APA symposium to examine sexual identity therapy

Next week (August 17) I will participate in a symposium on sexual identity conflicts at the American Psychological Association annual conference in San Francisco, CA.

Here is the brief description from the association website (scroll down to Division 36):

Div. 36 (Psychology of Religion)

Friday, 2-2:50 p.m.• Symposium: “Sexual Identity Therapy to Address Religious and Spiritual Conflicts.” Co-chairs: Mark A. Yarhouse, PsyD, and A. Lee Beckstead, PhD.Participants: Warren Throckmorton, PhD, Mark A. Yarhouse, PsyD, and Erica S.N. Tan, PsyD.

Click the links above to read the abstracts of the sessions.

This search page supports a search of sexual identity to find further description of the symposium (or just click the link).

Session Title: Sexual Identity Therapy to Address Religious and Spiritual Conflicts

Session Type: Symposium

Division(s): 36

Building–Room: Moscone Center–Room 2016

Location: Second Floor-West Building

Day/Time: Fri/2:00PM – 2:50PM

Event Type: Division Event

The Edge continues “My ex-gay life” series: Dissecting reparative therapy

The Edge’s David Foucher continues his series regarding all things ex-gay with an article today regarding reparative therapy. There are extensive and interesting quotes from Joseph Nicolosi, Clinton Anderson, Jack Drescher, Robert Jay-Green, yours truly and others.

There are a number of quotes that caught my eye. This one from Robert Jay-Green left me scratching my head:

“All these theories are all promulgated by the ex-gay people,” he points out. “They have this theory that distant fathers and overly-close mothers cause homosexuality. Well, that’s been disproved. The research shows that there is no similarities in the pattern of family development in kids who grow up to be lesbian or gay versus kids who grow up to be straight.”

I don’t think that is want he wanted to say. I think he meant no differences.

In fact, there are some differences but they are only of modest effect statistically speaking. In fact, as we have noted here, gay psychotherapist, Joe Kort thinks there are some family dynamics that can lead to homosexual behavior. He believes this homosexual behavior for these actually and essentially straight people can be changed when they get appropriate psychotherapy.

Dr. Nicolosi lays out the core of reparative therapy. As he describes, it is not compatible with the sexual identity therapy framework:

“[Success] occurs by their understanding the causes of their same-sex attraction,” Nicolosi explains. “We call it the three A’s: attention, affection, approval. These are underlying emotional needs that were not fulfilled by their same-sex parent – the father for the male homosexual and the mother for the lesbian.

“There are two jobs [for the patient],” he continues. “The first task is about the past, and the other is about the present. The past aspect is facing the reality that they did not get this love, making it very clear and conscious, and then going through a grief process. They have to grieve that their father never did and never will love them the way they need to be loved – to the extent they need it. And what that does is free them up from the illusion that they are going to get it somehow either by that father or by somebody else of the same sex.”

According to Nicolosi, the next challenge is to replace that need with an emotional connection in their present.

“[They need to] get those needs met thought a relationship with other men,” he says. “The focus is not on not having gay sex… it’s putting the emphasis on making deep emotional attachments. And we have seen that when these men make deep emotional attachments to other men, their sexual interest diminishes.”

While for people who did have problems with parents, there can be some value in acceptance and grieving. However, presenting this scenario to clients as a general explanation for all attractions to the same sex is not consistent with the sexual identity therapy framework. As I noted in this Edge article, I do not believe the research support is there. Thus, we cannot tell clients we know something we don’t know, but rather theorize.

More on the APA, religion, and homosexuality

The Christian Post’s Lillian Kwon writes this morning about the call from Richard Rothstein to criminalize conversion therapy. She extensively quotes Tim Wilkins about the controversies surrounding the matter.

Tim Wilkins asks a question near the end of the piece that I want to briefly address:

“Since when did the church of Jesus Christ delegate its responsibility to healing people’s hurt to some source outside the church?”

While Wilkins doesn’t negate the benefits of counseling or therapy, he pointed to the Church as “God’s primary source of healing” the hurt.

“In one sense, it is easier for evangelical Christians to passionately pound the APA right now regarding this possible move (to ban therapy) than it is to recognize and to implement our responsibility as Christians to share the life-changing gospel of Jesus Christ,” Wilkins stressed.

I ask in reply: What hurt are we talking about? The gospel changes lives but as I understand orthodoxy, it may not change inclinations. I agree that the APA is not the Church of APA and I resist their efforts to take sides in religious debates. However, the mission of the church as I understand it is not primarily a therapeutic one. Health and wellness gospel adherents may take exception but I submit that a change in sexual inclinations is not an inevitable by-product of Christian conversion. I believe many people have been promised this to their eventual great frustration.

I may be misunderstanding Tim here. My reaction is based in concerns that much ex-gay ministry tries too hard to be therapeutic changers of orientation and not ministers focused on support for congruence with church teaching.

Here is a question that I hope to address and expand on in time: What is the proper focus of sexual identity ministry? Change of sexual inclination or loving support for participants to develop congruence with church teaching?

CNN to discuss APA task force today

If not bumped by breaking news (e.g., Iraq, Holsinger nomination, Paris Hilton sneezes), I will be on CNN today at approximately 1:40pm Eastern Standard Time opposite psychiatrist Benjamin McCommon. Topic: The APA task force and the initiative of the religious coalition reported in last week’s AP article.

Video of the segment is now up on You Tube: