Category: psychology

Discover article on sexual orientation change and the APA report

Discover magazine has an online article out today which covers the APA report, NARTH and the Jones and Yarhouse study.

Here are some excerpts:

Joseph Nicolosi, a psychologist in Encino, Calif., says he can rid adults, teens, and even children of homosexuality. For nearly 30 years, he has offered a “psychodynamic” form of reparative therapy for people—mostly men—seeking to change their sexual orientation.

“If [a patient] can accept his bodily homoerotic experience while staying connected to the therapist,” he wrote in “The Paradox of Self-Acceptance,” “the sexual feeling soon transforms into something else: the recognition of deeper, pain-generated emotional needs which have nothing to do with sexuality.”

He cites the following case: A 43-year-old married accountant was recalling another man that he had seen at the airport while on a business trip. “This had awakened his sexual fantasies and dreams. I asked him to hold onto that image and observe his bodily sensations while staying connected to me. As he did, he felt an intense sexual longing. But as he followed that fantasy through an imaginary sexual scenario, quite unexpectedly, he then experienced an embodied shift to sadness, longing, and emptiness. In tears, he spoke of his sense of deep unworthiness. ‘I would just love him to be my friend! He’s the kind of guy that I always wanted to be close to. How much I just want to be friends with a guy like him.'”

This describes an aspect of the approach advocated in Nicolosi’s new book, Shame and Attachment Loss. People I have seen who have been through this approach describe it as being a chase for making sense of what they eventually come to see as an automatic reaction in search of a justification. Having said that, perhaps this gives some men a greater sense of control over their automatic impulses.

The center of this so-called “reparative therapy” is the National Association for Research and Therapy of Homosexuality (NARTH). Its membership—around 1,100 people, according to current NARTH president Julie Harren Hamilton—is dwarfed by the APA’s 150,000 members.

Treatments follow from the assertion that homosexuality is not an innate trait, but rather a result of childhood trauma and lack of attachment to members of the same sex.

“The treatment is different for men and women,” Nicolosi, one of NARTH’s former presidents, told DISCOVER. “The principles are the same—we find that for the lesbian, there is a traumatic attachment loss with the mother, and for the males it’s a traumatic attachment loss with the fathers. We believe the male homosexual should work with a male therapist, and the lesbian should work with a woman.”

It is always difficult to know who Nicolosi is referring to when he says, “we.” Is he referring to NARTH or those who are reparative therapists, or the royal we, referring to himself? However, Hamilton seems to distance NARTH from the singular approach used by Nicolosi when she says:

These treatments take on several approaches. “Psychological care for individuals with unwanted homosexual attractions includes a variety of approaches. There are many paths that lead into and out of homosexuality,” NARTH president Julie Harren Hamilton wrote DISCOVER in an email. “Therapists who assist clients with unwanted homosexual attractions vary in their…methods, [which include] object relations, interpersonal therapy, cognitive-behavioral therapy, family therapy, and many others.”

This would be a welcome departure for NARTH and Hamilton. On her video Homosexuality 101, she lays out the typical reparative drive explanation as the most common pathway. If NARTH truly wants to move away from the singular cause, it should make it clear what other pathways they view as possible.

Then the article turns to the Jones and Yarhouse study.

SOCE advocates have done studies in recent years to try and show that their efforts are working. One of the more influential among sexuality-change advocates was a study by two professors at Christian colleges: Mark Yarhouse, a psychology professor at Regent University, and Stanton Jones, provost and professor of psychology at Wheaton College.

The six-year study started with 98 subjects, most of whom were white, male, and religious—92 percent identified themselves as “born again.” All of the treatments were provided by Exodus International. Of the 61 who provided data in all six years, 14 of them—23 percent—reported that they had successfully converted to heterosexuality “in some form or another,” according to Jones. Meanwhile, 18 subjects—30 percent—reported that they had dis-identified as homosexuals and were now “chaste,” meaning no overt sexual activity at all. The results were based entirely on self-reported surveys.

I think Judith Glassgold’s assessment of the study was too harsh when she said:

The study was dismissed by the APA task force on multiple grounds, and held as an example of the systematic scientific problems of SOCE today. “Everything was wrong with that study,” Glassgold says. “[Yarhouse and Stanton] chose the wrong statistics to evaluate, they violated statistical laws, and they didn’t have a control group—just a small sample of people recruited from religious groups. They followed the individuals over a couple of years, but didn’t specify that the subjects should only try one intervention at a time, so they tried many at the same time. So we aren’t sure which, if any, intervention was causal.”

