Thoughts on the status of the Reorientation Wars

So now that the dust has started to settle from the APA convention in Toronto, let’s review the status of the Reorientation Wars.

Does therapy change orientation?

In anticipation of the APA’s report, NARTH fired an opening salvo with their paper (What Research Shows…). Perhaps sensing, incorrectly as it turns out, that the APA would advocate a ban on reorientation therapy, NARTH tossed every positive reference to change they could find into the paper. They noted problems in defining sexual orientation but did little to distinguish the various definitions and their meaning in the many studies they cited. They concluded, of course, that therapy can change orientation.

The APA on the other hand, differentiated sexual orientation and sexual orientation identity. Sexual orientation for them is the biological responsiveness to one gender or both. According to their literature review, the evidence that therapy can change orientation is not sufficient to permit therapists to inform clients that therapy can change their orientation. However, sexual orientation identity (i.e., self-labeling) may shift and be responsive to a variety of factors, including religious mediation.

It seems to me that what NARTH is calling sexual orientation includes the APA’s sexual orientation identity. While this statement risks taking us into the “all or nothing” dead end discussion about change, I do not mean that one must change completely for change to be important and psychologically relevant. I suggest instead that what many studies measure is how people see themselves, even if their sexual responsiveness (orientation) has only shifted by a degree (e.g., an average of less than a point on the Kinsey scale in the Jones and Yarhouse study). Jones and Yarhouse suggest as much in their recent paper when they write:

There is also the question of sexual identity change versus sexual orientation change (see Worthington & Reynolds, 2009). Recent theoretical (e.g., Yarhouse, 2001) and empirical (e.g., Beckstead & Morrow, 2004; Yarhouse & Tan, 2004; Yarhouse, Tan & Pawlowski, 2005; Wolkomir, 2006) work on sexual identity among religious sexual minorities suggests that attributions and meaning are critical in the decision to integrate same-sex attractions into a gay identity or the decision to dis-identify with a gay identity and the persons and institutions that support a gay identity. In light of the role of attributions and meaning in sexual identity labeling, is it possible that some of what is reported in this study as change of orientation is more accurately understood as change in sexual identity?

I believe the answer to their question is that it is not only possible but probable that change in sexual identity is what is being reported. The distinction between orientation and identity (or attraction and identity as we often describe it here) is key, in my view, in order for us to understand the experience of those who say they have changed while at the same time experiencing same-sex attraction. I also believe that men and women are different and their change may be different. Women seem to describe less exclusivity than men. Fluidity may be more likely with complete shifts described. I think we need to accommodate atypical experiences such as men and women who completely shift for a time and then shift back. Whatever the pattern, I hope we can agree that sexual attraction patterns may be one thing while meaning making aspects may lead two people with the same attraction pattern to identity in disparate ways.

Is sexual reorientation harmful or beneficial?

NARTH says reorientation might harm some people but that for the most part it is not harmful. The APA says existing studies are not good enough to allow conclusions. Point for the APA here. All we can say is that some people report harm and some people report benefit. The APA notes that the benefits can occur in programs which promote congruence with religious faith. This is clear and the Jones and Yarhouse study demonstrate that health status improves modestly for those who remained in the study. However, I would say we do not yet know much about what the potent or beneficial elements of those programs are. The APA report identified some of those elements.

Homosexuality and pathology

NARTH says homosexuals have more pathology than any other group of similar size. The APA says homosexuality is normal. By this they mean that homosexuality is not a developmental disorder or indicator of a mental disorder. The two recent reports go off in different directions but some observations can be made.

The NARTH report spends lots of time reporting on greater levels of mental health and health problems among homosexuals as compared to heterosexuals. The APA report does not do this. However, I believe the point regarding different levels of symptoms would be stipulated by the APA. However, the APA raises the minority stress model as responsible for many difficulties faced by non-heterosexual people. The NARTH report discounts the role of stigma.

I doubt the APA would dispute the health status data for another reason: greater group pathology does not mean inherent disorder. The APA’s position is not that gays have equal health outcomes but rather that the unequal health outcomes do not imply inherent pathology – that SSA is not inherently the result of pathological development. This is of course in great contrast to the reparative therapists. Joseph Nicolosi says that the only way you get SSA is to traumatize a child.

