This article proposes an integral approach to sexual identity development that broadens the discussion beyond science and religion or nature versus nurture. A four-quadrant exploration of the research on the origins of sexual identity reveals much more complexity and highlights potential points for social justice interventions as well as ideas to enhance personal spiritual transformation.
MICHELE (MICKEY) ELIASON, Ph.D., is on the faculty at San Francisco State University, where she teaches courses about sexuality and health and continues a lifelong study of LGBT development and health. Prior to this position, she co-founded and directed a Sexuality Studies Program at the University of Iowa, and taught in the College of Nursing. She has previously published articles that apply an integral approach to substance abuse treatment, cross-cultural ideas of spirituality, and drug craving.