Narrative Sexual Identity Therapy

Sexual identity therapy is an alternative to the two polarized positions of sexual reorientation therapy and gay-integrative therapy for clients who present with sexual identity concerns. This alternative model focuses on sexual identity—the private and public acts of identifying and communicating one's sexual preferences—and how the decision to do so is informed by dominant stories about what sexual attractions mean to a client. As one expression of sexual identity therapy, this paper presents narrative sexual identity therapy, an approach that utilizes a narrative therapeutic approach and techniques to facilitate exploration of dominant narratives and counter-narratives that speak to sexual identity with the goal of achieving a synthesis that reflects felt congruence of clients' beliefs/values and behavior/identity.     

Beliefs and practices of therapists who practice sexual reorientation psychotherapy

There is currently controversy regarding whether sexual reorientation or conversion therapies are ethical and effective forms of treatment for dissatisfied homosexually oriented people. We present the results of a survey of 206 psychotherapists who practice sexual conversion therapy. 187 therapists said they believed homosexuality is a developmental disorder and that the 1973 decision by the American Psychiatric Association to "depathologize" homosexuality was politically motivated and unscientific. The therapists believe that the majority of dissatisfied homosexually oriented clients who seek conversion therapy benefit from it, experiencing both changes in their sexual orientation and improved psychological functioning. We conclude that therapists who persist in providing reorientation therapy do so because they believe it is an effective and ethical treatment option for their clients.     

"Mostly straight" young women: variations in sexual behavior and identity development

Researchers have begun to explore and identify various gradations in sexual orientation identity, paying attention to alternative sexual identity categories and attempting to clarify potential subtypes of same-sex sexuality, particularly among women. This study utilizes both quantitative and qualitative data to explore the behavioral experiences and identity development processes among women of a particular sexual identity subtype, "mostly straight." Participants were 349 female college students whose primary sexual identities included exclusively straight, mostly straight, bisexual, and lesbian. Results indicated that, on most behavioral variables, mostly straight women fell directly between and were significantly different from exclusively straight and bisexual/lesbian women. Mostly straight women were also distinct from exclusively straight women but were similar to bisexual women and lesbians on several quantitative measures of identity. Narratives about sexual identity development for mostly straight women revealed the complexities of sexual identity exploration, uncertainty, and commitment within this population. As a whole, this study encourages researchers to begin to recognize and examine mostly straight as a distinct sexual identity subtype in young women.     

Development, reliability, and validity of the Measure of Sexual Identity Exploration and Commitment (MOSIEC)

Four studies were conducted on the development and validation of the Measure of Sexual Identity Exploration and Commitment (MoSIEC). Exploratory factor analysis of an initial item pool yielded a 22-item measure with 4 distinct factors assessing commitment, exploration, sexual orientation identity uncertainty, and synthesis/integration. Exploratory factor analysis findings support the argument that sexual identity is a broad, multidimensional construct and that the MoSIEC assesses the construct of sexual identity in a manner consistent with J. E. Marcia's (1966) model of identity development. Confirmatory factor analyses demonstrated the stability of the MoSIEC factor structure, providing evidence of construct validity. Test-retest stability, internal consistency, and validity coefficients supported the use and continued development of the MoSIEC. Significant differences in levels of exploration and sexual orientation identity uncertainty were found among different sexual orientation identity groups, establishing the criterion-related validity of the MoSIEC. Implications for further development and use of the MoSIEC are discussed.     

Treating homosexuality: a response to Yarhouse.

Professor Mark A. Yarhouse proposes an 'identity synthesis' model of sexual modification therapy for homosexuals. This model is meant primarily to target the process by which one's sexual identity is synthesized, rather than the changing of sexual orientation itself. I highlight some of the advantages of Yarhouse's model along with some of its potential pitfalls. My primary point of departure with Yarhouse concerns how one ought to direct those self-identified homosexual clients who fall within our clinical sphere of influence and who, in the end, contrary to our better judgment, decide that they would like to pursue a course of "homosexualization." Based on the "autonomy" - emphasizing aspects of the identity synthesis model, it appears that Yarhouse is willing to sanction the referral of certain clients to "therapists" who are willing to facilitate these clients' homosexualization. I do not believe that Christians involved in the care of homosexuals can licitly participate in such referrals.     