The reparative impulse to find trauma behind every gay person is misguided I believe, conceptually and for sure empirically. Women have greater levels of mental health problems than men but we would not consider women inherently disordered. NARTH has chosen some good studies to cite in the section of their paper which relates to health status (as well as some really bad and irrelevant ones). However, I don’t think it really gets them where they want to go.

And where do they want to go? This is clear from their press release complaining about the APA task force report. They state:

Further, if some clients are dissatisfied with the therapeutic outcome [of reorientation therapy], as in therapy for other issues, the possibility for dissatisfaction appears to be outweighed by the potential gains. The possibility of dissatisfaction also seems insignificant when compared to the substantial medical, emotional, and physical risks associated with homosexual behavior.

NARTH would suggest that these medical and emotional risks, along with the incongruity of homosexual behavior with the personal and religious values of many people will continue to be the motivation for some individuals to seek assistance for their unwanted homosexual attraction.

According to NARTH, gays ought to seek reorientation therapy because being gay is a risky life, full of health and mental health disadvantages. Their hypothesis is implied but hard to miss: reduce the SSA and reduce the health risks. The assumption appears to be that ex-gays will have better health outcomes than gays. One problem with this line of thinking is that there is no empirical evidence for it and some evidence against it.*

One researcher quoted in the NARTH paper regarding health risks was New Zealand’s David Fergusson. Dr. Fergusson has done significant work in this field. I asked him to look at the section of the NARTH paper in which his work was quoted. Here is a statement he provided about it:

While the NARTH statement provides a comprehensive and accurate analysis of the linkages between sexual orientation and mental health, the paper falls far short of demonstrating that homosexuality should be classified as a psychiatric disorder that may be resolved by appropriate therapy. To demonstrate this thesis requires an in depth understanding of the biological and social pathways that explain the linkages between homosexual orientation and mental health. At present we lack that understanding. Furthermore it is potentially misleading to treat what may be a correlate of mental disorder as though it were a disorder in its own right.

Fergusson also told me that one would need to develop studies to demonstrate that any changes in orientation associate with improvements in health status. The Jones and Yarhouse study provide some very general assessment but many potential confounds are uncontrolled. For instance, it is not possible to say that the modest shifts on the Kinsey scale were responsible for the shifts in health status. These folks were quite religious and religion is associated with enhanced health status. I suspect religious gays have a better health status than non-religious gays, on average. The point is we do not have evidence that sexual orientation status per se is what leads to the differences in health status.

While I am on the subject of health status, I need to mention that there are other factors which NARTH ignored. One, gender non-conformity is strongly correlated with adult homosexuality and is also associated with poorer mental health. Two, homosexuals report higher levels of sexual victimization which is also associated with higher levels of mental health problems. And, three, no one can discount the possibility that biological factors which associate with the development of homosexuality may also influence the development of emotional problems (i.e., in the same way women are more likely to report depression than men).

So where are we? I hope we have a larger middle and smaller numbers of people at the opinion extremes. People on both sides can agree that erotic responsiveness is extremely durable for men and perhaps less so for women, but behavior and self-identity reflection is alterable. People on both sides agree that conclusions about benefit and harm are not possible in any general sense. Also, I hope we can agree that full informed consent should be conducted prior to engaging in counseling. Regarding health status, both sides can agree that homosexuals have higher levels of problems but there is little agreement about what the differences mean.

Those on the far sides of the continuum will continue to argue that change is possible or change is impossible, and/or that reorientation is always harmful or never harmful and/or that health status difference mean something vital or irrelevant about inherent pathology.

The wars will continue but perhaps fewer people will be engaged in them; now is the time rather to reason together.

*Nottebaum, L. J., Schaeffer, K. W., Rood, J., & Leffler, D. (2000). Sexual orientation—A comparison study. Manuscript submitted for publication. (Available from Kim Schaeffer, Department of Psychology, Point Loma Nazarene University, 3900 Lomaland Drive, San Diego, CA 92106) – In this study, the authors found that mental health was better among the gay sample than the Exodus sample.

Get Religion discusses media coverage of the APA report

The Get Religion blog has two entries up today discussing media coverage of the APA sexual orientation and therapy report. The first one deals with the articles by the Associated Press, Washington Times, and Baptist Press.

