Is PFOX anti-ex-gay?

A couple of weeks ago, the Parents and Friends of Ex-gays asked the riveting question: Is Grove City College anti-ex-gay?
Now I want to know, Is PFOX anti-ex-gay? Let me explain why inquiring minds want to know.
In apparent answer to the query about GCC, the PFOX blog poster reproduced Peter LaBarbera’s call to action and the One”News”Now article about me. Because I dispute stereotypes about gays and report the research as it is, LaBarbera says I engage in “pro-homosexual activism.” Here is the crux of my crimes:

“But in the last few years, he’s basically become a pro-gay advocate who discredits the idea of change for most homosexuals,” LaBarbera explains. “He grants the idea that they can change, but he says change is very rare.

Well, OK.
Now let’s consider PFOX. On the governing board of PFOX is Chris Doyle who is a “resident psychotherapist” at Richard Cohen’s International Healing Foundation. IHF recently issued an apology to the gay community for “fueling anti-gay sentiment” by stating that “change is possible.”
IHF now refers clients to a host of gay-affirming organizations and resources, including GLSEN and PFOX’s pfavorite organization, PFLAG. The PFLAG reference is especially relevant to the question – “is PFOX anti-ex-gay?” PFOX has accused PFLAG of making hateful statements about former homosexuals. Now that a PFOX board member is a principle figure in an organization that refers people to an organization that makes hateful statements about former homosexuals, then it seems reasonable to ask if PFOX is anti-itself.
I also must wonder if One”News”Now and AFTAH are getting soft on gays. Consider the evidence.
On October 28, 2011, IHF made their apology for “fueling anti-gay sentiment” and posted their references to GLSEN and PFLAG on their website. To date, One”News”Now has ignored the story. And even more puzzling is the absence of an AFTAH-inspired call for PFOX to explain how their board member’s open advocacy of pro-homosexual, anti-ex-gay advocacy fits within their mission.
Almost a month has gone by and this blatant pro-homosexualist initiative at IHF has gone unchecked!
What is wrong with this picture!?
TAKE ACTION! DO NOTHING! CALL NO ONE!
 
P.S. Sorry, I got a little hyperbolic there at the end. 

First study to refer to ex-gays discredited

In 2000, I presented a paper at the annual conference of the American Psychological Association outlining studies which referred to ex-gays, i.e., people who rejected gay as an identity for religious reasons. That presentation was part of a larger symposium organized by Mark Yarhouse and Doug Haldeman on religious and GLB issues. In 2002, that paper was published in the APA journal Professional Psychology: Research and Practice.* That was the same year I was given the Freud Award at the NARTH conference.
In that paper, I summarized a study by psychiatrist E. Mansell Pattison and his wife Myrna Loy Pattison, titled “‘Ex-gays’: Religiously Mediated Change in Homosexuals.” The Pattisons interviewed 11 men in the Melodyland church in Anaheim, CA who claimed to have changed from gay to straight. One of those men was frequent commenter here Michael Bussee. Another was Gary Cooper, the man who left that ministry and Exodus with Bussee when they both acknowledged that they had not changed their orientation. In other words, two of the 11 had not changed at all.
Today, on the Religion Dispatches website, I describe that study in more detail and interview Michael Bussee about his participation. I encourage you to go read it and comment here or there.
The study continues to be used by NARTH as well as other groups to claim sexual reorientation works. The problems with the study provide more evidence that NARTH’s use of old data (125 year landscape review) is flawed.
*Throckmorton, W. (2002). Initial empirical and clinical findings concerning the change process for ex-gays. Professional Psychology: Research and Practice, 33, 242-248.

A new test of orthodoxy

Yesterday, the information arm of the American Family Association, OneNewsNow published an article about my views on change of sexual orientation.  The information on the matter came from Peter LaBarbera who said

“But in the last few years, he’s basically become a pro-gay advocate who discredits the idea of change for most homosexuals,” LaBarbera explains. “He grants the idea that they can change, but he says change is very rare.
“So effectively, Warren Throckmorton has become a very useful advocate for the homosexual side because he can claim to be an evangelical and yet he’s undermining scriptural truth.”

As I understand this argument, I am wrong to claim to be an evangelical because I believe that categorical change in sexual attractions, especially for men, is rare. In addition such a belief is in itself “pro-homosexual advocacy.”
LaBarbera adds that

Christians know people can leave the lifestyle, and that through Christ, many thousands have. So he says Throckmorton’s message — that change is near impossible — is contrary to Christian thinking.

