Category: ex-ex-gay

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!