
Lauren Bloch
Psychologist
Online Therapy

What is sexual orientation?
Sexual orientation is one of the four components of sexuality and is distinguished by an emotional, romantic, sexual or affectionate attraction to individuals of a particular sex. The three other components of sexuality are biological sex (whether we are born as a male or female), gender identity (the psychological sense of being male or female) and social gender role (the extent to which people conform to what is regarded in our society as feminine and masculine behaviour).
Sexual orientation is different from sexual behaviour because it refers to feelings and individuals' views about what they consider themselves to be. Sexual behaviour is simply how people behave in a sexual situation. Individuals may or may not express their sexual orientation in their behaviours.
What causes a person to have a particular sexual orientation?
How a particular sexual orientation develops in any individual is not well understood by scientists. Various theories provide different explanations for what determines a person's sexual orientation, including genetic and biological factors and life experiences during early childhood. Despite much research there is no proven explanation of how sexual orientation is determined. However, many scientists share the view that for most people sexual orientation is shaped during the first few years of life through complex interactions of genetic, biological, psychological and social factors.
Despite what some people claim, there is no evidence that society's greater acceptance of homosexuality results in more people having a homosexual sexual orientation. The greater numbers of people identifying as homosexual are a result of fewer people fighting their homosexual feelings while attempting to live heterosexual lives.
Is sexual orientation a choice?
No. For most people, sexual orientation emerges in early adolescence without any prior sexual experience. Some people report trying very hard over many years to change their sexual orientation from homosexual to heterosexual, with no success. For these reasons, psychologists do not consider sexual orientation for most people to be a conscious choice that can be voluntarily changed. People don't choose their sexual orientation; they can of course choose the kind of a life they want to live.
Is homosexuality a mental illness or emotional problem?
No. Psychologists, psychiatrists and other mental health professionals agree that homosexuality is not an illness, mental disorder or emotional problem. However negative attitudes towards homosexuality can result in LGBTQ people having negative thoughts about themselves, which can result in emotional and/or social problems.
In the past, homosexuality was thought to be a mental illness because mental health professionals and society had biased information about homosexuality. Most of that information came from studies that only involved lesbians and gay men undergoing therapy for problems. When researchers examined data about gay people who were not in therapy, the idea that homosexuality was a mental illness was found to be untrue.
In 1973, the American Psychiatric Association confirmed the importance of the new research by removing the term ‘homosexuality’ from the official manual that lists all mental and emotional disorders. In 1975, the American Psychological Association passed a resolution supporting this action and additional research findings have subsequently reaffirmed this decision. All mental health professionals are now urged to help dispel the stigma of mental illness that some people still associate with homosexual orientation.
Can people who belong to the LGBTQ community 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 their intelligence, psychological adjustment, social adjustment, popularity with friends, development of social sex role identity or development of sexual orientation. Recent UK research suggests that lesbian co-parents may even be better at sharing household and parenting responsibilities and therefore devote more time and better care to the children.
Another stereotype 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 indicating that homosexuals are more likely than heterosexuals to molest children.
Can therapy change sexual orientation?
No. The Australian Psychological Society acknowledges the lack of scientific evidence for the usefulness of conversion therapy, and notes that it can in fact be harmful for the individual. Changing the sexual orientation of a person is not simply a matter of changing the person's sexual behaviour. It would require altering the emotional, romantic and sexual feelings of the person and restructuring self-concept and social identity. Although some mental health providers do attempt sexual orientation conversion, other practitioners question the ethics of trying to alter a trait that is not a disorder and that is extremely important to an individual's identity.
Many LGBTQ people who seek therapy do not want to change their sexual orientation. They may seek counselling for the same reasons as anyone else. In addition, they may seek psychological help to ‘come out' or to deal with prejudice, discrimination and violence.
Why is it important for society to be better educated about homosexuality?
Educating all people about sexual orientation and homosexuality is likely to lessen prejudice and minimise the risk of harassment and discrimination. Accurate information about homosexuality is especially important to young people struggling with their own sexual identity. Although it is unclear what determines sexual orientation, those who study human development consider that what determines it takes place very early in life. Therefore fears that access to information about homosexuality will affect one’s sexual orientation are not valid.