The reporter is a little sloppy here referring to Yarhouse and Stanton (Jones, I assume; a little later someone named Miller is named without a first name or introduction) and does not interview another person to provide another perspective. I think if anything the Jones and Yarhouse study is not very positive for sexual reorientation. Flaws aside, it does not help those who want to promote change as the proper focus of therapy or ministry.

There is a historical review of some of the behavioral sexual reorientation methods that might be new to some readers. The article notes that the polarization continues between NARTH and the APA. However, the article failed to really grasp the important news from the APA report, i.e., the respectful and appropriate treatment of religion as a diversity variable and the interface with client self-determination.

NARTH authors again mislead readers: More on brain plasticity and sexual orientation

This post is a follow up to the one about Neil and Briar Whitehead’s article titled, “Brain Plasticity Backs Up Orientation Change” published on the Anglican Mainstream.

In their article, the Whiteheads liken sexual reorientation to learning to play a musical instrument and proclaim that science leads us to this assumption:

Our assumption now should be, change is possible in many behaviors – sexual orientation not excluded – and extraordinary effort will produce extraordinary change.

In their article, the Whiteheads frequently quote and recommend a book by Norman Doidge called “The Brain that Changes Itself.” To prove their contention about sexual reorientation, the Whiteheads use quotes from Doidge’s book saying:

Doidge’s conclusion about sexuality is that “Human libido is not a hardwired invariable biological urge, but can be curiously fickle, easily altered by our psychology and the history of our sexual encounters.” and “It’s a use-it-or-lose-it brain, even where sexual desire and love are concerned.” This would apply both to same-sex attraction and opposite-sex attraction.

These quotes come from a chapter titled “Acquiring tastes and loves” and describe human sexuality as being pretty flexible compared to other species. Doidge says “human libido is not a hardwired invariable biological urge” on page 95 and is plucked from the middle of a sentence. Here is the whole sentence:

The plasticity of this man’s sexual tastes exaggerates is general truth: that the human libido is not a hardwired invariable biological urge, but can be curiously fickle, easily altered by our psychology and the history of our sexual encounters.

Who is the man Doidge refers to here? While he is not named, he is described.

One homosexual man had successive relations with men from one race or ethnic group, then with those from another, and in each period he could be attracted only to men from the group that was currently “hot.”

Dr. Doidge was talking about a gay man and the variability within his sexual orientation — not about easy movements from one orientation to another. The gay man was not changing his sexual orientation but his attraction preferences. The Whiteheads leave out this aspect of the story.

The Whiteheads say that Doidge is talking about same-sex attraction and opposite-sex attraction. However, in the quote provided, Doidge is talking about a gay man. The Whiteheads further obscure Doidge’s views by failing to quote what he does say about sexual reorientation. On page 95 Doidge writes:

Even sexual preference can occasionally change. Though some scientists increasingly emphasize the inborn basis of our sexual preferences, it is also true that some people have heterosexual attractions for part of their lives — with no history of bisexuality — and then “add on” a homosexual attraction and vice versa.

I wonder why the Whiteheads did not quote these two sentences. This is directly on point. Quoting this section and another on page 341 would have presented Doidge’s views more clearly. This is clearly not the same perspective as is portrayed by the Whiteheads.

On page 341, Dr. Doidge provides a reference for his view about adding on sexual responsiveness to an existing orientation. He first says, it is well known that straights can engage in homosexual relations when members of the opposite sex are not present and gives prison and the military as examples. However, he then quotes an authority with no research references.

According to Richard C. Friedman, researcher on male homosexuality, when male homosexuals develop a heterosexual attraction, it is almost always an “add on” attraction, not a replacement (personal communication).

This is far cry from what the Whiteheads would have us believe about brain plasticity and sexual orientation and even about what Norman Doidge says in his book. They could have quoted what Doidge said but didn’t in favor of quotes which misrepresented what the author said. And they really did not need to wonder what Doidge thought since he spelled it out.

