Even in countries where LGBT persons are free to serve in the military, activists lament that there remains room for improvement.
When first played, most Sims either have a completely neutral preference or a slight preference for (or rarely against) one gender.
A Sim's preference scores gradually change as he/she interacts romantically with other Sims during gameplay.
In 2007, a task force of the American Psychological Association undertook a thorough review of the existing research on the efficacy of reparative therapy for.
Their report noted that there was very little methodologically sound research on sexual orientation change efforts (SOCEs) and that the "results of scientifically valid research indicate that it is unlikely that individuals will be able to reduce same-sex attractions or increase other-sex sexual attractions through SOCE." In addition, the task force found that "there are no methodologically sound studies of recent SOCE that would enable the task force to make a definitive statement about whether or not recent SOCE is safe or harmful and for whom." The diagnostic category of "ego-dystonic homosexuality" was removed from the American Psychiatric Association's DSM in 1987 (with the publication of the DSM-III-R).
History has seen societies that both embrace and shun openly gay service-members in the military.