Are All Psychotherapies Equal?

Scientific American yesterday posted a nice summary of the research on effectiveness of psychotherapy.

From the article by Hal Arkowitz and Scott Lilienfeld:

In light of such findings, a search for a therapist should at least sometimes involve a consideration of the type of treatment he or she practices. It is true that ingredients, such as empathy, that cut across effective therapies are potent and that various established techniques are roughly equivalent for a broad range of difficulties. Yet under certain circumstances, the therapeutic method can matter. For example, if a clinician espouses an approach outside the scientific mainstream—one that does not fall under the broad categories we have listed here—you should not assume that this treatment will be as helpful as others.

One of the big puzzles of psychological treatment is why obviously unhelpful methods can lead clients to feel better. As noted in this article, some components of success cut across methods. A reparative therapist, for example, might explain a false set of facts to a client in an empathetic manner which might then provide a false sense of reassurance. Even though the therapy only minimally provides any effect on sexuality, the client may still feel better due to the working of the common factors.

David Barton: Preparing for the “progressive, liberal phenomenon”

On Wallbuilders Live today (via RightWingWatch), we get this nugget of wisdom from David Barton:

They [the founders] didn’t know what the word “adolescent” meant. And, by the way, I checked with Rabbi [Daniel] Lapin, he says that is not a word that appears in Hebrew because it’s not in the mind of God. God wasn’t into adolescence, He was in to having you become productive, having you be fruitful, having your produce and so that’s why there was no adolescence in the Founding Era; that’s a modern phenomenon, that’s a progressive liberal phenomenon is adolescence.

This will come as startling news to James Dobson, who wrote “Preparing for Adolescence.” He will have to rename his book: Preparing for the Progressive, Liberal Phenomenon.”

I always thought puberty dealt teens a hormonal deck of cards that was something different than childhood and adulthood. Now that you think of it, hormones probably are liberal.

Aristotle once said, “Youth are heated by nature as drunken men by wine.” Democrat!

Did he just say that God’s mind is limited to Hebrew?

 

 

Emails Contradict Dr. Nicolosi’s Conflicting Claims of Cure

Earlier this week, I posted audio of Dr. Joseph Nicolosi talking about using porn in reparative therapy as a technique. A dispute had arisen between Exodus President Alan Chambers and Nicolosi about the use of porn in reparative therapy. In my view, the audio and rejected workshop description decided Round One in favor of Chambers. (See this post for the scoop)

Now, it looks like Round Two goes to Chambers as well. ExgayWatch has posted an email from Nicolosi where he explicitly promises cure to Alan Chambers.  Recall Alan claims that reparative therapists promise 100% cures. Nicolosi contested that in a Facebook posting saying:

Alan, what you are saying is untrue. I have never said I could cure someone completely from homosexuality. All my books make it quite clear that homosexual attractions will persist to some degree throughout a person’s lifetime.

Never say never.

In the email obtained by XGW, Nicolosi told Chambers that he could cure him 100%. After Chambers acknowledged on the Dr. Drew show that he could still find men attractive, Nicolosi wrote this (and more, go read the whole thing):

The point Alan is that you can get to a place where there is no more homosexuality. ReallyYou can actually get to a place where you can willfully (sic) think of an SSA image and have no bodily sensation.

Why stop half way? Why not do further work and finish the task and have it completely behind you. consider this invitation, not only for your sake but also as a testimony of complete healing to truly motivate others.

We have the therapeutic tools to get you over what ever SSA is remaining. (emphasis in the original email)

This is not that surprising to me. I attended three NARTH conferences (2002-2004) and I heard various reparative therapists make these claims. Various ex-gays would come out and say that. Part of the reason I believed the folks in the documentary I Do Exist was because I was hearing these claims made often. Time has told a different tale.

Also, other reports have come along where Nicolosi is quoted making grand claims. Take this one from 2009 – Nicolosi Claims 75% Cured.

Last week I blogged about a homosexuality conference in London hosted by the conservative Anglican Mainstream, and featuring Joseph Nicolosi, Jeff Satinover and Arthur Goldberg. One attendee was David Virtue who runs Virtueonline.com. His website is popular among conservative Anglicans. Virtue had much to say about the conference but one quote stood out. The quotes within this segment of Virtue’s article come from Nicolosi.

Nicolosi said he has been helping people to “increase their heterosexual potential” for 25 years, and puts his success rate among men at about two out of three. “75% of our clients are completely cured, the 25% who are not usually have other factors that are not brought into the counseling situation.”

“It is not the absent father, but the non-responsiveness of the father. It is when the father shuts downs and rejects the boy’s masculine striving and he shames the boy in his strivings to become a man. That boy will find some male to connect with. It is the negative experience of the father that destroys him and pushes him towards men who offer him homosexual sex as a way out.”

