Cures versus Choices: Agendas in Sexual Reorientation Therapy

Abstract

SUMMARY Longstanding debates have occurred in the mental health fields on the issues surrounding sexual reorientation therapy. Both sides agree that a subset of individuals with same-sex attractions seeks help or a “cure” for their homosexual attractions. However, each position tends to respond with a limited, exclusionary choice to be an “out” gay or an “ex”-gay. These dichotomized options may not serve all clients with same-sex attractions who are seeking help in dealing with religious conflicts. The perspectives of 20 individuals (2 women, 18 men) who reported benefiting from reparative/conversion therapy are described. In contrast to previous imprecise claims of change, a more complex conceptual framework is presented regarding the definitions of a successful outcome from such treatments. Research and political implications are discussed as well as the need for more effective clinical strategies that integrate conservative social identities with same-sex attractions.