Volume 12 - 2021
Sexual Attraction Fluidity and Well-Being in Men: A Therapeutic Outcome Study, pages 61-86
DOI:
AUTHORS
Carolyn Pela, Ph.D. Arizona Christian University, Philip Sutton, Ph.D. (South Bend, Indiana)
ABSTRACT
Recent legislative efforts initiated by politicians and activists have limited or threatened to limit the autonomy and self-determination of individuals desiring sexual attraction fluidity exploration in therapy (SAFE-T), claiming that SAFE-T is ineffective and harmful. The American Psychological Association has claimed that there is not enough rigorous research to draw conclusions about the efficacy or beneficence and nonmaleficence of SAFE-T. The present longitudinal study examined the sexual attraction fluidity (SAF) and wellbeing of psychotherapy clients while participating in SAFE-T. Participants were 75 adult male psychotherapy clients reporting both same-sex attraction experiences (SSAE) and the desire to participate in SAFE-T to achieve SAF. Well-being was measured with the OQ-45.2, SSAE, and opposite-sex attraction experiences (OSAE) with a Likert scale, and sexual attraction identity (SAI) with a Likert-type item. Results of t-tests of the means of baseline and final well-being measures revealed a clinically and statistically significant improvement in well-being. A linear mixed model was used to analyze the SSAE, OSAE, and SAI data obtained at baseline, 6 months, 12 months, 18 months, and 24 months, with results showing statistically significant fluidity of all three factors. SSAE decreased, OSAE increased, and SAI moved toward heterosexual identity.
Keywords: sexual attraction fluidity, well-being, OQ-45.2, SAFE-T, psychotherapy