Clients' perceptions of how reorientation therapy and self-help can promote changes in sexual orientation

Presented is a summary of 882 homosexual people's responses to 5 open-ended questions about sexual reorientation therapy. Of the 882 participants, 726 reported that they had received reorientation therapy from a professional therapist or a pastoral counselor. As a group, 779 (89.7%) of the participants viewed themselves as "more homosexual than heterosexual," "almost exclusively homosexual," or "exclusively homosexual" in their orientation before receiving reorientation therapy or making self-help efforts to change. The majority reported they believed sexual reorientation therapy and various forms of self-help were helpful to them, psychologically, spiritually, and sexually.     

Retrospective recall of sexual orientation identity development among gay, lesbian, and bisexual adults

Although recent attention has focused on the likelihood that contemporary sexual minority youth (i.e., gay, lesbian, bisexual [GLB]) are "coming out" at younger ages, few studies have examined whether early sexual orientation identity development is also present in older GLB cohorts. We analyzed retrospective data on the timing of sexual orientation milestones in a sample of sexual minorities drawn from the California Quality of Life Surveys. Latent profile analysis of 1,260 GLB adults, ages 18-84 years, identified 3 trajectories of development: early (n = 951; milestones spanning ages 12-20), middle (n = 239; milestones spanning ages 18-31), and late (n = 70; milestones spanning ages 32-43). Motivated by previous research on variability in adolescent developmental trajectories, we identified 2 subgroups in post hoc analyses of the early profile group: child onset (n = 284; milestones spanning ages 8-18) and teen onset (n = 667; milestones spanning ages 14-22). Nearly all patterns of development were identity centered, with average age of self-identification as GLB preceding average age of first same-sex sexual activity. Overall, younger participants and the majority of older participants were classified to the early profile, suggesting that early development is common regardless of age cohort. The additional gender differences observed in the onset and pace of sexual orientation identity development warrant future research.     

Two Accounts of Moral Objectivity: from Attitude-Independence to Standpoint-Invariance

How should we understand the notion of moral objectivity? Metaethical positions that vindicate morality’s objective appearance are often associated with moral realism. On a realist construal, moral objectivity is understood in terms of mind-, stance-, or attitude-independence. But realism is not the only game in town for moral objectivists. On an antirealist construal, morality’s objective features are understood in virtue of our attitudes. In this paper I aim to develop this antirealist construal of moral objectivity in further detail, and to make its metaphysical commitments explicit. I do so by building on Sharon Street’s version of “Humean Constructivism”. Instead of the realist notion of attitude-independence, the antirealist account of moral objectivity that I articulate centres on the notion of standpoint-invariance. While constructivists have been criticized for compromising on the issue of moral objectivity, I make a preliminary case for the thesis that, armed with the notion of standpoint-invariance, constructivists have resources to vindicate an account of objectivity with just the right strength, given the commitments of ordinary moral thought and practice. In support of this thesis I highlight recent experimental findings about folk moral objectivism. Empirical observations about the nature of moral discourse have traditionally been taken to give prima facie support to moral realism. I argue, by contrast, that from what we can tell from our current experimental understanding, antirealists can capture the commitments of ordinary discourse at least as well as realists can.     

Sexual reorientation therapy: an orthodox perspective.

This article evaluates the phenomenon of sexual reorientation therapy from the standpoint of Orthodox Christian theology. It is argued that homosexual desire is the product of the fall of mankind and cannot be considered "normal." At the same time, however, reorientation therapies, whether secular or Christian, are inherently reductionistic and fail to address the underlying spiritual pathologies involved in homosexual desire (or any other deep-seated passion). The purpose of therapeia in the Orthodox Church is the psycho-somatic transfiguration of the whole person into the image of Christ, not merely the cessation of homosexual activity or the "reidentification" of one's "lifestyle."     

Ethnic/racial differences in the coming-out process of lesbian, gay, and bisexual youths: a comparison of sexual identity development over time

This longitudinal report of 145 lesbian, gay, and bisexual (LGB) youths examined ethnic/racial differences in the coming-out process. No significant differences emerged in sexual developmental milestones, sexual orientation, sexual behavior, or sexual identity. However, Black youths reported involvement in fewer gay-related social activities, reported less comfort with others knowing their sexual identity, and disclosed that identity to fewer people than did White youths. Latino youths disclosed to fewer people than did White youths. Analyses of change indicated Black youths had greater increases in positive attitudes toward homosexuality and in certainty in their sexual identity over time than did White youths. These findings support the authors' hypothesis that cultural factors do not impede the formation of identity but may delay identity integration.     

