Part of a series on |
Bisexuality topics |
---|
Sexual identities |
Studies |
Attitudes, slang and discrimination |
Community and literature |
Lists |
See also |
LGBTQ portal |
Sexual fluidity is one or more changes in sexuality or sexual identity (sometimes known as sexual orientation identity). Sexual orientation is stable for the vast majority of people, but some research indicates that some people may experience change in their sexual orientation, and this is slightly more likely for women than for men. [1] There is no scientific evidence that sexual orientation can be changed through psychotherapy. [2] [3] Sexual identity can change throughout an individual's life, and does not have to align with biological sex, sexual behavior, or actual sexual orientation. [4] [5] [6]
According to scientific consensus, sexual orientation is not a choice. [7] [8] [9] There is no consensus on the exact cause of developing a sexual orientation, but genetic, hormonal, social, and cultural influences have been examined. [9] [10] Scientists believe that it is caused by a complex interplay of genetic, hormonal, and environmental influences. [7] [9] Although no single theory on the cause of sexual orientation has yet gained widespread support, scientists favor biologically-based theories. [7] [11] Research over several decades has demonstrated that sexual orientation can be at any point along a continuum, from exclusive attraction to the opposite sex to exclusive attraction to the same sex. [12]
The results of a large-scale, longitudinal study by Savin-Williams, Joyner, and Rieger (2012) indicated that stability of sexual orientation identity over a six-year period was more common than change, and that stability was greatest among men and those identifying as heterosexual. [13] While stability is more common than change, change in sexual orientation identity does occur and the vast majority of research indicates that female sexuality is more fluid than male sexuality. This could be attributed to females' higher erotic plasticity or to sociocultural factors that socialize women to be more open to change. [14] Due to the gender differences in the stability of sexual orientation identity, male and female sexuality may not function via the same mechanisms. Researchers continue to analyze sexual fluidity to better determine its relationship to sexual orientation subgroups (i.e., bisexual, lesbian, gay, etc.).
Use of the term sexual fluidity has been attributed to Lisa M. Diamond. [15] [16] The term and the concept gained recognition in the psychological profession[ citation needed ] and in the media. [17]
Often, sexual orientation and sexual identity are not distinguished, which can impact accurately assessing sexual identity and whether or not sexual orientation is able to change; sexual orientation identity can change throughout an individual's life, and may or may not align with biological sex, sexual behavior or actual sexual orientation. [4] [5] [6] While the Centre for Addiction and Mental Health and American Psychiatric Association state that sexual orientation is innate, continuous or fixed throughout their lives for some people, but is fluid or changes over time for others, [18] [19] the American Psychological Association distinguishes between sexual orientation (an innate attraction) and sexual orientation identity (which may change at any point in a person's life). [20] Scientists and mental health professionals generally do not believe that sexual orientation is a choice. [7] [8]
The American Psychological Association states that "sexual orientation is not a choice that can be changed at will, and that sexual orientation is most likely the result of a complex interaction of environmental, cognitive and biological factors...is shaped at an early age...[and evidence suggests] biological, including genetic or inborn hormonal factors, play a significant role in a person's sexuality." [9] They say that "sexual orientation identity—not sexual orientation—appears to change via psychotherapy, support groups, and life events." [20] The American Psychiatric Association says individuals may "become aware at different points in their lives that they are heterosexual, gay, lesbian, or bisexual" and "opposes any psychiatric treatment, such as 'reparative' or 'conversion' therapy, which is based upon the assumption that homosexuality per se is a mental disorder, or based upon a prior assumption that the patient should change his/her homosexual orientation". They do, however, encourage gay affirmative psychotherapy. [19]
In the first decade of the 2000s, psychologist Lisa M. Diamond studied 80 non-heterosexual women over several years. She found that in this group, changes in sexual identity were common, although they were typically between adjacent identity categories (such as 'lesbian' and 'bisexual'). Some change in self-reported sexual feeling occurred among many of the women, but it was small, only averaging about 1 point on the Kinsey scale on average. The range of these women's potential attractions was limited by their sexual orientations, but sexual fluidity permitted movement within that range. [11] : 56