The second one hearts the Wall Street Journal article by Stephanie Simon which discusses the sexual identity therapy framework and the APA report.

FYI

Jones and Yarhouse Exodus study follow up

This morning at the American Psychological Association annual convention, Stanton Jones and Mark Yarhouse are presenting their Time 6 and final follow up to the study of Exodus participants seeking change of orientation. The paper is titled, Ex Gays? An Extended Longitudinal Study of Attempted Religiously Mediated Change in Sexual Orientation. They are presenting these data as a part of a APA symposium titled Sexual Orientation and Faith Tradition Symposium chaired by Dean Byrd.

You can review the paper in full so I will only highlight a few points in the post.

The paper begins by recounting the skepticism toward change evinced by the professional mental health associations. Then, they note an important limit and hypotheses of the study:

Our study addresses the generic questions of whether sexual orientation is changeable, and whether the attempt is intrinsically harmful, by focusing only on the religiously mediated approaches to change; this is not a study of professional psychotherapy. Our hypotheses for this study were taken directly from the prevailing professional wisdom: We hypothesized 1) sexual orientation is not changeable, and 2) the attempt to change is likely harmful. We already cited the American Psychological Association’s (2005) claim that sexual orientation “is not changeable.” Regarding harm, our study was framed in light of the American Psychiatric Association’s (1998) claim that the “potential risks of ‘reparative therapy’ are great, including depression, anxiety and self-destructive behavior.” The tools of scientific study are ideally suited to investigate empirically such strong, even absolute claims.

I bolded the statement about the study not being an examination of psychotherapy because I predict that NARTH affiliated therapists and various religious conservative groups will not clearly communicate this point when messaging the results of this study. Despite the fact that Christian self-help groups are different than therapy as practiced by many psychodynamic therapists, I suspect some therapists will hope the public does not catch the distinction.

Now for some results. Retention is sure to be an issue as this study is discussed:

Retention. We began with 98 subjects at T1. Our sample eroded to 73 at T3, a retention rate of 74.5%. This retention rate compares favorably to that of respected longitudinal studies. 63 subjects were interviewed or categorized at T6, for a T1 to T6 6 to 7 year retention of 64%.

Kinsey scale changes:

Table 1

This table shows the shifts in Kinsey scale scores (7 is exclusively homosexual with 1 being exclusively heterosexual). You can see that the shifts on average were about a point on the scale – less than one for the entire group and more than one for the group which were deemed more gay identified at the beginning. Although statistically significant, this would not on average take the group to the straight side of the continuum but rather by considered bisexual by most observers.

They also used the Shively-DeCecco scale which asks participants to rand both same-sex attraction and opposite-sex attraction. As you can see below, the change reflected in the Kinsey moves was due to reductions in SSA and not increases in OSA.

Table 2

Regarding categorical self-assessments, Jones and Yarhouse report modest shifts.

Table 5

Regarding these changes, Jones and Yarhouse say:

Several results are particularly notable. Despite a smaller N for the T6 sample than at T3, we found growth in absolute size in the two Exodus “success” outcome groups moving from row 1 to row 3: Conversion cases grew from 11 to 14 and Chastity cases from 17 to 18. But the group that grew the most in absolute and proportional terms was Failure: Gay Identity which doubled in absolute size from 6 to 12. The percentage of those showing stability of outcome T3 to T6 (row 4) is greatest in columns 1 and 6: the Success: Conversion (73%) and Failure: Gay Identity (67%) categories, with slightly less in the Success: Chastity category (53%). Of the one subject each that shifted from the Success: Conversion and Failure: Gay Identity categories from T3 to T6, each moved to the Continuing category at T6. The largest absolute shift from T3 to T6 of those who participated in the T6 interview was a T3 Success: Chastity case that became a Failure: Gay Identity case; next largest was a Non-Response case at T3 that became a Success: Conversion case.

Most germane to our principal hypothesis that change of sexual orientation is not possible, 53% of the T6 sample of 61 cases that self-categorized (row 3) did so as some version of success, either as Success: Conversion (23%) or Success: Chastity (30%). At T6, 25% of the sample self-categorized as an Exodus failure (Confused or Gay Identity).

