Sexual Orientation Change Efforts, Identity Conflict, and Psychosocial Health Amongst Same-Sex Attracted Mormons

This study examined sexual orientation change efforts, identity conflict, and psychosocial health in a sample of 1,612 same-sex attracted Mormons. A minimum of 66% of participants reported engaging in sexual orientation change efforts, usually through multiple methods, and across more than 10 years (on average). Religious change efforts such as personal righteousness (e.g., prayer, fasting, scripture study, improved relationship with Jesus Christ) and counseling with church leaders (e.g., bishops), along with individual methods (e.g., introspection, private study, mental suppression) were found to be far more prevalent and significantly more damaging than therapist- (e.g., psychotherapy, psychiatry) or group-led change efforts. Overall, 0% of those attempting change reported an elimination of same-sex attraction, and less than 4% reported any change in sexual orientation. Conversely, the majority of participants reported these efforts to be either ineffective or damaging. Regarding the navigation of sexual and religious identity conflict, the vast majority of participants were found to have either rejected their religious identity (53%) or compartmentalized their religious and sexual identities (37%), with significantly fewer reporting the rejection of their same-sex sexual identity (6%) or the successful integration of the two identities (4%). Overall, the (a) acceptance of a lesbian, gay, bisexual, or transgender identity and (b) “coming out” to family, friends, work, and religious associates correlated positively with quality of life and self-esteem, and negatively with internalized homophobia, identity confusion, depression, and sexual identity distress. Regarding various religion-based approaches to same-sex attraction, the following were generally positively associated with psychosocial health (e.g., quality of life, selfesteem) and negatively correlated with psychosocial harm (e.g., internalized homophobia, sexual identity distress, depression): (a) embracing biological (vs. developmental) views on the causes of same-sex sexuality, (b) decreased LDS Church participation, (c) eschewing celibacy, and (d) pursuing committed, legal same-sex relationships. Heterosexual marriages for same-sex attracted participants were estimated to have a 69% divorce rate, with very low average quality of life ratings for those remaining in the marriages

Same- and Other-Sex Aversion and Attraction as Important Correlates of Quality and Outcomes of Mormon Mixed-Orientation Marriages

Many studies have assessed characteristics of mixed-orientation marriages (MOM), unions between a gay, lesbian, bisexual, or queer/questioning (GLBQ) partner and a heterosexual spouse. In this study, experiences of physical and emotional other-sex attraction versus aversion were posited as important factors with implications for relationship outcomes. One-hundred-sixty-five GLBQ identifying individuals who were currently or formerly in MOMs and were currently or formerly members of the Church of Jesus Christ of Latter-Day Saints (LDS, Mormon) completed a measure of physical and emotional same- and other-sex attraction and aversion, as well as the Revised Dyadic Adjustment Scale. Divorced or separated participants reported more other-sex physical aversion, physical aversion to the spouse, other-sex emotional aversion, same-sex emotional attraction, and less emotional attraction to the spouse. Higher other-sex attraction and attraction to the spouse were associated with better relationship quality for both men and women in intact marriages. For men only, same-sex attraction was related to worse marital relationship quality, and religiosity was moderately to strongly related to most indices of attraction/aversion. Interview data obtained from a subsample of participants further explored the unique challenges experienced by partners in their efforts to develop and maintain intimacy in MOMs

Acceptance and Commitment Therapy as a Treatment for Scrupulosity in Obsessive Compulsive Disorder

This study evaluated acceptance and commitment therapy (ACT) for scrupulosity-based obsessive compulsive disorder (OCD). Five adults were treated with eight sessions of ACT, without in-session exposure, in a multiple baseline across participants design. Daily monitoring of compulsions and avoided valued activities were tracked throughout the study. The Obsessive Compulsive Inventory–Revised, Yale–Brown Obsessive Compulsive Scale (Y-BOCS), Penn Inventory of Scrupulosity, Beck Depression Inventory–II, Quality of Life Scale, Santa Clara Strength of Religious Faith Questionnaire, and the Acceptance and Action Questionnaire–II were completed at pretreatment, posttreatment, and 3-month follow-up. The Treatment Evaluation Inventory was completed at posttreatment. Average daily compulsions reduced as follows: pretreatment = 25.0, posttreatment = 5.6, and follow-up = 4.3. Average daily avoided valued activities reduced as follows: pretreatment = 6.0, posttreatment = 0.7, and follow-up = 0.5. Other measures showed similar patterns. Religious faith only slightly declined: 4% at posttreatment and 7% at follow-up. Treatment acceptability was high

Sexual Complexity: A Comparison Between Men and Women in a Sexual Minority Sample of Members of the Church of Jesus Christ of Latter-Day Saints