In her book Sexual Fluidity, which was awarded with the 2009 Lesbian, Gay, Bisexual, and Transgender Issues Distinguished Book Award by Division 44 of the American Psychological Association, Diamond speaks of female sexuality and trying to go beyond the language of "phases" and "denial", arguing that traditional labels for sexual desire are inadequate. For some of 100 non-heterosexual women she followed in her study over a period of 10 years, the word bisexual did not truly express the versatile nature of their sexuality. Diamond calls "for an expanded understanding of same-sex sexuality." [21]
Diamond, when reviewing research on lesbian and bisexual women's sexual identities, stated that studies find "change and fluidity in same-sex sexuality that contradict conventional models of sexual orientation as a fixed and uniformly early-developing trait." [22] She suggested that sexual orientation is a phenomenon more connected with female non-heterosexual sexuality, stating, "whereas sexual orientation in men appears to operate as a stable erotic 'compass' reliably channeling sexual arousal and motivation toward one gender or the other, sexual orientation in women does not appear to function in this fashion... As a result of these phenomena, women's same-sex sexuality expresses itself differently from men's same-sex sexuality at every stage of the life course." [23]
Conversion therapy (attempts to change sexual orientation) is rarely successful. In Maccio's (2011) review of sexual reorientation therapy attempts, she lists two studies that claim to have successfully converted gay men and lesbians to heterosexuals and four that demonstrate the contrary. She sought to settle the debate using a sample that was not recruited from religious organizations. The study consisted of 37 former conversion therapy participants (62.2% were male) from various cultural and religious backgrounds who currently or previously identified as lesbian, gay, or bisexual. The results indicated that there were no statistically significant shifts in sexual orientation from pre- to post-treatment. In follow-up sessions, the few changes in sexual orientation that did occur following therapy did not last. This study stands as support for the biological origin of sexual orientation, but the largely male sample population confounds the findings. [24]
Further support for the biological origin of sexual orientation is that gender atypical behavior in childhood (e.g., a young boy playing with dolls) appears to predict homosexuality in adulthood (see childhood gender nonconformity). A longitudinal study by Drummond et al. (2008) looked at young girls with gender dysphoria (a significant example of gender atypical behavior) and found that the majority of these girls grew up to identify as bisexual or lesbian. [25] Many retrospective studies looking at childhood behavior are criticized for potential memory errors; [26] so a study by Rieger, Linsenmeier, Gygax, & Bailey (2008) used home videos to investigate the relationship between childhood behaviors and adult sexual orientation. The results of this study support biological causation, but an understanding of how cultural assumptions about sexuality can affect sexual identity formation is also considered. [27]
There is strong evidence for a relationship between fraternal birth order and male sexual orientation, and there has been biological research done to investigate potential biological determinants of sexual orientation in men and women. One theory is the second to fourth finger ratio (2D:4D) theory. Some studies have discovered that heterosexual women had higher 2D:4D ratios than did lesbian women but the difference was not found between heterosexual and gay men. [28] Similarly, a study has shown that homosexual men have a sexually dimorphic nucleus in the anterior hypothalamus that is the size of females'. [29] Twin and family studies have also found a genetic influence. [11]
One study by Steven E. Mock and Richard P. Eibach from 2011 shows 2% of 2,560 adult participants included in National Survey of Midlife Development in the United States reported change of sexual orientation identities after a 10-year period: 0.78% of male and 1.36% of female persons that identified themselves to be heterosexuals at the beginning of the 10-year period, as well as 63.6% of lesbians, 64.7% of bisexual females, 9.52% of gay males, and 47% of bisexual males. According to the study, "this pattern was consistent with the hypothesis that heterosexuality is a more stable sexual orientation identity, perhaps because of its normative status. However, male homosexual identity, although less stable than heterosexual identity, was relatively stable compared to the other sexual minority identities". Having only adults included in the examined group, they did not find the differences in fluidity which were affected by age of the participants. However, they stated that "research on attitude stability and change suggests most change occurs in adolescence and young adulthood (Alwin & Krosnick, 1991; Krosnick & Alwin, 1989), which could explain the diminished impact of age after that point". [30]