Here we have a test of orthodoxy – something that must be believed in order to be considered a Christian. In my tradition, faith in the redeeming mission of Christ is the test of faith. However, in the new orthodoxy of some in the Christian right, one must believe certain things about gays in order to be consider a Christian.
On the points raised by the ONN article, I observe that LaBarbera conflates behavior and inclination. He says I don’t think people can “leave the lifestyle” because I think categorical change of sexual attractions is rare and complex. While his description of behavior change is crude and stereotypical, I disagree with his assessment of me. I do believe that people change their behavior. They do so for a variety of reasons but in the context of this controversy, some do in order to seek conformity to their religious beliefs. That this happens is not in doubt by any researcher, pro-gay or not, that I know. The APA in their 2009 Task Force report acknowledged this and even noted that finding congruence can lead to certain positive outcomes.
However, gay and bisexual people who change their behavior infrequently lose their same-sex attractions, no matter how earnestly they pray. In my work as well as other studies, heterosexually married gay and lesbian people do not demonstrate change in attractions on average, even as they demonstrate devotion to their marriages. My critics can keep on criticizing but they have not been able to address the evidence which does not cut in their favor.
If I need to apologize for something, it is that I misled evangelicals for several years on the matter of sexual orientation. I did not intend to do so. When I made the documentary I Do Exist, I really believed the stories told. I know the people making the video did as well. I believed my clients; I believed people who told me they changed completely. In hindsight, I acknowledge that my work was complicated by the culture war. I now think the culture war is a significant stumbling block for the church.
From that time, there are a handful of people who continue to say they have changed in a comprehensive way. Many however, have acknowledged that their attractions have shifted within a range but have not really changed from one category to another. My view is that these stories are all interesting and that I desire to take people where they are and just work out a way that helps them live with integrity.
Who knows, maybe I will shift my views in different ways in the future. However, I hope it will be in response to evidence, not in order to fit into a man made definition of orthodoxy. In the mean time, I invite critics to simply deal with the evidence.

NARTH features leader of international efforts to keep homosexuality illegal

This coming weekend, Sharon Slater will speak at the annual conference of the National Association for the Research and Therapy of Homosexuality (NARTH). Slater is the President of Family Watch International, an organization that lobbies the United Nations for pro-life and anti-gay causes. In January of 2011, Slater hosted a conference of over 30 United Nations delegates to promote her policy objectives. During the conference, the ex-gay message was prominent with a “the personal testimony of a patient who is successfully reorienting from homosexuality to heterosexuality” and a speech from an expert Slater refused to name.
Earlier this year, Slater claimed that she stopped using Martin Ssempa as a liaison in Africa after she learned about Ssempa’s support for the Anti-Homosexuality Bill. Slater correctly understands that the bill requires the death penalty for HIV positive gays and she opposes that. However, she refused to condemn prison terms for gays in Uganda or any other country. In essence, her position is the same as Scott Lively’s view – oppose the death penalty but support the stance of African nations who maintain harsh prison terms for GLBT people. The Anti-Homosexuality Bill is once again before Uganda’s Parliament and may be considered on the floor within the next month.
Slater has traveled to Africa several times to speak against relaxing laws on homosexuality. At a Nigerian conference in 2009 – the same year the Anti-Homosexuality Bill was introduced – Slater praised Uganda for refusing to decriminalize homosexuality. Earlier this year, also in Nigeria, Slater commended Nigeria for resisting the UN’s call for decriminalization.
Like Lively, Slater uses NARTH materials as a foundation for her policy positions. On the FWI website, Slater twice refers readers to a 2009 paper by NARTH which reviews studies of sexual orientation change efforts. She uses their materials to support her view that GLB people are not entitled to human rights because sexual orientation is not a fixed trait.
In this context, it is striking that NARTH has refused to declare opposition to criminalization of homosexuality. In December, 2009, I asked NARTH’s leadership about the organization’s position on Uganda’s Anti-Homosexuality Bill. At that time, Scott Lively advocated that forced therapy for gays should be included in the bill. NARTH’s operations director, David Pruden, rejected the forced therapy as ineffective. However, NARTH past-president Dean Byrd declined to take a position on criminalization saying,

We are aware of the situation in Uganda but thank you for bringing this to our attention. I am sure that you are aware that as a scientific organization, NARTH does not take political positions; however, we are happy to provide a summary of what science can and cannot say about homosexuality for those who do.

In contrast, NARTH has taken a position on a few political issues. For instance, the organization opposes “gay advocacy in schools” and “same-sex marriage.” Since NARTH has taken a stance on some political issues, it is puzzling that the organization will not on criminalization of homosexuality. Such laws harm affirming and non-affirming GLB people alike.
In light of NARTH’s failure to oppose criminalization, it is troubling that the group invited Slater to speak at their conference.  Ms. Slater is not trained as a clinician, scientist or a researcher; she is an advocate of policies which restrict the basic liberties of GLB people around the world and would do the same in the US if possible. In absence of an official policy on decriminalization, it appears that NARTH’s invitation of Ms. Slater signals the posture of the organization on the matter.

