Current attitudes and developments in society and the Christian community place more responsibility on Christian counselors and psychotherapists to be aware of biblical wisdom and scientific knowledge in working with homosexually oriented clients. Several etiological explanations are reviewed; those relating to family pattern dynamics appear promising and are related to biblical teachings regarding marriage and the familly. The concept of developmental recapitulation as a means of guiding therapy is discussed and related to a mode of multiple therapy with male clients having homosexual concerns.