Sexual orientation: An elusive concept

I have been way busy of late, more than usual, hence little time for the real important stuff – like blogging. The thread regarding sexual orientation theorizing has been pretty active, although for reasons that I did not anticipate. I thought perhaps readers would discuss the APA statement and how researchers are backing away from strong statements about causation. I thought some additional discussion might occur regarding NARTH and the prominence of psychoanalytic concepts there.

However, the discussion has revolved around definitions of sexual orientations. I have observed that the concept of sexual orientation is multi-faceted and continuous. However, we persist in wanting discreet, categorical labels to aid communication. These are understandable tensions; scientists want something to measure and everyday usage requires description to facilitate common communication.

So here is something to keep us occupied until the sexualorientationomometer is invented – how do you define the terms? No critical comments, please. Simply bring us definitions and/or descriptions of sexual orientations and SO itself. If you find the definition somewhere, like in a textbook (sexual orientation is…), then please cite the reference for us all to review.

Sexual orientation theorizing: Is change possible?

I post often about causal factors in sexuality; such factors are puzzle pieces that interest me (along with other human traits and variations). In addition, the intersection of personal values and sexuality ratchets up the interest level. Thus, the recent article, “Respecting Ex-gays”by John Corvino is a must read.

Corvino wants to take a live-and-let-live approach. He ends his piece with a familiar, but altered soundbite:

So when ex-gays announce, from billboards and magazine ads, that “Change is possible,” I say: Possible? Maybe. Likely? No. Desirable? Not for me, thanks.

He is fine with being gay and wants ex-gays to respect him in the same way he wants to respect their right and responsibility to steward their lives according to conscience.

He notes three problems he perceives among ex-gay ministries in general that will lead me to the next part of this post. First is “their tendency to promote myths about the so-called “homosexual lifestyle” by generalizing from some people’s unfortunate personal experiences.” He notes that testimonies of promiscuity and unhappiness do not describe his life and should not be taken as true of all same-sex attracted people.  Next, he laments “the ex-gay ministries’ abuse of science” saying, “Ex-gay ministries tend to lean on discredited etiological theories—domineering mothers, absent fathers, and that sort of thing.” Finally, he says, “The third and related problem is that many ex-gay ministries promote not merely a ‘change,’ but a ‘cure.’ ‘Cure’ implies ‘disease,’ which homosexuality is not.

Although I might quarrel with degrees, I essentially agree with Corvino’s assessment here. Along with the recent shifts in Exodus away from promoting public policy stances, I am hopeful that the issues of research and use of science will be vigorously addressed as well.

On the point of shifts in views of causation, Dean Byrd at NARTH has an article on the NARTH website giving some cautious kudos to the APA for a revised pamphlet regarding sexual orientation. The subtitle of his article is “The APA has now begun to acknowledge what most scientists have long known: that a bio-psycho-social model of causation best fits the data.”

Contrasting the original edition of the pamphlet with the new one, Byrd believes the current statement is more accurate. The new statement reads,

What causes a person to have a particular sexual orientation?

There is no consensus among scientists about the exact reasons that an individual develops a heterosexual, bisexual, gay, or lesbian orientation. Although much research has examined the possible genetic, hormonal, developmental, social, and cultural influences on sexual orientation, no findings have emerged that permit scientists to conclude that sexual orientation is determined by any particular factor or factors. Many think that nature and nurture both play complex roles; most people experience little or no sense of choice about their sexual orientation.

In response, Byrd opines:

Although there is no mention of the research that influenced this new position statement, it is clear that efforts to “prove” that homosexuality is simply a biological fait accompli have failed. The activist researchers themselves have reluctantly reached that conclusion. There is no gay gene. There is no simple biological pathway to homosexuality. Byne and Parsons, and Friedman and Downey, were correct: a bio-psycho-social model best fits the data (italics in the original).

My first thought after reading this paragraph was that those I know who are researching pre-natal factors have not concluded any such thing, reluctantly or not. Furthermore, the lack of current evidence for biological theories does not disprove a potential, now-unknown biological influence, nor does lack of strong evidence for general inborn factors prove true a bio-psycho-social model. Next, I wondered what that model looked like. As far as I can discern, all bio-psycho-social really means is that there are many factors and we do not know how they interact to yield adult sexual orientation.

Then I wondered when NARTH would make an APA-like statement about theorized environmental factors such as child abuse and same-sex parenting deficits. What if NARTH acknowledged “what most scientists have long known: that a bio-psycho-social model of causation best fits the data?” Wouldn’t there be a need for a statement cautioning readers of their materials that evidence for parenting playing a large or determining role is meager? Paralleling Dr. Byrd’s assessment of the APA pamphlet, shouldn’t NARTH say with italics, “There is no homogenic family. There is no simple familial pathway to homosexuality.” Appeals to those theories criticized by Corvino would be less frequent, right? Hey, changes are happening all over, why not this?

