated, had been the victim of a hate crime based on their sexual orientation. In another California study of approximately 500 young adults, half of all the young men participating in the study admitted to some form of anti-gay aggression, ranging from name-calling to physical violence.
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