In my view, this means of description confuses success with change. Over half did describe some version of success but that is not the same as over half describing sexual orientation change. I will be interested to see how this is reported in the press.

The changes reported here are significant and no doubt welcomed by the people involved. However, they are not the types of changes which I suspect the various mental health groups mean by “sexual orientation change.” Whatever happened to the participants in this study, they do not appear to have gone from gay to straight — in the sense that people who have always been straight are straight. They have gone from gay to less gay and a bit more straight. I do not mean to suggest that this is not important information; it is. But I am wondering if anyone at APA would dispute the within category changes reported here. I am going to ask and will report what I learn.

Jones and Yarhouse seem to be aware that the results can be understood as a change in identity and not orientation. They write:

There is also the question of sexual identity change versus sexual orientation change (see Worthington & Reynolds, 2009). Recent theoretical (e.g., Yarhouse, 2001) and empirical (e.g., Beckstead & Morrow, 2004; Yarhouse & Tan, 2004; Yarhouse, Tan & Pawlowski, 2005; Wolkomir, 2006) work on sexual identity among religious sexual minorities suggests that attributions and meaning are critical in the decision to integrate same-sex attractions into a gay identity or the decision to dis-identify with a gay identity and the persons and institutions that support a gay identity. In light of the role of attributions and meaning in sexual identity labeling, is it possible that some of what is reported in this study as change of orientation is more accurately understood as change in sexual identity?

The entire section on identity and orientation in the discussion section of the paper is good reading. Finally, in light of the APA task force report, I wonder if the discussion section of the Jones and Yarhouse paper could be revisited. The APA report, while skeptical of categorical change, did not take a strong stance regarding harm. Actually, the APA report and the Jones and Yarhouse paper agree on the inconclusive nature of the evidence on that question.

Media reports regarding the APA sexual orientation and therapy report

In addition to the separate posts on the topic, here is some additional coverage. If time permits, I may add a comment or two of opinion to them.

USA Today

Christianity Today

World Magazine

Mother Jones

AP Radio Network

Associated Press

Los Angeles Times

Southern Voice

The Advocate

Citizenlink, Day 1

Citizenlink, Day 2

Washington Times

CBN reports on APA report

The Christian Broadcasting Network reports this morning on the APA task force findings.

UPDATE: The video now does not reflect the news report linked above.

Wall Street Journal covers APA task force report and sexual identity therapy

The Wall Street Journal’s Stephanie Simon has captured well the application of the APA task force sexual orientation report in an article out this morning. Of course I would say that…

The men who seek help from evangelical counselor Warren Throckmorton often are deeply distressed. They have prayed, read Scripture, even married, but they haven’t been able to shake sexual attractions to other men — impulses they believe to be immoral.

Dr. Throckmorton is a psychology professor at a Christian college in Pennsylvania and past president of the American Mental Health Counselors Association. He specializes in working with clients conflicted about their sexual identity.

The first thing he tells them is this: Your attractions aren’t a sign of mental illness or a punishment for insufficient faith. He tells them that he cannot turn them straight.

But he also tells them they don’t have to be gay.

For many years, Dr. Throckmorton felt he was breaking a professional taboo by telling his clients they could construct satisfying lives by, in effect, shunting their sexuality to the side, even if that meant living celibately. That ran against the trend in counseling toward “gay affirming” therapy — encouraging clients to embrace their sexuality.

But in a striking departure, the American Psychological Association said Wednesday that it is ethical — and can be beneficial — for counselors to help some clients reject gay or lesbian attractions.

The APA is the largest association of psychologists world-wide, with 150,000 members. The association plans to promote the new approach to sexuality with YouTube videos, speeches to schools and churches, and presentations to Christian counselors.

According to new APA guidelines, the therapist must make clear that homosexuality doesn’t signal a mental or emotional disorder. The counselor must advise clients that gay men and women can lead happy and healthy lives, and emphasize that there is no evidence therapy can change sexual orientation.

But if the client still believes that affirming his same-sex attractions would be sinful or destructive to his faith, psychologists can help him construct an identity that rejects the power of those attractions, the APA says. That might require living celibately, learning to deflect sexual impulses or framing a life of struggle as an opportunity to grow closer to God.