Polanyi's Finalism

Although Michael Polanyi's model of science and his construal of the nature of the real are usually thought to be congenial to religion and although Polanyi himself says that "the stage on which we thus resume our full intellectual powers is borrowed from the Christian scheme of Fall and Redemption" (Polanyi 1958, 324), theologians have given little attention to the model of God he presents. The metaphysical and theological vision unfolded in part 4 of Personal Knowledge is a thoughtful alternative to materialist versions of neo-Darwinism and provides a platform for revisiting four long-standing controversies at the interface of science and religion: whether life and mind can be completely specified in terms of physical analysis, whether nature can be adequately understood without appeal to final causes, whether natural selection adequately explains life's diverse forms, and whether knowledge can be fully objectified. Through an exploration of Polanyi's contribution to these discussions, we undertake to show not only that his treatment of God as a cosmic field is strikingly original but also that in reinstating activity as a metaphysical category, he reconstructs our understanding of our creaturely hope and calling.     

Heterosexual Identity Management: How Social Context Affects Heterosexual Marking Practices

It is well established that heterosexism shapes identity management practices of sexual minorities in the United States, but we know little about how such social forces shape heterosexual identity management. This exploratory research is focused on heterosexual marking, defined as behaviors interpreted as signifying a heterosexual identity. Using data from 12 focus groups with young adults, we provide an overview of heterosexual marking in a northeastern United States context and explain how three social forces—cultural assumptions of heterosexuality, sexual orientation ambiguity and suspicion, and heterosexism—are intertwined with these identity practices. Results indicated that this social context generates heterosexual marking that is sometimes intentional and conscious but at other times unintentional and unconscious, depending on levels of heteronormativity and heterosexism.     

No Work for a Theory of Grounding

It has recently been suggested that a distinctive metaphysical relation— ‘Grounding’—is ultimately at issue in contexts in which some goings-on are said to hold ‘in virtue of’’, be (constitutively) ‘metaphysically dependent on’, or be ‘nothing over and above’ some others. Grounding is supposed to do good work (better than merely modal notions, in particular) in illuminating metaphysical dependence. I argue that Grounding is also unsuited to do this work. To start, Grounding alone cannot do this work, for bare claims of Grounding leave open such basic questions as whether Grounded goings-on exist, whether they are reducible to or rather distinct from Grounding goings-on, whether they are efficacious, and so on; but in the absence of answers to such basic questions, we are not in position to assess the associated claim or theses concerning metaphysical dependence. There is no avoiding appeal to the specific metaphysical relations typically at issue in investigations into dependence—for example, type or token identity, functional realization, classical mereological parthood, the set membership relation, the proper subset relation, the determinable/determinate relation, and so on—which are capable of answering these questions. But, I argue, once the specific relations are on the scene, there is no need for Grounding.     

Sexual identity development in the context of compulsory heterosexuality

This study analyzed the implications of sexual identity development for global, political, religious, and occupational identity development in 358 college students. Participants completed a written survey packet including the Extended Objective Measure of Ego Identity Status (EOM-EIS) and measures of sexual identity, physical/sexual preference, and emotional/affective preference. Data from the EOM-EIS suggest that having a sexual minority identity (lesbian, gay, bisexual, or "other" nonheterosexual identity) and reporting strong same-sex sexual or physical preferences are linked with more advanced global, political, religious, and occupational identity development. Heterosexual-identified participants were more likely to score high on identity foreclosure, moratorium, and diffusion, while sexual-minority-identified individuals scored higher on identity achievement. Individuals with strong same-sex physical/sexual preferences showed a pattern of results similar to those of sexual-minority-identified participants. Themes coded from a free-response question highlighted the finding that sexual-minority-identified participants more often viewed their sexual identity as salient and involving an effortful process. These individuals also stressed the importance of having support or modeling for their sexual identity.     

Toward a general theory of persons.

The fundamental question I consider is the following: What is it that makes one thing a person and another thing not? I do not provide a complete answer; rather I begin to develop a framework for answering the question. In this essay I do the following: (1) distinguish between the powers possessed by persons and the constitutions of persons, and propose some metaphysical conjectures concerning the relationship between persons' powers and their constitutions; (2) propose for Christians, as well as for others, an hylomorphic soul-body alternative to Cartesianism; (3) highlight some prominent differences between the nature of human persons to problems in biomedical ethics concerning the ontological and moral status of human embryos and of the comatose.     

