Recent challenges to traditional assumptions about homosexuality: some implications for practice.

During the last decade there has been a change in professional attitudes toward homosexuality reflected in the development of new models of treatment. Rather than offering a cure the aim is to help homosexuals adjust positively to their orientation. Such attitudinal change on the part of the practitioners has not, in the main, questioned the fundamental assumptions of theories which seek to explain homosexuality. Recent theoretical inquiry into homosexuality, however, has done this, posing an important challenge to the traditionally held view that people have an essential sexuality that is either homosexual or heterosexual and which remains fixed and unchanging throughout their lives. This paper addresses some of the more important clinical implications of these recent developments, in particular, the suggestion that "the homosexual" as a certain type of person is an "invention." In addition, the therapeutic value and difficulties associated with an acknowledgement that sexual preference and identity may change over time are considered. Finally, there is consideration of what the goals should be in the case of the person who seeks professional help in changing from a homosexual to a heterosexual orientation.