While the report doesn’t use my exact words (e.g., I don’t say ‘you don’t have to be gay’), she does catch important aspects of the APA report and the stance I use within the sexual identity therapy framework. Furthermore, I don’t show the video at the same time in the same order of things to clients and then they make a decision about their direction. I do however, do extensive informed consent and answer lots of questions which involves videos and slides to answer. Thanks for Michael Bailey for those vids.

This report captures the essence of the novel findings in the APA report in contrast to the AP report which continues to present a polarized picture. For sure, as long as the dialogue around change is important to people, we keep talking past each other. However, when you look at what both sides actually claim, they are not that far apart. According to the AP report, Jones and Yarhouse are going to report over half of 61 subjects either changed or are celibate. Whatever the percentage, it is clear that change cannot be promised to clients as a predictable function of therapy or ministry. We should be able to agree about that and then place emphasis on belief and value congruence. From there, see what happens.

I will have other posts on the media reaction and additional analysis…

Sexual identity therapy: A blast from the past

In light of conversations on the Exodus-PFOX thread, I thought it might be good to review a past mainstream media article that brought SIT more into the mainstream conversation.

The LA Times article now titled “Approaching agreement in debate over homosexuality” by Stephanie Simon (now with the Wall Street Journal) was published on June 18, 2007 with the title, “New ground in debate on ‘curing’ gays.”

The article begins with some familiar ground to this blog:

Alan Chambers directs Exodus International, widely described as the nation’s largest ex-gay ministry. But when he addresses the group’s Freedom Conference at Concordia University in Irvine this month, Chambers won’t celebrate successful “ex-gays.”

Truth is, he’s not sure he’s ever met one.

With years of therapy, Chambers says, he has mostly conquered his own attraction to men; he’s a husband and a father, and he identifies as straight. But lately, he’s come to resent the term “ex-gay”: It’s too neat, implying a clean break with the past, when he still struggles at times with homosexual temptation. “By no means would we ever say change can be sudden or complete,” Chambers said.

His personal denunciation of the term “ex-gay” — his organization has yet to follow suit — is just one example of shifting ground in the polarizing debate on homosexuality.

I am not sure if I am correct, but I think Alan later nuanced the remarks about not knowing ex-gays, but I do think he has made efforts including the recent article regarding Bryce Faulkner, to paint an accurate picture of his personal situation.

This article brought to a wide audience conversations that we have been having here for quite awhile — and continue to have. The ex-gay conversation is a recurring one here. Some newer readers may want to review this post (Ex-ex-gay?) and this one ( What does change mean?) and this one (Acceptance and Commitment Therapy).

The LA Times article quoted several people who approved of the framework, including commenter Michael Bussee.

“Something’s happening. And I think it’s very positive,” agreed Michael Bussee, who founded Exodus in 1976, only to fall in love with another man — a fellow ex-gay counselor.

Now a licensed family therapist in Riverside, Bussee regularly speaks out against ex-gay therapies and is scheduled to address the Ex-Gay Survivor’s Conference at UC Irvine at the end of the month.

But Bussee put aside his protest agenda recently to endorse new guidelines to sexual identity therapy, co-written by two professors at conservative Christian colleges.

Other notable folks gave a thumbs-up to the framework as well.

He and other gay activists — along with major mental-health associations — still reject therapy aimed at “liberating” or “curing” gays. But Bussee is willing to acknowledge potential in therapy that does not promise change but instead offers patients help in managing their desires and modifying their behavior to match their religious values — even if that means a life of celibacy.

“It’s about helping clients accept that they have these same-sex attractions and then allowing them the space, free from bias, to choose how they want to act,” said Lee Beckstead, a gay psychologist in Salt Lake City who uses this approach.

The guidelines for this type of therapy — written by Warren Throckmorton of Grove City College and Mark Yarhouse of Regent University — have been endorsed by representatives on both the left and right. The list includes the provost of a conservative evangelical college and the psychiatrist whose gay-rights advocacy in the 1970s got homosexuality removed from the official medical list of mental disorders.

“What appeals to me is that it moves away from the total polarization” common in the field, said Dr. Robert Spitzer, the psychiatrist.