Research generally indicates that while the vast majority of men and women are stable and unchanging in their orientation and identity; when it comes to those who are fluid, female sexuality is more fluid than male sexuality. [31] In a seminal review of the sexual orientation literature, stimulated by the findings that the 1970s sexual revolution affected female sexuality more so than male sexuality, research by Baumeister et al. indicated that when compared to males, females have lower concordance between sexual attitudes and behaviors, and sociocultural factors affect female sexuality to a greater degree; it also found that personal change in sexuality is more common for females compared to males. [14] Female sexuality (lesbian and heterosexual) changes significantly more than males on both dimensional and categorical measures of sexual orientation. [32] Furthermore, the majority of homosexual women who previously identified as a different sexual orientation identified as heterosexual; whereas for males, the majority previously identified as bisexual, which the authors believe support the idea of greater fluidity in female sexuality. [32] Females also report having identified with more than one sexual orientation, more often than males and are found to have higher levels of sexual orientation mobility. Females also report being bisexual or unsure of their sexuality more often than males, who more commonly report being exclusively gay or heterosexual. [33] Over a six-year period, women have also been found to display more shifts in sexual orientation identity and were more likely to define their sexual orientation with non-exclusive terms. [13]
The social constructivist view suggests that sexual desire is a product of cultural and psychosocial processes [34] and that men and women are socialized differently. This difference in socialization can explain differences in sexual desire and stability of sexual orientation. Male sexuality is centered around physical factors, whereas female sexuality is centered around sociocultural factors, [14] making female sexuality inherently more open to change. The greater effect on female sexuality in 1970s sexual revolution shows that female shifts in sexual orientation identity may be due to greater exposure to moderating factors (such as the media). [35] In western culture, women are also expected to be more emotionally expressive and intimate towards both males and females. This socialization is a plausible cause of greater female sexual fluidity. [36]
An evolutionary psychology hypothesis proposes that bisexuality enables women to reduce conflict with other women, by promoting each other's mothering contributions, thus ensuring their reproductive success. According to this view, women are capable of forming romantic bonds with both sexes and sexual fluidity may be explained as a reproductive strategy that ensures the survival of offspring. [37]
A longitudinal study concluded that stability of sexual orientation was more common than change. [13] Gender differences in the stability of sexual orientation may vary by subgroup and could possibly be related to individual differences more than gender-wide characteristics. [33]
One study that did compare the stability of youth sexual orientation identity across genders found results opposite to most done with adult samples. The study compared non-heterosexual male and female sexual orientation over a year and concluded that female youth were more likely to report consistent sexual identities than males. [38] The study was conducted over a single year.
Youth appears to be when most change in sexual orientation identity occurs for females. A 10-year study compared sexual orientation as measured at four times during the study. The most change was found between the first (taken at 18 years of age) and second (taken at 20 years of age) measurements which was the only time bracket that fell during adolescence. [39]
A population-based study conducted over 6 years found that nonheterosexual (gay/lesbian/bisexual) male and female participants were more likely to change sexual orientation identity than heterosexual participants. [40] A yearlong study found that sexual identity was more stable for gay and lesbian youth participants when compared to bisexual participants. [38]
The identity integration process that individuals go through during adolescence appears to be associated with changes in sexual identity; adolescents who score higher on identity integration measures are more consistent in their sexual orientation. Bisexual youths seem to take longer to form their sexual identities than do consistently homosexual or heterosexual identifying youths [38] so bisexuality may be seen as a transitional phase during adolescence. Rosario et al. (2006) conclude that "acceptance, commitment, and integration of a gay/lesbian identity is an ongoing developmental process that, for many youths, may extend through adolescence and beyond." [38]
Sabra L. Katz-Wise and Janet S. Hide report in article published 2014 in "Archives of Sexual Behavior" of their study on 188 female and male young adults in the United States with a same-gender orientation, aged 18–26 years. In that cohort, sexual fluidity in attractions was reported by 63% of females and 50% of males, with 48% of those females and 34% of those males reporting fluidity in sexual orientation identity. [41]