The Jones and Yarhouse study: What does it mean?

Let me begin by saying that I endorsed the book, Ex-Gays, A Longitudinal Study of Religiously Mediated Change in Sexual Orientation, by Stanton Jones and Mark Yarhouse which contained the first report of their longitudinal study. Since the publication of the book, Jones and Yarhouse have released results of their final follow up, first in 2009 at the annual convention of the American Psychological Association, and then most recently in the Journal of Sex and Marital Therapy. With the follow up, I believe the study remains an important investigation into the interplay of religion, sexual orientation and personal identity. I give them credit for the perseverance required to explore a topic which is highly controversial and to report their findings in detail.

Since the release of the peer-reviewed article, socially conservative groups have described the study as proof that gays can change orientation. For instance, the American Family Association’s Bryan Fischer, one of the worst offenders, claims that the study proves gays can change and that they weren’t born gay. Also, Citizenlink, an affiliate of Focus on the Family reported:

Of the 98 subjects, more than half were reported as successful; 23 percent reported a complete change in orientation after six years. Also, 20 percent reported giving up the struggle to change.

This claim is misleading. Jones and Yarhouse did not report “complete change in orientation.” Instead they cautioned against misinterpreting their findings by saying

These results do not prove that categorical change in sexual orientation is possible for everyone or anyone, but rather that meaningful shifts along a continuum that constitute real changes appear possible for some. The results do not prove that no one is harmed by the attempt to change, but rather that the attempt does not appear to be harmful on average or inherently harmful. The authors urge caution in projecting success rates from these findings, as they are likely overly optimistic estimates of anticipated success. Further, it was clear that “conversion” to heterosexual adaptation was a complex phenomenon.

Regarding the changes reported by their participants, the authors offer two related explanations. One is that some of the participants changed sexual orientation to some degree and the other is that the participants changed their sexual identity. Sexual identity involves placing more emphasis on behavioral conformity to prohibitions on homosexual behavior as a means of self definition. For the Exodus participants, less temptation to engage in homosexual behavior might be taken as a signal that orientation has changed, thus allowing a different attribution about their sexuality than once believed. The authors raise these two possibilities in the abstract for the most recent paper:

The authors conducted a quasi-experimental longitudinal study spanning 6–7 years examining attempted religiously mediated sexual orientation change from homosexual orientation to heterosexual orientation. An initial sample was formed of 72 men and 26 women who were involved in a variety of Christian ministries, with measures of sexual attraction, infatuation and fantasy, and composite measures of sexual orientation and psychological distress, administered longitudinally. Evidence from the study suggested that change of homosexual orientation appears possible for some and that psychological distress did not increase on average as a result of the involvement in the change process. The authors explore methodological limitations circumscribing generalizability of the findings and alternative explanations of the findings, such as sexual identity change or adjustment.

As I read all of the literature, including my own work, I first want to disagree with the way that Citizenlink characterized the results as “complete change.” That is not at all what Jones and Yarhouse reported. Considering the dichotomy proposed by Jones and Yarhouse — change in orientation or identity – I lean toward their alternative explanation – “sexual identity change or adjustment.”  However, I believe the discussion of what their results mean needs to be broadened beyond those two possibilities. In addition to considering orientation and identity as important constructs, I believe there are other ways to account for the changes Jones and Yarhouse report which are not sufficiently addressed in their published accounts.  First, I want to make some observations about the study which influence my opinions about what the results mean.

First, and most basically, the Jones and Yarhouse study did not examine in any systematic way the efficacy of reparative therapy or any other kind of psychological therapy as a means of altering sexual orientation. The participants in the study were involved in religiously based support groups which primarily had as a goal to reinforce a traditional moral view of sexuality. Clearly, the participants hoped they would change and engaged in various religious interventions to assist that end. However, the study did not assess the role of professional therapy and cannot legitimately be used to say such therapies work.

Second, there were quite a few dropouts six to seven years into the study. While true of all longitudinal studies, the final percentages being reported should also take into account the distinct possibility that many if not most of the drop outs were not successful in their efforts to change. The study began with 98 participants and ended up with 65 who were followed up for six to seven years. Some reported that they were healed of homosexuality and just didn’t want to participate, while others said they were gay and stopped trying to change. I don’t know for sure what the dropouts mean but the fact that so many failed to complete the study needs to be a part of any discussion.

Third, ratings from men and women were combined. Given the low number of people involved I understand why this was done but the practice may inflate the assessments of change for the group. It has become well accepted that the sexuality of women is more fluid than for men. A few women experiencing large shifts could influence the group averages. Continue reading “The Jones and Yarhouse study: What does it mean?”