Homosexuality and bisexuality have not been considered psychopathologies for many years, and recent research has suggested a wide variety of etiological considerations, many biologically based, to account for same-sex desire. Nevertheless, many patients still present with questions and distress regarding their sexual orientation. The authors address the question of how practitioners may manage these situations. To this end, the authors briefly review the background of the relevant issues, make various assumptions, consider therapists' values, and present 4 alternatives available to practitioners who may be confronted with this situation. Each alternative is discussed with regard to its relevant ethical issues and clinical implications.
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