Bisexuality as a transitional phase on the way to identifying as exclusively lesbian or gay has also been studied. In a large-scale, longitudinal study, participants who identified as bisexual at one point in time were especially likely to change sexual orientation identity throughout the six-year study. [13] A second longitudinal study found conflicting results. If bisexuality is a transitional phase, as people grow older the number identifying as bisexual should decline. Over the 10-year span of this study (using a female-only sample), the overall number of individuals identifying as bisexual remained relatively constant (hovering between 50 and 60%), suggesting that bisexuality is a third orientation, distinct from homosexuality and heterosexuality and can be stable. [39] A third longitudinal study by Kinnish, Strassberg, and Turner (2005) supports this theory. While sex differences in sexual orientation stability were found for heterosexuals and gays/lesbians, no sex difference was found for bisexual men and women. [32]
Bisexuality remains "undertheorized and underinvestigated". [42]
The exploration on sexual fluidity initiated by Lisa M. Diamond presented a cultural challenge to the LGBT community; this is because although researchers usually emphasize that changes in sexual orientation are unlikely, despite conversion therapy attempts, sexual identity can change over time. That sexual orientation is not always stable challenges the views of many within the LGBT community, who believe that sexual orientation is fixed and immutable. [43]
There is some level of cultural debate regarding the question of how (and if) fluidity exists among men, [44] including questions regarding fluctuations in attractions and arousal in male bisexuals. [45]
Sexual fluidity may overlap with the label abrosexual, which has been used to refer to regular changes in one's sexuality. [46] [47]
Heterosexuality is romantic attraction, sexual attraction or sexual behavior between people of the opposite sex or gender. As a sexual orientation, heterosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to people of the opposite sex. 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." Someone who is heterosexual is commonly referred to as straight.
Sexual orientation is an enduring personal pattern of romantic attraction 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. Patterns are generally categorized under heterosexuality, homosexuality, and bisexuality, while asexuality is sometimes identified as the fourth category.
Bi-curious is a term for a person, usually someone who is a self-identified heterosexual, who is curious or open about engaging in sexual activity with a person whose sex differs from that of their usual sexual partners. The term is sometimes used to describe a broad continuum of sexual orientation between heterosexuality and bisexuality. Such continuums include mostly heterosexual or mostly homosexual, but these can be self-identified without identifying as bisexual. The terms heteroflexible and homoflexible are mainly applied to bi-curious people, though some authors distinguish heteroflexibility and homoflexibility as lacking the "wish to experiment with sexuality" implied by the bi-curious label. It is important when discussing this continuum to conclude that bisexuality is distinct from heterosexuality and homosexuality rather than simply an extension of said sexualities like the labels heteroflexibility and homoflexibility would imply, due to the prominent erasure and assimilation of bisexuality into other identity groups. To sum it up, the difference between bisexual and bicurious is that bisexual people know that they are sexually attracted to both genders based on personal experience. Bicurious people are still maneuvering their way through their sexuality.
The relationship between biology and sexual orientation is a subject of on-going research. While scientists do not know the exact cause of sexual orientation, they theorize that it is caused by a complex interplay of genetic, hormonal, and environmental influences. However, evidence is weak for hypotheses that the post-natal social environment impacts sexual orientation, especially for males.
The Kinsey scale, also called the Heterosexual–Homosexual Rating Scale, is used in research to describe a person's sexual orientation based on one's experience or response at a given time. The scale typically ranges from 0, meaning exclusively heterosexual, to a 6, meaning exclusively homosexual. In both the male and female volumes of the Kinsey Reports, an additional grade, listed as "X", indicated "no socio-sexual contacts or reactions" (asexuality). The reports were first published in Sexual Behavior in the Human Male (1948) by Alfred Kinsey, Wardell Pomeroy, and others, and were also prominent in the complementary work Sexual Behavior in the Human Female (1953).
Biphobia is aversion toward bisexuality or people who are identified or perceived as being bisexual. Similarly to homophobia, it refers to hatred and prejudice specifically against those identified or perceived as being in the bisexual community. It can take the form of denial that bisexuality is a genuine sexual orientation, or of negative stereotypes about people who are bisexual. Other forms of biphobia include bisexual erasure. Biphobia may also avert towards other sexualities attracted to multiple genders such as pansexuality or polysexuality, as the idea of being attracted to multiple genders is generally the cause of stigma towards bisexuality.