“For many years, mental-health professionals have taken the view that since homosexuality is not a mental disorder, any attempt to change sexual orientation is unwise,” said Spitzer, a Columbia University professor.

Some therapies are widely considered dangerous, and some rely on discredited psychological theories. “But for healthcare professionals to tell someone they don’t have the right to make an effort to bring their actions into harmony with their values is hubris,” Spitzer said.

Just over two years later, we continue to discuss very similar concerns and the tension remains.

Activists on both sides caution that the rapprochement only goes so far.

Critics of Exodus note the group still sponsors speakers who attribute homosexuality to bad parenting and assert that gays and lesbians live short, unhappy lives.

And though Chambers has disavowed the term “ex-gay,” his group’s ads give the distinct impression that it’s possible to leave homosexuality completely behind.

Haven’t we just been discussing this topic?

The article concludes with a reference to the APA Sexual Orientation Task Force.

The American Psychological Assn. set up a task force this spring to revise the group’s policy on sexual orientation therapy. The current policy is a decade old and fairly vague; it states that homosexuality is not a disorder and that therapists can’t make false claims about their treatments.

The new policy, due early next year, must help psychologists uphold two ethical principles as they work with patients unhappy about their sexuality: “Respect for the autonomy and dignity of the patient, and a duty to do no harm,” said Clinton Anderson, the association’s director for lesbian, gay and bisexual concerns. “It’s a balancing act.”

In fact, the Task Force will report soon, in August, sometime during the APA convention. Stay tuned…

Although we will soon migrate the website, more on the SIT Framework is now here.

Year in review: Top ten stories of 2008

As in year’s past, I have enjoyed reviewing the posts from the year and coming up with the top ten stories.

1. Cancelation of the American Psychiatric Association symposium – Amidst threat of protests, the APA pressed to halt a scheduled symposium dedicated to sexual identity therapy and religious affiliation. Whipped up by a factually inaccurate article in the Gay City News, gay activists persuaded the APA leadership to pressure symposium organizers to pull the program. Gay City News later ran a correction.

2. The other APA, the American Psychological Association, released a task force report on abortion and mental health consequences. Basing their conclusions on only one study, the APA surprised no one by claiming abortion had no more adverse impact on mental health than carrying a child to delivery. I revealed here that the APA had secretly formed this task force after a series of research reports in late 2005 found links between abortion and adverse mental health consequences for some women. New research confirms that concern is warranted.

3. Golden Rule Pledge – In the wake of Sally Kern saying homosexuality was a greater threat to the nation than terrorism, I initiated the Golden Rule Pledge which took place surrounding the Day of Silence and the Day of Truth. Many conservative groups were calling for Christian students to stay home. This did not strike me as an effective faith-centered response. The Golden Rule Pledge generated some controversy as well as approval by a small group of evangelicals (e.g., Bob Stith) and gay leaders (e.g., Eliza Byard). Some students taking part in the various events were positively impacted by their experience.

4. Exodus considers new direction for ministry – At a leadership training workshop early in 2008, Wendy Gritter proposed a new paradigm for sexual identity ministry. Her presentation was provocative in the sense that it generated much discussion and consideration, especially among readers here. It remains to be seen if Exodus will continue to move away from a change/reparative therapy focus to a fidelity/congruence ministry focus.

5. New research clarifies sexual orienatation causal factors – A twin study and a study of brain symmetry, both from Sweden and a large U.S. study shed some light on causal factors in sexual orientation.

6. Letter to the American Counseling Association requesting clarification of its policies concerning counseling same-sex attracted evangelicals. Co-signed by over 600 counselors (many of whom were referred by the American Association of Christian Counselors), I wrote a letter to the ACA requesting clarification regarding how counselors should work with evangelicals who do not wish to affirm homosexual behavior. The current policy is confusing and gives no guidance in such cases. Then President Brian Canfield replied affirming the clients self-determination in such cases. He referred the matter back to the ACA ethics committee. To date, that committee has not responded.

7. Paul Cameron’s work resurfaces and then is refuted – Insure.com resurrected Paul Cameron’s work in an article on their website about gay lifespans. The article was later altered to reflect more on HIV/AIDS than on homosexual orientation. Later this year, Morten Frisch produced a study which directly addressed Cameron’s methods.