I wrote Dean and asked him about NARTH’s stance. He answered for himself by saying,

I think that the bio-psycho-social model of causation makes it clear that there is neither a simple biological or environmental pathway to homosexuality.

While I think NARTH should go much further, this statement may be the start of a more nuanced position from them. I would not go so far as Corvino did and say that familial factors have been discredited. On point, this is not what the APA said at all. What we should be saying is that there are many lines of research open with many factors under investigation. It appears pre-natal and post-natal factors play different roles for different people. Beyond that, the subject is still under study.

Would this change be so hard?

California court says parents must be credentialed to home school

Should home schooling parents have teaching degrees? A California court believes so. The transcript of the court ruling is linked in this Mercury News article.

Apparently, these parents thought they had their kids in an approved private school but the judges in this child abuse case thought otherwise.

My suspicion is that this ruling will not be sustained by higher courts.

House passes mental health parity legislation

I posted about HR 1424 recently, noting that the mental health parity bill was going to be voted on soon. On Wednesday, the House of Representatives passed HR 1424. See this New York Times report for details.

Today an email from the American Mental Health Counselors Association HQ provided more background.

E-News from Washington

Vol. 08-12

March 6, 2008

 

House Passes Historic Parity Legislation!

 

On March 5th the House of Representatives passed comprehensive legislation requiring private health insurance plans to use the same treatment limitations and financial requirements for mental health and addictive disorder coverage as is used for substantially all other covered services. H.R. 1424, the “Paul Wellstone Mental Health and Addiction Equity Act of 2007,” introduced by Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN), was passed with strong bipartisan support by a vote of 268-148. (House members’ votes are listed online at http://clerk.house.gov/evs/2008/roll101.xml.) The legislation is named for the late Senator Paul Wellstone of Minnesota, a tireless advocate for Americans with mental illness.

 

House passage of H.R. 1424 is an historic step forward for mental health and addiction treatment advocates, and comes after years of hard work by the mental health and addictive disorder advocacy community. Although similar in many respects to legislation passed last year by the Senate, H.R. 1424 provides more consumer protections by requiring plans covering mental and addictive disorder treatments to cover the full range of disorders recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM)—the same range of disorders as is covered for members of Congress and all other federal employees under long-standing requirements for Federal Employee Health Benefits Program (FEHBP) policies. Unlike the Senate’s bill, H.R. 1424 also stipulates that health plan covering out-of-network services for medical and surgical benefits must also offer out-of-network coverage for mental health and addictive disorder benefits. This requirement applies for both outpatient and inpatient care.

 

AMHCA and ACA applaud Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN) for their long, hard, heroic work in gaining House passage of H.R. 1424. During floor debate, both Kennedy and Ramstad spoke about their own personal battles with mental and addictive disorders, their treatment, and how their treatment has enabled them to lead productive lives. AMHCA and ACA also thank those counselors who took the time to contact their representative on this issue.

 

Attention now shifts to House-Senate negotiations to reconcile their chambers’ versions of the parity legislation. Like the business community, the Bush administration argued in favor of the weaker Senate version, issuing a statement of policy expressing opposition to H.R. 1424. Despite this, AMHCA, ACA and other mental health and addictive disorder advocates are now working to build upon the strong bipartisan support for H.R. 1424 and the unanimous passage last year of the Senate’s bill, to encourage the development and enactment of parity legislation that provides consumer protections that are as strong as possible.

Beth Powell

Director, Public Policy and Professional Issues

American Mental Health Counselors Association

I recognize some social conservatives and business advocates do not favor parity. However, I see this as a very family friendly legislation. Severe mental disorders sap the resources of working families and are leading causes of disability. If this bill is law, managed care companies/insurers will still be able to deny inappropriate care for the questionable diagnoses in the DSM (e.g., caffiene intoxication) but will not be able to deny appropriate care for those who need it.

Exodus International turns full focus on ministry, away from public policy

I welcome this announcement – Exodus President Alan Chambers disclosed on ExgayWatch this evening that Exodus let their Director of Government Affairs go in August, 2007 and is going to concentrate on ministry.  His personal blog contains additional personal reflections on a recent thread at XGW authored by Wendy Gritter, Director of New Direction ministry.  Early in February, I was pleased to highlight Wendy’s keynote address at the Exodus Leadership Conference where she called for a change of focus at Exodus.

I believe additional shifts called for by Mrs. Gritter would be helpful, including steps to make resources more scientifically accurate. For now, I wholeheartedly commend the leadership of Exodus for these moves.