ABSTRACT

Couple and family therapists are faced with treating clients who present with discomfort accepting a lesbian, gay, or bisexual identity or seek assistance with changing their sexual orientation. erefore, therapists should be prepared to eectively and ethically provide services to persons who are struggling with a lesbian, gay, or bisexual (LGB) identity. is chapter provides a summary of the results of a recent review of the science of reorientation therapies (Serovich et al., 2008) that revealed an inadequate scientic basis to warrant the use of reorientation therapies by couple and family therapists. is chapter also reviews the challenges faced by individuals struggling with accepting their sexual orientation and provides a brief overview of armative approaches to therapy. Finally, provided here are suggestions for the production of high-quality scholarship in the area of ethical approaches to working with clients who are experiencing con-icts regarding their sexual orientation.