This study investigates the influences for, methods of, and impact of sexual orientation change efforts (SOCE) on transgender individuals. SOCE uses methods such as religious practices, behavioral modification, cognitive reframing, and counseling as ways to change sexual orientation from homosexual to heterosexual (Fjelstrom, 2013). This phenomenological, multiple case study analysis examines individual cases of SOCE to find cross-sectional themes among participants. The study identified participants who were influenced to undergo SOCE due to familial attitudes towards transgender identity. Participants described various methods used to suppress their gender identity during SOCE. They reported being negatively impacted by SOCE, experiencing issues such as loss of faith, interpersonal harm, feelings of inauthenticity, lack of trust, negative self-esteem and sexual dysfunction. This study aims to advocate for policy change regarding SOCE and to bring awareness on the use of SOCE among transgender individuals.

Master of Science / Department of Family Studies and Human Services / Karen S. Myers-Bowman / There are three different approaches for the treatment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) sexual orientations: reparative therapies, gay-affirmative therapies, and person-centered approach. These therapeutic approaches will be discussed individually and Kitchener’s Model of Ethical Decision Making or Moral Justification will be applied to each of them with the purpose of identifying which is the most ethical. The American Association for Marriage and Family Therapy (AAMFT) scholars have not created guidelines for working with LGBTQI or made a clear stance on what they believe would be the best approach to take, therefore, clinical and ethical implications and recommendations for the field of marriage and family therapy will be discussed.