Reparative Therapy Makeover Continues: When Reparative Isn’t Reparative

Past president of the National Association for the Research and Therapy of Homosexuality is trying really hard to distance her organization from history and the organization’s leaders. In an article posted on NARTH’s website, Hamilton comments on her recent appearance on the Dr. Oz show (see my posts on that subject here and here) and makes a case that

…the term “reparative” never referred to trying to “repair” someone. It was originally used to refer to the “Reparative Theory” that when a child does not receive adequate same-sex bonding in childhood, homosexual attractions will develop as a “reparative drive” for those unmet needs.

She is correct here about the term reparative referring to a psychological drive. Proposed by Elizabeth Moberly and Joseph Nicolosi, the drive is not a positive development in reparative theory because the person experiences it in response to a deficit in relationship with the same-sex parent. The drive itself is trying to fix something that the reparative therapist believes is broken. Reparative therapists try to help same-sex attracted clients see that their attractions are futile efforts to repair and fill those unmet needs. While Hamilton is right in her explanation, I don’t think it changes much when it comes to how reparative therapists see homosexuality.  The client is still broken and in need of a different kind of repair than the homosexual reparative drive offers. In what will seem surprising to long time NARTH watchers, Hamilton claims that reparative therapy is just one of many change therapies promoted by NARTH.

NARTH does not use the term “Reparative Therapy” to refer to therapy for unwanted homosexual attractions.

She adds:

In actuality, “Reparative Therapy” only refers to one approach used by some therapists. However, there are many therapists who work with unwanted homosexual attractions, many of whom use combinations of other therapeutic methods. Therefore, a more inclusive term to describe this work would be therapy for unwanted homosexual attractions.

I would like to know what some of those other approaches are. She says they exist but she doesn’t give any specifics. The appeal to a more general terminology for NARTH’s work appears to be part of the recent makeover. NARTH carries this through into their court challenges to California’s new law banning change therapies for minors. In the Liberty Counsel brief, the term “sexual orientation change effort” (SOCE) is preferred. However, in the real world, three of the four plaintiffs in the NARTH case against Governor Brown are reparative therapists – David Pickup, Joseph Nicolosi, and Robert Vazzo. On page 19 of the complaint, Pickup is described as a consumer of “authentic SOCE counseling.”

As an adult, Mr. Pickup underwent authentic SOCE counseling, created by Dr. Joseph Nicolosi, for several years.

The only counseling created by Joseph Nicolosi is reparative therapy. In fact, Pickup acknowledges this on one of his websites:

David H. Pickup is a licensed Marriage and Family Therapist, currently operating his private psychotherapy practice in Burbank, California. He works primarily with men dealing with same-sex attraction through Reparative Therapy, (also commonly called Reorientation Therapy), which was created by Dr. Joseph Nicolosi over the past twenty years . David underwent extensive training in Reparative Therapy for three years underneath the direction of Dr. Nicolosi at Thomas Aquinas Psychological Clinic in Encino, California. He now offers expert training in this therapy to other therapists, either in person or via the internet for interns and therapists all over the world.  Reorientation Therapy is his primary focus and life’s work; assisting men and boys in healing their masculine wounds and helping them in their transformation out of homosexuality into heterosexuality.

Later in her article, Hamilton says that

NARTH represents licensed, ethical therapists who practice mainstream approaches to therapy in their offices. When we are talking about therapy, we are NOT referring to unorthodox approaches, nor are we referring to ministries, retreats, residential programs or any other form of help other than conventional therapy offered by licensed professionals in their offices.

Actually, some NARTH reparative therapists do recommend unorthodox methods and retreats. As noted earlier this week, David Pickup recommends the Mankind Project’s New Warriors Training Adventure where nudity is practiced and men are encouraged to run through a gauntlet of men to grab tennis balls or oranges symbolizing their testicles. Tennis racquets are used to beat pillows while visualizing parents or others. These are the kinds of things that have been described as taking place during JONAH counseling sessions in a suit filed by the Southern Poverty Law Center. To my knowledge, NARTH has not spoken out against these practices. But then how could they? New Warrior David Pickup has represented NARTH in the CA legislature, and on numerous talk shows. While it is understandable that Hamilton wants to portray NARTH as mainstream, the public faces of NARTH in their court cases and media appearances have been reparative therapists, some of whom recommend the very techniques which NARTH says they don’t recommend. If NARTH wants to be taken seriously as mainstream, they need to come out clearly and strongly against catharsis and “guts work” techniques associated with New Warriors and Journey into Manhood. However, I don’t see how they can. The membership numbers would plummet.

UPDATE: There is another case challenging CA’s SB 1172, this one being brought be the Pacific Justice Institute. One of the plaintiffs in that case is NARTH member, Anthony Duk. During the fight over the bill, Duk wrote to bill author Ted Lieu. It certainly seems like NARTH is fighting for reparative therapy given that Dr. Duk is one of the plaintiffs in the suit.