8. Mankind Project unravels – This year I posted often regarding the Mankind Project and New Warriors Training Adventure. Recently, I reported that MKP is in some financial and organizational disarray.

9. Debunking of false claims about Sarah Palin’s record on support for social programs – I had lots of fun tracking down several false claims made about Sarah Palin during the election. Her opponents willfully distorted her real record to paint her as a hypocrite. I learned much more about Alaska’s state budget than I ever wanted to know but found that most claims of program cuts were actually raises in funding which not quite as much as the agencies requested. However, overall funding for such programs increased.

10. During the stretch run of the election, I became quite interested in various aspects of the race. As noted above, I spent some time examining claims surround Sarah Palin’s record. I also did a series on President-elect Obama’s record on housing, including an interview with one of Barack Obama’s former constituents.

I know, I know, number 10 is an understatement. (Exhibit A)

Happy New Year!

Exodus International: Open forum

This week Exodus International is holding the annual conference at Ridgecrest, NC.
From time to time on various posts Exodus history comes up. I have been privileged to have numerous Exodus participants past and present comment here over the years, but the comments often go hither and yon.
So I am creating the post for that conversation to continue. I am going to talk to my weboverlord, Paul to see if we can get a link to it in the right column so we can find it easily. So spread the word, if you have ever been involved with Exodus International, feel free to comment here, good or bad. Feel free to cut and paste comments from other threads. I do not intend for this to become a praise or bashing session, rather a forum of sorts to discuss history and impressions, aspirations, positives, areas for improvement, etc. If you really like Exodus, I hope you might glean something from those who do not, read and learn if you will. And if you don’t like it, I hope you will recognize that some others have found much meaning and blessing in the relationships they have formed via Exodus.

Year in review: Top Ten Stories from 2007

Since it was so much fun last year, I decided to compile a top ten list of stories of the year on the blog. Since I am the only voter, the list is subjective and regular readers might arrange them differently or think I should have included another story over one of these. The stories are arranged in the order of the interest they seemed to create here on the blog and elsewhere.

1. APA Task Force on sexual orientation – I first reported here that the APA had convened a task force to review APA policy regarding therapeutic responses to sexual orientation. Initial information released from the APA noted that gay advocacy groups sought assistance from the APA in order to negatively evaluate efforts to change sexual orientation. The charge also involves therapeutic responses to individuals who wish to alter behavioral expression of their sexuality. The issue was the subject of a CNN segment involving yours truly, an Associated Press article and was the subject of several posts on the blog. A large coalition of religious groups and interested individuals wrote the APA regarding the religious aspects of the committee’s charge. Efforts to further regulate orientation change efforts spilled over to other professions, notably, the American Academy of Physician Assistants. The APA Task Force will likely be featured as a top story again since the report is expected to be released sometime in 2008.

2. The sexual identity therapy framework – The SIT framework was the subject of national news stories and identified by Stephanie Simon of the LA Times as an important component of changes in therapy for those in conflict over sexual identity. I did numerous posts on the framework in an attempt to distinguish it from other approaches. Mark Yarhouse and I presented aspects of the framework at the American Psychological Association convention, the American Association of Christian Counselors World Conference and other local conferences. A revision of the framework and several high level presentations are slated for 2008.

3. The release of the Exodus outcomes study by Stanton Jones and Mark Yarhouse – After months of speculation, Stanton Jones and Mark Yarhouse released the results of their longitudinal study of Exodus International participants at the AACC conference in September.  Although the study garnered little national media attention, many blogs, (including this one), and the gay and religiously based news services thoroughly covered the study. With additional data to be collected and reported, this story will most likely reappear in 2008.

4. Donnie Davies – For a short time in January and February, blogosphere was captivated by the “Rev. Davies” and the “The Bible Says” music video. In a kind of “Where’s Waldo” cyber hunt, numerous bloggers were eager to crack the case and learn find out who Donnie Davies was, where was he hiding, and to learn if his act for real. I did 11 posts on the subject and became acquainted via email with Joey Oglesby, the actor behind the spoof. We even wondered if Mr. Oglesby and Rev. Davies were twins separated at birth because of their uncanny resemblance. Will Donnie do an anniversary reunion tour in January? Stay tuned.