A NEW VIEW OF LESBIAN SUBTYPES: STABLE VERSUS FLUID IDENTITY TRAJECTORIES OVER AN 8-YEAR PERIOD

Research has increasingly documented that the distinction between lesbian and bisexual women is one of degree rather than kind, and some researchers have therefore argued for an end to sexual categorization altogether. To the contrary, I maintain that researchers should explore alternative criteria for sexual categorization that might allow us to discern novel and meaningful subtypes of same-sex sexuality. Toward this end, I explore the usefulness of a typology that focuses on change in lesbian identification over time, using a sample of young sexual-minority women that has been observed longitudinally for a period of 8 years. Specifically, I contrast women who have maintained consistent lesbian identifications over this time period (stable lesbians) to women who have alternated between lesbian and nonlesbian labels (fluid lesbians) and women who never adopted lesbian labels (stable nonlesbians). The pattern of similarities and differences among the groups changes as a function of the specific phenomenon being assessed (e.g., sexual and emotional attractions, sexual contact, developmental histories), suggesting the value of using multiple, alternative sexual typologies as heuristics to guide future research into life span development of sexual orientation and identity.     

Predicting Different Patterns of Sexual Identity Development Over Time Among Lesbian, Gay, and Bisexual Youths: A Cluster Analytic Approach

Recent research has suggested that the sexual identity development of lesbian, gay, and bisexual (LGB) youths may not follow a single pattern, but may follow a variety of pathways. Although some research documenting variability in identity development exists, unclear are the potential individual and social contexts that predict these different patterns, as well as the contexts that predict changes in identity integration over time. This report longitudinally examined these issues in an ethnically diverse sample of 156 LGB youths (ages 14-21) in New York City. Cluster analytic techniques identified two patterns of sexual identity formation (i.e., early and more recent), and three patterns of sexual identity integration (i.e., high, middling, and low). Gender and sexual abuse were found to predict identity formation; and, gay-related stress, social support, negative social relationships, sexual orientation, sexual identity, and gender were found to predict patterns of sexual identity integration and changes in integration over 1 year. These findings document different patterns of sexual identity development and identify potential contextual barriers and facilitating factors that may be used to develop interventions to promote healthy LGB identity development.     

Father absence,sociosexual orientation,and same-sex sexuality in women and men

A recent evolutionary theory of female sexual fluidity suggests that women may not have sexual orientations in the same sense that men do, and that women's apparent sexual orientation may instead be a byproduct of their sociosexual orientation. One developmental factor that has consistently been shown to influence sociosexual orientation is father absence in childhood. Consistent with the prediction of the theory, the analyses of the National Longitudinal Study of Adolescent to Adult Health (Add Health) data show that father absence significantly increases women's, but not men's, same-sex sexuality in adulthood, whether it is measured by self identity, sexual behaviour, or romantic attraction. Further consistent with the theory, the association between father absence and same-sex sexuality in women is entirely mediated by their sociosexual orientation.     

Relating ethnic identity, acculturation, and attitudes toward treating minority clients

This study assessed the relationship among the ethnic identity, acculturation, and self-concepts of minority health care professionals and their attitudes toward treating minority clients and using alternative therapies. The sample consisted of 150 medical students of Indian descent. Strong ethnic identity and acculturation related to high self-esteem, self-clarity, the likelihood of treating more minority patients, and the use of alternative therapies. The more "Westernized" participants expressed less of a preference for serving minority patients and believed themselves to be less effective in serving minorities. Gender differences in some aspects of ethnic identity and attitudes were found. The results imply that a focus on acculturation and ethnicity in all client-clinician psychological research is critical, and especially in cases of cultural matching.     

Sexual Orientation and Developmental Challenges Experienced by Gay and Lesbian Youths

Youths with a homosexual orientation face different developmental challenges during adolescence than those faced by heterosexual youths or individuals who recognize their homosexual orientation later in life. We discuss the impact of “coming out,” or defining a homosexual orientation, on the development and identity formation of youths who come out during adolescence. The process of coming out is presented as entailing four broad dimensions: recognizing oneself as lesbian or gay; exploring one's sexual orientation through the gay and lesbian community; disclosing one's sexual orientation to others; and becoming more comfortable with one's sexual orientation. Some of the major challenges faced by these youths are described, and future directions for research efforts are discussed.