Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have been used to this end include forms of brain surgery, surgical or hormonal castration, aversive treatments such as electric shocks, nausea-inducing drugs, hypnosis, counseling, spiritual interventions, visualization, psychoanalysis, and arousal reconditioning.
Sexual orientation is an enduring pattern of romantic or sexual attraction to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. These attractions are generally subsumed under heterosexuality, homosexuality, and bisexuality, while asexuality is sometimes identified as the fourth category.
The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1952, but that classification came under scrutiny in research funded by the National Institute of Mental Health. That research and subsequent studies consistently failed to produce any empirical or scientific basis for regarding homosexuality as anything other than a natural and normal sexual orientation that is a healthy and positive expression of human sexuality. As a result of this scientific research, the American Psychiatric Association declassified homosexuality as a mental disorder in 1973. Upon a thorough review of the scientific data, the American Psychological Association followed in 1975 and also called on all mental health professionals to take the lead in "removing the stigma of mental illness that has long been associated" with homosexuality. In 1993, the National Association of Social Workers adopted the same position as the American Psychiatric Association and the American Psychological Association, in recognition of scientific evidence. The World Health Organization, which listed homosexuality in the ICD-9 in 1977, removed homosexuality from the ICD-10 which was endorsed by the 43rd World Health Assembly on 17 May 1990.
Kurt Freund was a Czech-Canadian physician and sexologist best known for developing the penile plethysmograph, research studies in pedophilia, and for the "courtship disorder" hypothesis as a taxonomy of certain paraphilias. After unsuccessful attempts to change men's sexual orientation, he advocated against conversion therapy and in favor of the decriminalization of homosexuality.
Couples therapy attempts to improve romantic relationships and resolve interpersonal conflicts.
Androphilia and gynephilia are terms used in behavioral science to describe sexual orientation, as an alternative to a gender binary homosexual and heterosexual conceptualization. Androphilia describes sexual attraction to men and/or masculinity; gynephilia describes the sexual attraction to women and/or femininity. Ambiphilia describes the combination of both androphilia and gynephilia in a given individual, or bisexuality.
Homosexuality is romantic attraction, sexual attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" exclusively to people of the same sex or gender. It "also refers to a person's sense of identity based on those attractions, related behaviors, and membership in a community of others who share those attractions."
Ego-dystonic sexual orientation is a highly controversial mental health diagnosis that was included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) from 1980 to 1987 and in the World Health Organization's (WHO) International Classification of Diseases (ICD) from 1990 to 2019. Individuals could be diagnosed with ego-dystonic sexual orientation if their sexual orientation or attractions were at odds with their idealized self-image, causing anxiety and a desire to change their orientation or become more comfortable with it. It describes not innate sexual orientation itself, but a conflict between the sexual orientation a person wishes to have and their actual sexual orientation.
Eli Coleman is an American sexologist. He is professor emeritus and former director of the Eli Coleman Institute for Sexual and Gender Health in the Department of Family Medicine and Community Health at the University of Minnesota. In 2007, he was appointed the first endowed Chair in Sexual Health at the University of Minnesota Medical School. He has published research on sexual orientation, sexual dysfunction and compulsivity, gender dysphoria, and sex offenders.
Human sexuality covers a broad range of topics, including the physiological, psychological, social, cultural, political, philosophical, ethical, moral, theological, legal and spiritual or religious aspects of sex and human sexual behavior.
Gay affirmative psychotherapy is a form of psychotherapy for non-heterosexual people, specifically gay and lesbian clients, which focuses on client comfort in working towards authenticity and self-acceptance regarding sexual orientation, and does not attempt to "change" them to heterosexual, or to "eliminate or diminish" same-sex "desires and behaviors". The American Psychological Association (APA) offers guidelines and materials for gay affirmative psychotherapy. Affirmative psychotherapy affirms that homosexuality or bisexuality is not a mental disorder, in accordance with global scientific consensus. In fact, embracing and affirming gay identity can be a key component to recovery from other mental illnesses or substance abuse. Clients whose religious beliefs are interpreted as teaching against homosexual behavior may require some other method of integration of their possibly conflicting religious and sexual selves.
A mixed-orientation marriage is a marriage between partners of differing sexual orientations. The broader term is mixed-orientation relationship, sometimes shortened to MOR or MORE.
The relationship between the environment and sexual orientation is a subject of research. In the study of sexual orientation, some researchers distinguish environmental influences from hormonal influences, while other researchers include biological influences such as prenatal hormones as part of environmental influences.
Bisexuality is a romantic or sexual attraction or behavior toward both males and females, to more than one gender, or to both people of the same gender and different genders. It may also be defined to include romantic or sexual attraction to people regardless of their sex or gender identity, which is also known as pansexuality.
Sexual fluidity is one or more changes in sexuality or sexual identity. Sexual orientation is stable and unchanging for the vast majority of people, but some research indicates that some people may experience change in their sexual orientation, and this is more likely for women than for men. There is no scientific evidence that sexual orientation can be changed through psychotherapy. Sexual identity can change throughout an individual's life, and does not have to align with biological sex, sexual behavior or actual sexual orientation.
Certified Sex Therapists (CST) have graduate degrees in a clinical mental health field and have obtained advanced training in sex therapy from a credentialed training body, resulting in certification. One of the largest such bodies is the American Association of Sexuality Educators, Counselors and Therapists (AASECT).
The following outline is provided as an overview of and topical guide to human sexuality:
LGBT psychology is a field of psychology of surrounding the lives of LGBTQ+ individuals, in the particular the diverse range of psychological perspectives and experiences of these individuals. It covers different aspects such as identity development including the coming out process, parenting and family practices and support for LGBTQ+ individuals, as well as issues of prejudice and discrimination involving the LGBT community.
Many health organizations around the world have denounced and criticized sexual orientation and gender identity change efforts. National health organizations in the United States have announced that there has been no scientific demonstration of conversion therapy's efficacy in the last forty years. They find that conversion therapy is ineffective, risky and can be harmful. Anecdotal claims of cures are counterbalanced by assertions of harm, and the American Psychiatric Association, for example, cautions ethical practitioners under the Hippocratic oath to do no harm and to refrain from attempts at conversion therapy.