Dear Senator Lieu, As a Vietnamese American psychiatrist, I have seen many young male patients grow up without father figures in a world that is very tough. They end up with lots of abuse (psychological, verbal, sexual, physical) that denies their masculinity and pushes them to have very low self esteem. Without reparative therapy to help them become men and understand their full potential in society as fathers and husbands, they wind up with a false identity of homosexuality and being ‘gay’. Reparative therapy works. It is a process of re-parenting, forgiving past traumas, understanding the self and realizing that one’s purpose in life is and how to contribute to society. Please give me a call to discuss my opposition to SB 1172 if you have any questions. Anthony Duk, MD

More in this series: The Reparative Therapy Makeover Continues: No Naked Therapy? The Reparative Therapy Makeover: Orange You Glad I Didn’t Say Banana?

Uganda Watch: Parliament to Adjourn Until 2013 Without Action on Anti-Homosexuality Bill

According to Parliament spokeswoman Helen Kawesa, Parliament will adjourn today until February 4, 2013. After considering the Accountants Bill, Parliament will begin a Christmas recess with the next scheduled sitting being in the new year. Thus, the Anti-Homosexuality Bill will not have a second reading until at least February of next year.

Today’s order paper is out and lists the Anti-Homosexuality Bill in the section of Business to Follow but today the item slipped to 7th place on the list of matters to be brought before Parliament next year.

New Paper Proposes Epigenetic Pathway to Homosexuality (UPDATED)

I am still reading the paper by William Rice, Urban Friberg and Sergey Gavrilets (available for review here) and have asked several other scientists for their opinion of it.  It is a complex argument but one which initially seems compelling to me.

Here is the abstract:

Male and female homosexuality have substantial prevalence in humans. Pedigree and twin studies indicate that homosexuality has substantial heritability in both sexes, yet concordance between identical twins is low and molecular studies have failed to find associated DNA markers. This paradoxical pattern calls for an explanation. We use published data on fetal androgen signaling and gene regulation via nongenetic changes in DNA packaging (epigenetics) to develop a new model for homosexuality. It is well established that fetal androgen signaling strongly influences sexual development. We show that an unappreciated feature of this process is reduced androgen sensitivity in XX fetuses and enhanced sensitivity in XY fetuses, and that this difference is most feasibly caused by numerous sex-specific epigenetic modifications (“epi-marks”) originating in embryonic stem cells. These epi-marks buffer XX fetuses from masculinization due to excess fetal androgen exposure and similarly buffer XY fetuses from androgen underexposure. Extant data indicates that individual epi-marks influence some but not other sexually dimorphic traits, vary in strength across individuals, and are produced during ontogeny and erased between generations. Those that escape erasure will steer development of the sexual phenotypes they influence in a gonad-discordant direction in opposite sex offspring, mosaically feminizing XY offspring and masculinizing XX offspring. Such sex-specific epi-marks are sexually antagonistic (SA-epi-marks) because they canalize sexual development in the parent that produced them, but contribute to gonad-trait discordances in opposite-sex offspring when unerased. In this model, homosexuality occurs when stronger-than-average SA-epi-marks (influencing sexual preference) from an opposite-sex parent escape erasure and are then paired with a weaker-than average de novo sex-specific epi-marks produced in opposite-sex offspring. Our model predicts that homosexuality is part of a wider phenomenon in which recently evolved androgen-influenced traits commonly display gonad-trait discordances at substantial frequency, and that the molecular feature underlying most homosexuality is not DNA polymorphism(s), but epi-marks that evolved to canalize sexual dimorphic development that sometimes carryover across generations and contribute to gonad trait discordances in opposite-sex descendants.

The Christian Post did a quick piece on this study but did not interview anybody with any expertise about the research. Instead, they reached out to David Pruden who made the following statement:

“The theoretical model itself attributes only 10-14 percent of the factors to genetics or epigenetics. That leaves the remaining 85 percent or so of the factors to environmental influences,” said Pruden.

I don’t see anything like that in the paper so I can’t evaluate what he is claiming here. This sounds like the usual NARTH misreading of the genetic evidence but not the Rice et al paper.

UPDATE: Dr. Rice wrote to say that Pruden’s account is inaccurate. In response to my question: “Are you intending to account for homosexuality whenever it occurs?” Dr. Rice replied:  “Yes, we think that carry-over epi-marks have the potential to account for most homosexuality.” 

More to come…

The Reparative Therapy Makeover: Orange You Glad I Didn’t Say Banana?

In the complaint filed by the Southern Poverty Law Center against Jews Offering New Alternatives for Healing (JONAH), there are strange allegations made by the plaintiffs.  One of the strangest is the following from page 16 of the SPLC complaint:

orangesJONAH

In this paragraph, Alan Downing is a life coach who works for JONAH and was until recently recommended by Richard Cohen’s International Healing Foundation. Ferguson is one of the plaintiffs represented by the Southern Poverty Law Center. While some defenders of reparative therapy might think the plaintiffs are making this stuff up, the allegations sound believable to me.

The scenario in the complaint sounds like a description of the “Getting His Balls Back” technique suggested in manuals used to guide the New Warriors Training Adventure as put on by the Mankind Project.  Over the years, JONAH and NARTH leaders have recommended the New Warriors Training Adventure as a means of building masculinity and reducing same-sex attraction so it is not surprising to see the same processes used in their efforts with clients.

