John P. Dehlin

Sexual orientation change efforts among current or former LDS church members

This study examined sexual orientation change efforts (SOCE) by 1,612 individuals who are current or former members of the Church of Jesus Christ of Latter-day Saints (LDS). Data were obtained through a comprehensive online survey from both quantitative items and open-ended written responses. A minimum of 73% of men and 43% of women in this sample attempted sexual orientation change, usually through multiple methods and across many years (on average). Developmental factors associated with attempts at sexual orientation change included higher levels of early religious orthodoxy (for all) and less supportive families and communities (for men only). Among women, those who identified as lesbian and who reported higher Kinsey attraction scores were more likely to have sought change. Of the 9 different methods surveyed, private and religious change methods (compared with therapist-led or group-based efforts) were the most common, started earlier, exercised for longer periods, and reported to be the most damaging and least effective. When sexual orientation change was identified as a goal, reported effectiveness was lower for almost all of the methods. While some beneficial SOCE outcomes (such as acceptance of same-sex attractions and reduction in depression and anxiety) were reported, the overall results support the conclusion that sexual orientation is highly resistant to explicit attempts at change and that SOCE are overwhelmingly reported to be either ineffective or damaging by participants.

Navigating Sexual and Religious Identity Conflict: A Mormon Perspective

This study examined navigation of sexual and religious identity conflict among 1,493 same-sex attracted current or former members of the Church of Jesus Christ of Latter-day Saints. Participants were classified into four groups: (a) rejected a lesbian, gay, or bisexual identity (5.5%); (b) compartmentalized sexual and religious identities (37.2%); (c) rejected religious identity (53%); and (d) integrated religious and sexual identities (4.4%). Systematic differences emerged among the groups in sexual identity development histories, developmental milestones, relationship experiences, religious engagement, and psychosocial health. The findings suggest that rejection or compartmentalization of sexual identity may be difficult to sustain over time and likely comes at a significant psychosocial cost. Integration of identities may be equally difficult to achieve, and appears to be associated with optimal outcomes.

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.

Psychosocial Correlates of Religious Approaches to Same-Sex Attraction: A Mormon Perspective

This study examined the psychosocial correlates of following various church-based approaches for dealing with same-sex attraction, based on a large sample (1,612) of same-sex attracted current and former members of the Church of Jesus Christ of Latter-day Saints (LDS, or Mormon). Overall, this study found that biologically based views about the etiology of same-sex attraction (vs. psychosocial views), LDS church disaffiliation (vs. activity), sexual activity (vs. celibacy), and legal same-sex marriage (vs. remaining single or mixed-orientation marriage) were all associated with significantly higher levels of self-esteem and quality of life, and lower levels of internalized homophobia, sexual identity distress, and depression. The divorce rate for mixed-orientation marriages was 51% at the time of survey completion, with projections suggesting an eventual divorce rate of 69%.

Sexual Orientation Change Efforts Through Psychotherapy for LGBQ Individuals Affiliated With the Church of Jesus Christ of Latter-day Saints

This study reports the results of a comprehensive online survey of 1,612 current or former members of the Church of Jesus Christ of Latter-day Saints, many of whom engaged in psychotherapy to cope with (i.e., understand, accept, or change) their same-sex attractions. Data obtained from written and quantitative responses showed that therapy was initiated over a very wide age range and continued for many years. However, counseling was largely ineffective; less than 4% reported any modification of core same-sex erotic attraction. Moreover, 42% reported that their change-oriented therapy was not at all effective, and 37% found it to be moderately to severely harmful. In contrast, affirming psychotherapeutic strategies were often found to be beneficial in reducing depression, increasing self-esteem, and improving family and other relationships. Results suggest that the very low likelihood of a modification of sexual orientation and the ambiguous nature of any such change should be important considerations for highly religious sexual minority individuals considering reorientation therapy.

Specific Aspects of Minority Stress Associated With Depression Among LDS Affiliated Non-Heterosexual Adults

A nation-wide sample of 634 previous or current members of the Church of Jesus Christ of Latter-Day Saints (LDS), non-heterosexual adults (ages 18–33), were surveyed to examine how specific aspects of minority stress are individually and collectively associated with depression, and how such associations differ across sex, sexual orientation, and level of affiliation with the LDS church. When five stressors were examined simultaneously, need for others’ acceptance (NA) was the strongest predictor of depression, followed by internalized homophobia (IH). All minority stress factors were found to be individually predictive of depression and did not differ across sex or sexual orientation subgroups. Differences were observed, however, when considering current LDS status, such that participants who were no longer affiliated with the LDS church reported stronger relationships between some minority stressors and depression. Implications of religious identity salience as a potential mediator of relationships between specific stressors and depression are discussed.

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.

Mormon Mixed-Orientation Marriages: Variations in Attitudes and Experiences by Sexual Orientation and Current Relationship Status

ABSTRACT Interest in mixed-orientation marriages has been growing among both scholars and the general public. Members of conservative religions such as Mormonism may be particularly willing to enter a mixed-orientation marriage given the faiths emphasis on heteronormativity. Analyzing survey data from a sample of sexual minorities (n = 160) and heterosexuals (n = 80) who are or have been Mormon and in a mixed-orientation marriage, we explore variations in reasons for marriage, the disclosure experience, and levels of attraction and attitudes toward sex by current relationship status. Previously married sexual-minority individuals report more external pressure and belief their same-sex attraction might change as reasons to marry, as well as less desire for their spouses following disclosure. Currently married sexual-minority partners are less likely to report being counseled to marry, and report feeling more relief, approval, and desire in their relationship following disclosure. Currently married heterosexual spouses are more likely to report spiritual confirmation as a reason to marry, as well as more affection for and greater attraction to spouses, but also report feeling less secure about their attractiveness following disclosure. Previously married heterosexual individuals report the most negative feelings following disclosure, and stronger attitudes about the importance of sharing similar sexual interests, desire, and levels of attraction.