The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the DSM-I in 1952 as a "sociopathic personality disturbance," 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 removed homosexuality from the DSM-II 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.
Sexual identity refers to one's self-perception in terms of romantic or sexual attraction towards others, though not mutually exclusive, and can be different from romantic identity. Sexual identity may also refer to sexual orientation identity, which is when people identify or dis-identify with a sexual orientation or choose not to identify with a sexual orientation. Sexual identity and sexual behavior are closely related to sexual orientation, but they are distinguished, with identity referring to an individual's conception of themselves, behavior referring to actual sexual acts performed by the individual, and sexual orientation referring to romantic or sexual attractions toward persons of the opposite sex or gender, the same sex or gender, to both sexes or more than one gender, or to no one.
Heteroflexibility is a form of a sexual orientation or situational sexual behavior characterized by minimal homosexual activity in an otherwise primarily heterosexual orientation, which may or may not distinguish it from bisexuality. It has been characterized as "mostly straight". Although sometimes equated with bi-curiosity to describe a broad continuum of sexual orientation between heterosexuality and bisexuality, other authors distinguish heteroflexibility as lacking the "wish to experiment with ... sexuality" implied by the bi-curious label. The corresponding situation in which homosexual activity predominates has also been described, termed homoflexibility.
Obtaining precise numbers on the demographics of sexual orientation is difficult for a variety of reasons, including the nature of the research questions. Most of the studies on sexual orientation rely on self-reported data, which may pose challenges to researchers because of the subject matter's sensitivity. The studies tend to pose two sets of questions. One set examines self-report data of same-sex sexual experiences and attractions, while the other set examines self-report data of personal identification as homosexual or bisexual. Overall, fewer research subjects identify as homosexual or bisexual than report having had sexual experiences or attraction to a person of the same sex. Survey type, questions and survey setting may affect the respondents' answers.
Sexual attraction to transgender people has been the subject of scientific study and social commentary. Psychologists have researched sexual attraction toward trans women, trans men, cross dressers, non-binary people, and a combination of these. Publications in the field of transgender studies have investigated the attraction transgender individuals can feel for each other. The people who feel this attraction to transgender people name their attraction in different ways.
In behavioral science, androphilia and gynephilia are sexual orientations: Androphilia is sexual attraction to men and/or masculinity; gynephilia is sexual attraction to women and/or femininity. Ambiphilia describes the combination of both androphilia and gynephilia in a given individual, or bisexuality. The terms offer an alternative to a gender binary homosexual and heterosexual conceptualization of sexuality.
Homosexuality is sexual attraction, romantic 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."
Sexuality in transgender individuals encompasses all the issues of sexuality of other groups, including establishing a sexual identity, learning to deal with one's sexual needs, and finding a partner, but may be complicated by issues of gender dysphoria, side effects of surgery, physiological and emotional effects of hormone replacement therapy, psychological aspects of expressing sexuality after medical transition, or social aspects of expressing their gender.
A relationship between handedness and sexual orientation has been suggested by a number of researchers, who report that heterosexual individuals are somewhat more likely to be right-handed than are homosexual individuals.
Situational sexual behavior is a type of sexual behavior that differs from behavior that the person normally exhibits, due to a social environment that in some way permits, encourages, or compels the behavior in question. This can include situations where a person's preferred sexual behavior may not be possible, so rather than refraining from sexual activity completely, they may engage in substitute sexual behaviors.
The questioning of one's sexual orientation, sexual identity, gender, or all three is a process of exploration by people who may be unsure, still exploring, or concerned about applying a social label to themselves for various reasons. The letter "Q" is sometimes added to the end of the acronym LGBT ; the "Q" can refer to either queer or questioning.
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.
Erotic plasticity is the degree to which one's sex drive can be changed by cultural or social factors. Someone has "high erotic plasticity" when their sex drives can be affected by situational, social and cultural influences, whereas someone with "low erotic plasticity" has a sex drive that is relatively rigid and unsusceptible to change. Since social psychologist Roy Baumeister coined the term in 2000, only two studies directly assessing erotic plasticity have been completed as of 2010.
