Sexual Orientation: Common Questions and Concerns - Psychiatry

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Some issues regarding sexual orientation?


As per the title, I would like to ask a few questions and apologize for taking up a few minutes of your time.
1.
Are there any standards in medicine to determine sexual orientation? 2.
I am currently in high school, and before puberty, I never questioned my sexual orientation, but perhaps it is because I have a low sex drive! Recently, due to a group project in school where we are exploring whether same-sex marriage is a human rights issue, I started to wonder if I might be gay.
Is it possible for me to suddenly change my original sexual orientation? 3.
The other day, while taking the school bus, I accidentally brushed my foot against a pretty female classmate, and in that moment, I felt a bit excited.
Is this a bit perverse? 4.
Sometimes, when I see my peers dressed fashionably, I think they look handsome, or in certain sports situations.
Is this just a simple admiration, or does it indicate that I have same-sex attraction? Lastly, I apologize for the lengthy message and hope you can bear with me.
Thank you!

ku nao de gao zhong sheng, 10~19 year old female. Ask Date: 2021/05/01

Dr. Wang Yaoting reply Psychiatry


Hello: 1.
In medicine, assessments are generally used for evaluation, and while there are no standardized tests, many such assessment tools can be found through online searches.
2.
During puberty, both the body and physiology undergo changes, with an increase in sex hormones leading not only to the maturation of sexual organs and the emergence of secondary sexual characteristics but also to heightened sexual desire and aggression, accompanied by intense sexual fantasies.
Therefore, experiencing anxiety about sexuality in the early stages of puberty is normal.
Changes in sexual orientation are significantly related to personal growth experiences and the social and cultural environment, and sudden changes can also occur.
3.
This should be considered a normal physiological response during puberty.
4.
It's difficult to say; more conversation is needed for assessment.
I hope the above addresses your concerns :D

Reply Date: 2021/05/01

More Info


Understanding sexual orientation can be a complex and often confusing journey, especially during the formative years of adolescence. Your questions touch on several important aspects of sexual orientation, and I appreciate your willingness to explore these topics. Let’s address each of your questions systematically.

1. Medical Standards for Determining Sexual Orientation: In the medical and psychological fields, there is no definitive test or standard that can determine an individual's sexual orientation. Sexual orientation is generally understood as a pattern of emotional, romantic, or sexual attraction to individuals of the same or different genders. It is often assessed through self-reporting and personal reflection. The American Psychological Association (APA) emphasizes that sexual orientation is a spectrum and can include heterosexuality, homosexuality, bisexuality, and more. The key indicators of sexual orientation include whom you are attracted to emotionally and physically, and your feelings towards those attractions.

2. Changes in Sexual Orientation During Adolescence: It is entirely normal for individuals, especially during their teenage years, to question their sexual orientation. Adolescence is a time of significant hormonal changes and self-discovery, which can lead to fluctuations in feelings and attractions. It is unlikely that you will "suddenly" change your sexual orientation; rather, you may find that your understanding of your attractions evolves over time. Many people experience a range of attractions before settling into a more defined orientation. It’s important to give yourself the space to explore these feelings without pressure.

3. Feeling Excited by Accidental Touch: Experiencing excitement from an accidental touch does not make you "perverted." Human beings are wired to respond to physical sensations, and sometimes these responses can be unexpected. It’s important to differentiate between a momentary physical reaction and a deeper emotional or sexual attraction. If this incident made you reflect on your feelings towards the girl, it could simply be a part of your exploration of attraction, rather than a definitive sign of a sexual orientation.

4. Admiring Peers and Fashion: Finding someone attractive or stylish does not necessarily indicate a sexual attraction. It’s common to admire the aesthetics of others, regardless of gender. This admiration can stem from a variety of factors, including personal taste, cultural influences, and social dynamics. It’s essential to consider the context of your feelings. If you find yourself drawn to certain traits in others, it could be a mix of admiration and potential attraction, which is a normal part of human interaction.

In conclusion, exploring your sexual orientation is a personal journey that can take time. It’s essential to approach this exploration with an open mind and without judgment. Engaging in conversations about sexual orientation, whether in school projects or with trusted friends, can provide valuable insights. If you find that your feelings are causing you distress or confusion, consider speaking with a counselor or therapist who specializes in sexual health and identity. They can provide a safe space for you to discuss your feelings and help you navigate this complex topic. Remember, there is no rush to label yourself; understanding your feelings is a process that unfolds over time.

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