Virtue is not a critic and would not have a reason to lie. However, even though Virtue confirmed to me that Nicolosi said those words, he later changed the article to remove the reference to 75% cure at the request of Nicolosi’s wife – who was not at the conference.

Nicolosi is not the only one who makes wishful claims, it seems to be part of the genre. I can recall Richard Cohen doing the same thing, telling an audience once, that his clients, “never go back.”

I have been criticized by many (some of whom are not now doing so), for stealing hope from people as a consequence of my realistic approach to this area. I make no apology for it. Reality is what it is. We have to adapt. Following one’s values and beliefs does not rest on false hope or wishful thinking.

 

Porn in the Strangest Places: Reparative Therapy and Pornography

There has been some debate in recent days about whether or not reparative therapists use pornography as a therapeutic tool. Recently, Alan Chambers stated that reparative therapists use porn as a part of the change process. This practice is one of the reasons Exodus no longer recommends reparative therapy. One other large reason relates to the unrealistic hope it generates for total change. I will take that up in a future post. For his part, Dr. Joseph Nicolosi denied Chambers claims.

In a Facebook posting, Nicolosi summarizes the allegation and then provides his response: First he says:

Alan: It has been brought to my attention that you have posted the following comments on Facebook:

“As for Reparative Therapy, I do not support it. I don’t think it’s ‘fine’. They use pornography as a means of making people “100% straight”. We stopped allowing Joe Nicolosi to teach because he encouraged attendees to pick up heterosexual porn to encourage heterosexuality. Also, he and others have said that they can “cure” people 100% of SSA.”

Also–

“Joe Nicolosi and a few others are on record in workshops and other places saying that they employ pornography. We do not wish to slander Joe, but it is important for people to know that this is a part of the RT practice even if it wasn’t used in your therapy. This is a fact.”

To these accusations, Nicolosi responded:

Furthermore, I do not use heterosexual pornography with my clients. I do ask them (if they wish to do this; some clients do not, and I never expect my clients to do anything they do not wish to do) to bring up a compelling image from gay porn that they wish to reduce the power of, and we work on diminishing its power (a technique with which we have had considerable success).

However, I do not use straight porn; I use pictures of women they find attractive in mainstream magazines and we work on developing a physical attraction to them, through their imagination, while looking at these non-pornographic pictures.

On point, I have obtained a description of a workshop proposed by Dr. Nicolosi which was not accepted for the 2010 Exodus conference. The description is pretty clear:

Gay Pornography as a Therapeutic Tool
Reparative Therapists have recently developed a therapeutic technique utilizing gay pornographic images to expose deeper emotional needs beneath mere sexual arousal. While many clients have been told that their homosexuality is a defense against emotional needs, this technique offers “experiential knowing” resulting from personal experience. The result is a diminishment of pornographic appeal and movement toward resolving deeper conflicts.
For men and leaders.

The belief appears to be that same-sex pornographic images are only attractive because of the emotional wound of the person viewing it.

I have also obtained audio from an Exodus workshop that was approved and conducted by Dr. Nicolosi that certainly seems to encourage the use of gay pornography and to a lesser degree straight porn. Listen to the explanation:

It appears that everybody agrees that at times gay porn might be a part of reparative therapy. However, it appears that there is some assumption on the part of Dr. Nicolosi that clients might use a similar technique with straight porn.

As I noted above, this all seems to be based on the idea that same-sex attractions derive from a trauma (hence the EMDR) and that the attractions are akin to fear responses in people who have other kinds of trauma. Repeated exposure does tend to help some clients with phobias and various anxiety reactions. However, here Nicolosi seems to think sexual attraction can be reduced in a similar manner. The idea is, shall we say, creative, and I will let my gentle readers have a go at their opinion on that theory.

I will note that I can understand why Exodus might have a problem with this approach and I wonder how the new Restored Hope group will react to it.

 

Did we refer to original sources in Getting Jefferson Right?

Of course we did. I have referred to the original table of texts used by Jefferson on this blog to point out where David Barton incorrectly added some miracles to his account of the Jefferson Bible. They are also in Getting Jefferson Right.

I pointed out here and we provided in the book the subscriber’s lists proving that Jefferson was not one of a few founders who financed the first hot-pressed Bible in the United States. He subscribed to it, as did over 1200 other people.

We quote the entire 1782 Virginia law on manumission; Barton only quotes part of it.

However, Barton yesterday told a radio host in Texas (Not Too Late Show – Listen at about 28:00 into the podcast or click the link below) that a couple of professors from Messiah College (guess he got us confused with John Fea) did a point by point refutation of The Jefferson Lies, but then said we only quoted other professors and did not refer to the original sources.

Listen to the 39 second portion by clicking the link: NotTooLate.

So yes, Mr. Barton, we did refer to the primary sources, and no, we did not just quote other experts.

In case, you want to comment on the episode, Not Too Late’s Facebook page is here: https://www.facebook.com/NotTooLateShow