We report here some of the results from an online survey of 1612 LGBTQ members and former members of the Church of Jesus Christ of Latter-day Saints (CJCLDS, Mormon). The data permitted an exploration of diversity—individual similarities and differences within and between the sexes. Men and women were compared with respect to sexual identity self-labeling and behavior (i.e., identity development, disclosure, activity), orientation change efforts, marital relationships, and psychosocial health—these variables in the context of their religious lives. More women than men self-identified in the bisexual range of the sexual attraction continuum. Both men and women had engaged in extensive effort to change their sexual orientation. Only about 4% of the respondents claimed that those efforts had been successful, and the claims were for outcomes other than an alteration in erotic feeling. In general, only those who identified as bisexual reported success in maintaining a mixed-orientation marriage and continuing activity in the church. For both men and women, measures of psychosocial and sexual health were higher for those in same-sex relationships and those disaffiliated from the church

Acceptance and Commitment Therapy and Habit Reversal Training for the Treatment of Trichotillomania

Trichotillomania is a behavioral problem, and is often referred to as a habit disorder, but it is important to consider the cognitive and emotional components of the behavior. Current treatment recommendations include a traditional behavioral approach (Habit Reversal Training; HRT) combined with an approach that addresses the cognitive and emotional components of the behavior (Acceptance and Commitment Therapy [ACT] or Dialectical Behavior Therapy [DBT]). Current evidence indicates a combination of ACT and HRT is an effective treatment for trichotillomania. The goal of this article is to replicate the effectiveness of the ACT/HRT treatment package for trichotillomania and to provide practical clinical guidance on how to deliver the treatment. This guidance is presented in the context of an empirical study in which 5 participants demonstrating high levels of pulling at pretreatment were treated with 8 sessions of a combination of ACT and HRT. Treatment resulted in an 88.87% reduction in pulling across participants from pretreatment to posttreatment, and all 5 responded to the treatment. At 3-month follow-up, 2 participants maintained the treatment gains, 2 lost half of the treatment gains, and 1 was at pretreatment levels. A discussion of the results is presented along with implications for clinical practice and future directions for research

A Comparison of Two Brief Interventions for Obsessional Thoughts: Exposure and Acceptance

Exposure and response prevention (ERP) is the most effective psychological treatment for unwanted, intrusive thoughts associated with obsessive-compulsive disorder (OCD). However, the procedures involved in ERP (i.e., exposure) are challenging, provoke high levels of anxiety, and may contribute to treatment refusal and dropout (Franklin & Foa, 1998). To address this problem, researchers have begun to evaluate alternative treatments for OCD, such as Acceptance and Commitment Therapy (ACT). Despite the value of both techniques, little is known about the differential impact of these strategies. This study examined the relative effects of a single session of ACT or exposure for obsessional thoughts. There were 56 undergraduate participants with obsessional thoughts randomly assigned to receive a brief intervention with the core components of exposure, ACT, or an expressive writing control condition. Obsessional symptoms and related process variables were assessed at baseline and at 1-week follow-up. There were no statistical differences in believability or acceptability of the 3 conditions. Significant reductions in obsessional severity, behavioral tests of distress and willingness to experience intrusive thoughts, and negative appraisals of intrusive thoughts occurred in all conditions, but no differences were found between these conditions. Furthermore, changes in dysfunctional beliefs, but not in willingness to experience intrusive thoughts, predicted changes in obsessional symptoms in both the ACT and exposure conditions

A Comparison of Two Brief Interventions for Obsessional Thoughts: Exposure and Acceptance

Exposure and response prevention (ERP) is the most effective psychological treatment for unwanted, intrusive thoughts associated with obsessive-compulsive disorder (OCD). However, the procedures involved in ERP (i.e., exposure) are challenging, provoke high levels of anxiety, and may contribute to treatment refusal and dropout (Franklin & Foa, 1998). To address this problem, researchers have begun to evaluate alternative treatments for OCD, such as Acceptance and Commitment Therapy (ACT). Despite the value of both techniques, little is known about the differential impact of these strategies. This study examined the relative effects of a single session of ACT or exposure for obsessional thoughts. There were 56 undergraduate participants with obsessional thoughts randomly assigned to receive a brief intervention with the core components of exposure, ACT, or an expressive writing control condition. Obsessional symptoms and related process variables were assessed at baseline and at 1-week follow-up. There were no statistical differences in believability or acceptability of the 3 conditions. Significant reductions in obsessional severity, behavioral tests of distress and willingness to experience intrusive thoughts, and negative appraisals of intrusive thoughts occurred in all conditions, but no differences were found between these conditions. Furthermore, changes in dysfunctional beliefs, but not in willingness to experience intrusive thoughts, predicted changes in obsessional symptoms in both the ACT and exposure conditions