Therapeutic implications of viewing sexual identity in terms of essentialist and constructionist theories.

One of the most challenging developments in recent historical studies and in empirical research in sociology has been constructionist theories relating to "sexual personalities." The "constructionist" view is that sexual identity is labile and can be therapeutically modified. In clinical work, this has presented an alternative view of the development of social sex-role and sexual orientation. Previously, views of sexual identity as a fixed personal characteristic (the "essentialist" view) provided clinicians with ways of treating psychologically distressed people either by transsexual conversion or aversion therapy. This article reviews some implications of "constructionist" and "essentialist" theory. It describes the author's clinical attempts to present constructionist views to clients who are in conflict about their sexual orientation and social sex-role. The article concludes that constructionist therapy has not taken into account clinical evidence that clients may adhere to "essentialist" beliefs.