The Balls Back process is described in this 2002 manual (p. 12) written for NWTA by Steve Kushner:

BALLS BACK

WHEN TO USE

– He has given up or lost his power, masculinity or balls to someone and he wants it/them back

WHAT TO DO

– Place 2 tennis balls or oranges in Bad Role Player’s hands that are behind his back

– ASK HIM:

“Does he/she have your power, masculinity, balls?”

“Are you ready to take it/them back?”

(Have Bad Role Player bring hands out in front and taunt initiate)

– TELL HIM:

“The time is now, the place is here!” (emphasis added)

And then in this 2005 “Guts Guide” (Warriors call these processes “guts work”) by Martin Lassoff, the process is described in more detail.

2. Getting His Balls Back

When the initiate feels he has lost his courage, power or maleness to someone and wants to get it back, this is referred to as Getting His Balls Back. This process includes a Gauntlet.

Position a man at the end of a Gauntlet holding oranges or tennis balls (symbolizing his balls). (emphasis added)

The Gauntlet is described in the SPLC complaint as a “human chain” which the client must break through in order to grasp the oranges. This achievement is supposed to symbolize the client getting his “balls back.”

A book by Steven Segell which includes a description of a New Warriors weekend also outlines the process:

orangesJONAH2Segell

At 1:25 in this Colbert Report, Michael Ferguson described the technique for CNN (really you must watch the whole thing).

So it seems clear that the “oranges therapy” is derived from processes associated with the Mankind Project, an organization which Joseph Nicolosi, Arthur Goldberg, David Pickup and Richard Cohen have recommended.

Speaking of David Pickup, he told NBC News “I don’t do oranges therapy, and I don’t do naked therapy.” I established last week that as a New Warrior staff member, Pickup has recommended the New Warrior Training Adventure which involves nudity. Now today, I document that the very same “oranges therapy” Pickup said he didn’t do is also recommended by reparative therapists.

Uganda Watch: Anti-Homosexuality Bill Moved Down the List of Business to Come

In what appears to be a good sign, Parliament’s agenda for today has the Anti-Homosexuality Bill moved down to item number 6 on the listing of business to come.  From today’s order paper:

NOTICE OF BUSINESS TO FOLLOW

 1.         BILLS SECOND READING  THE PETROLEUM (REFINING, GAS PROCESSING AND CONVERSION, TRANSPORTATION AND STORAGE) BILL, 2012

2.         CONSIDERATION AND ADOPTION OF THE REPORT OF THE SESSIONAL COMMITTEE ON PRESIDENTIAL AFFAIRS ON THE PETITION AGAINST ILLEGAL/UNJUST REMOVAL FROM SERVICE AND BREACH OF CONTRACT BY THE UGANDA PUBLIC EMPLOYEES UNION (Chairperson, Committee on Presidential Affairs)

3.        CONSIDERATION AND ADOPTION OF THE REPORT OF THE COMMITTEE ON THE NATIONAL ECONOMY ON THE STATE OF THE ECONOMY (Chairperson, Committee on National Economy)

4.        CONSIDERATION AND ADOPTION OF THE REPORT ON THE ADHOC COMMITTEE INVESTIGATING THE ENERGY SECTOR (Chairperson, Adhoc Committee on Energy Sector)

5.        CONSIDERATION AND ADOPTION OF THE REPORT OF THE COMMITTEE ON NATIONAL ECONOMY ON THE REQUEST BY GOVERNMENT TO BORROW SDR 87.1 MILLION (USD 135.0M) FROM THE INTERNATIONAL DEVELOPMENT ASSOCIATION (IDA) OF THE WORLD BANK GROUP FOR FINANCING OF THE WATER MANAGEMENT AND DEVELOPMENT PROJECT (WMDP) (Hon.  Minister of Finance, Planning and Economic Development)

6.         THE ANTI-HOMOSEXUALITY BILL, 2012

7.         MOTION FOR A RESOLUTION OF PARLIAMENT TO URGE GOVERNMENT TO BAIL OUT SEMBULE STEEL MILLS LTD FROM THE INTENDED SALE OF ITS PROPERTIES

8.         THE PUBLIC ORDER MANAGEMENT BILL, 2012

9.         REPORT OF THE COMMITTEE ON SCIENCE AND TECHNOLOGY ON THE STATUS OF SCIENCE AND TECHNOLOGY IN PUBLIC UNIVERSITIES

10.       REPORT OF THE COMMITTEE ON SCIENCE AND TECHNOLOGY ON THE AFRICAN SPACE RESEARCH PROGRAM (ASRP)

11.       PETITION AGAINST THE OFFICIAL RECEIVER OF UGANDA ELECTRICITY BOARD (UEB) AND UEB (IN LIQUIDATION) FOR NON-PAYMENT OF GRATUITY

The Accountants Bill is on the agenda for current business as are various petitions and a motion regarding HIV/AIDS policy. Given the pace of action thus far, it appears to me that the anti-gay bill will not considered before the December 15 recess.