5. The Cameron Eastern Psychological Association presentation – In March, Paul and Kirk Cameron released a series of news spots claiming that data from Canada, Norway and Denmark supported their contention that gays die between 20-30 younger than straights. In reviewing their study, first presented as a poster session at the Eastern Psychological Association annual meeting, I disputed key assumptions underlying their claims. In addition, Danish epidemiologist, Morten Frisch reviewed the study here on the blog finding it inadequate. Paul and Kirk Cameron provided rebuttals to criticisms and a nine-part series resulted.

6. New Warriors Training Adventure and the Mankind Project – A post regarding the suicide of Michael Scinto in an October issue of the Houston Press led to a series of posts about the Mankind Project and New Warriors Training Adventure. I received numerous emails from men who attest to benefit and those who believe NWTA was harmful and coercive. One irony about NWTA is that public proponents of reparative therapy and gay affirmative therapy both recommend NWTA to clients to enhance masculinity. Reparative therapists believe NWTA may lead to reduced same-sex attraction and gay therapists believe NWTA can enhance security in a gay identity. I remain curious about the mechanisms inherent in NWTA and other such programs to effect either benefit or harm. With the Scinto trial schedule for later in 2008, this story will remain of interest through the next year.

7. Montel Williams show on reparative therapy – The Montel Williams show purporting to examine reparative therapy was a lightning rod for controversy. On the show, psychiatrist Alicia Salzar falsely claimed that science has shown that 96% of people attempting to change orientation cannot do so and experience harm. Her claim was based on a study, the authors of which acknowledged cannot be used to make such a claim. The unwillingness of the show to retract the statement led to a ethics complaint against Dr. Salzar, filed by Exodus International.

8. Pro-life/abortion related stories – The most viewed post on the blog consisted of an interview with Grove City College colleague and historian Paul Kengor regarding the religious beliefs of Hillary Clinton.  Other such interviews have been immensely popular with readers as well. Another APA task force, this one on abortion and mental health issues, stimulated grassroots activism, reported here in November.

9. Emergence of the ex-ex-gay movement – At this year’s Exodus conference, a group of people once involved in ex-gay efforts had a parallel conference to discuss their efforts to recover from their experiences. Perhaps, the newest ex-ex-gay, James Stabile is a 19 year old young man from Dallas who encountered evangelists from the Heartland World Ministry Church in early September. Recorded on film and broadcast on the Christian Broadcasting Network, it appeared that Mr. Stabile was dramatically converted and even reported change in homosexuality. Later it was learned that Mr. Stabile had not changed and was back home with his parents after a stay at ex-gay residential program, Pure Life Ministry.

10. Richard Cohen – An early 2007 debacle on John Stewart’s Daily Show led Mr. Cohen to pledge on my blog that he would do no additional media appearances. He ended his email with a fundraising appeal. In response to this appearance, Exodus issued a statement distancing the organization from Cohen’s work, and NARTH and PFOX quietly removed references to Mr. Cohen from their websites. Cohen made something of a comeback however, with You Tube videos including his family, and a new edition of one of his books with Evangelical publisher, Intervarsity Press. Then, later, I looked into the Unification Church connections of Mr. Cohen’s assistant director and former board member, Hilde Wiemann. Both Cohen and Wiemann initially denied these connections but they were clear enough that cult expert, Steve Hassan, briefly placed the International Healing Foundation back on his list of Unification Church connected groups. Eventually, Mrs. Wiemann acknowledged, in contrast to the initial claims, that she had been involved in the church and had only recently left it. After her repudiation of Moon, Mr. Hassan then again removed the IHF from his list of Unification connected groups.

Well, that was quite a year. I suppose one could make a case for other stories, e.g., the Omaha websites advocating violence, the quick emergence and then retreat of Michael Glatze as an ex-gay spokesman, Ted Haggard’s three week therapy, the wide stance of Larry Craig, the Surgeon General nominee James Holsinger, Stephen Bennett’s public division with Exodus, Al Mohler’s comments on biology and homosexuality, the retirement of I Do Exist, and my musical comeback and resultant #1 Internet hit.

Now cast your opinion – What would your top ten list for this blog look like for 2007?

Godspeed to all and a Happy New Year!