Sexual fluidity is situation-dependent flexibility in a person's sexual responsiveness, which makes it possible for some individuals to experience desires for either men or women under certain circumstances regardless of their overall sexual orientation....We expect that in all cultures the vast majority of individuals are sexually predisposed exclusively to the other sex (i.e., heterosexual) and that only a minority of individuals are sexually predisposed (whether exclusively or non-exclusively) to the same sex.
Modern scholarship examining the stability of sexual orientation also seems to support our conceptualizations of sexual orientation, sexual orientation identity, and sexual identity (e.g., Diamond, 2003a; Horowitz & Necomb, 2001; Rosario, Schrimshaw, Hunter, & Braun, 2006, see Savin-Williams, Chapter 28, this volume). Specifically, some dimensions of sexual identity, such as relationships, emotions, behaviors, values, group affiliation, and norms, appear to be relatively fluid; by contrast, sexual orientation [i.e., an individual's patterns of sexual, romantic, and affectional arousal and desire for other persons based on those persons' gender and sex characteristics (APA Task Force on Appropriate Therapeutic Responses to Sexual orientation, 2009)] has been suggested to be stable for a majority of people across the lifespan (Bell, Weinberg, & Hammersmith, 1981; Ellis & Ames, 1987; Haldeman, 1991; Money, 1987).
Sexual orientation is a deep part of personal identity and is usually quite stable. Starting with their earliest erotic feelings, most people remember being attracted to either the opposite sex or the same sex. [...] The fact that sexual orientation is usually quite stable doesn't rule out the possibility that for some people sexual behavior may change during the course of a lifetime.
[S]ome research indicates that sexual orientation is fluid for some people; this may be especially true for women (e.g., Diamond, 2007; Golden, 1987; Peplau & Garnets, 2000). [...] Therapeutic efforts to change sexual orientation have increased and become more visible in recent years (Beckstead & Morrow, 2004). Therapeutic interventions intended to change, modify, or manage unwanted nonheterosexual orientations are referred to as "sexual orientation change efforts" (SOCE; APA, 2009b). [...] Reviews of the literature, spanning several decades, have consistently found that efforts to change sexual orientation were ineffective (APA, 2009b; Drescher, 2001; Haldeman, 1994; T. F. Murphy, 1992).
[R]esearch suggests that women's sexual orientation is slightly more likely to change than men's (Baumeister 2000; Kinnish et al. 2005). The notion that sexual orientation can change over time is known as sexual fluidity. Even if sexual fluidity exists for some women, it does not mean that the majority of women will change sexual orientations as they age – rather, sexuality is stable over time for the majority of people.
Therapeutic efforts to change sexual orientation have increased and become more visible in recent years (Beckstead & Morrow, 2004). Therapeutic interventions intended to change, modify, or manage unwanted nonheterosexual orientations are referred to as "sexual orientation change efforts" (SOCE; APA, 2009b). [...] Reviews of the literature, spanning several decades, have consistently found that efforts to change sexual orientation were ineffective (APA, 2009b; Drescher, 2001; Haldeman, 1994; T. F. Murphy, 1992).
The College believes strongly in evidence-based treatment. There is no sound scientific evidence that sexual orientation can be changed. Systematic reviews carried out by both the APA and Serovich et al suggest that studies which have shown conversion therapies to be successful are seriously methodologically flawed.
The mechanisms for the development of a particular sexual orientation remain unclear, but the current literature and most scholars in the field state that one's sexual orientation is not a choice; that is, individuals do not choose to be homosexual or heterosexual. A variety of theories about the influences on sexual orientation have been proposed. Sexual orientation probably is not determined by any one factor but by a combination of genetic, hormonal, and environmental influences.
Most health and mental health organizations do not view sexual orientation as a 'choice.'
The reason some individuals develop a gay sexual identity has not been definitively established – nor do we yet understand the development of heterosexuality. The American Psychological Association (APA) takes the position that a variety of factors impact a person's sexuality. The most recent literature from the APA says that sexual orientation is not a choice that can be changed at will, and that sexual orientation is most likely the result of a complex interaction of environmental, cognitive and biological factors...is shaped at an early age...[and evidence suggests] biological, including genetic or inborn hormonal factors, play a significant role in a person's sexuality (American Psychological Association 2010).