Date of Award


Degree Name

Doctor of Philosophy


Health Education

First Advisor

Diehr, Aaron


This study investigates the influences for, methods of, and impact of sexual orientation change efforts (SOCE) on transgender individuals. SOCE uses methods such as religious practices, behavioral modification, cognitive reframing, and counseling as ways to change sexual orientation from homosexual to heterosexual (Fjelstrom, 2013). This phenomenological, multiple case study analysis examines individual cases of SOCE to find cross-sectional themes among participants. The study identified participants who were influenced to undergo SOCE due to familial attitudes towards transgender identity. Participants described various methods used to suppress their gender identity during SOCE. They reported being negatively impacted by SOCE, experiencing issues such as loss of faith, interpersonal harm, feelings of inauthenticity, lack of trust, negative self-esteem and sexual dysfunction. This study aims to advocate for policy change regarding SOCE and to bring awareness on the use of SOCE among transgender individuals.




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