LDS scholars critique Byrd, Cox & Robinson review

Monday, I posted a statement from J. Michael Bailey, prolific sexual orientation researcher at Northwestern University, regarding what he called a “blatant misquotation” and misrepresentation of his views by Dean Byrd, Shirley Cox and Jeffrey Robinson in a 2005 book review of In Quiet Desperation. Yesterday, I posted a link to the rebuttal by In Quiet Desperation co-author, Ty Mansfield.

Today, I am posting another rebuttal to the review from Byrd et al, this time from four LDS scholars who write on gay issues – William Bradshaw, Robert A. Rees, Ron Schow, and Marybeth Raynes. You can read the review and the authors’ bios on an LDS website featuring resources for same-sex attracted people.

As with the Mansfield, I want to include excerpts and make a comment at the end.

Bradshaw et al make religious critiques of Byrd et al and then note what appears to be confirmation bias emerging in the review.

It is disturbing that Byrd, Cox and Robinson, all of whom have had extensive experience in counseling, would make judgments about both Stewart Matis and Ty Mansfield that they are in no position to make. Without knowing anything about the personality or therapeutic history of either man and based only on what evidence they find in the Matis-Mansfield narratives, they draw therapeutic conclusions, characterizing Stuart Matis as having “temperamental sensitivity,” “an obsessive preoccupation with being different,” and “perfectionism.” They assert, again without having counseled with him, that Stuart’s “story may have had a much different outcome had Stuart found. . . needed help”; they challenge the Matises’ interpretation of “their son’s attraction for other boys (‘crushes’) as somehow related to his homosexual attractions,” by stating declaratively, “They are not”; they state, “What Stuart failed to secure was competent, professional help, the kind of help that could assist him deal [sic] with very chronic, very difficult challenges.”

They conduct the same kind of arm-chair psychological analysis of Ty Mansfield: “Though Mansfield notes that his homosexual feelings have remained unchanged, this is impossible”! As they do with Stuart Matis, Byrd, Cox and Robinson, pigeonhole Mansfield as suffering from “temperamental sensitivity, obsessive introspection and perfectionism.” They seem to know Mansfield’s therapeutic experience: “Rather than seeking help, however, Mansfield seems stuck in his gender confusion”; “Mansfield has simply conceded victory to his homosexuality.” Such conclusions are as irresponsible as the medical analysis of Senator Bill Frist upon viewing videotape of the comatose Terry Shiavo. If these authors are familiar with what are surely the confidential medical and psychotherapeutic records of Matis and Mansfield, they should say so; otherwise, their analysis is not only inappropriate, it is professionally irresponsible.

A common theme among reparative influenced therapists is to see nails since the tool they have is a hammer. If you think homosexuality is caused by weak fathers, temperamental sensitivity, and/or perfectionism, then that is what you see in those who are same-sex attracted. Even if you only have a bits of information about a person, it is enough because you can always fill in the blanks.

Here the authors note the lack of documentation or data for the claims of reorientation.

Without providing adequate scholarly documentation, Byrd, Cox and Robinson refer to the success of reparative therapy (although they don’t label it as such). They contend that “many men (and women),” “many individuals,” “many people,” and “many men and women” “make successful transitions out of homosexuality.” In a review critical of others’ use of scientific evidence, one would expect some reference to a scholarly study that details exactly how many “many” is. Given the fact that Byrd was the lead person directing therapy for same sex attraction at Church Social Services during a period when many hundreds of Latter-day Saints were undergoing reparative or change therapy, one would think he would cite the findings of such therapy. It is in fact scandalous that such studies either were not undertaken or have been suppressed since the findings would help enlighten our present discussion of this subject. We are acquainted with one therapist at Church Social Services during Byrd’s tenure who did a large portion of this work in that he counseled with nearly a thousand homosexuals and whose experience contradicts the point of view taken in this review.2

The footnote #2 reads:

Our informant has told us that in over a 30 year career at LDS Family Services he worked with about 400 single men, 200 of whom left therapy after 1-2 sessions. Of the remaining 200, only 20 (10%) were able to marry. Furthermore, 19 of the 20 who married identified themselves as bisexual when they entered therapy. The quality of these marriages is unknown. Another Latter-day Saint therapist with whom we are familiar reports that of the hundreds of clients with sexual identity issues she has seen only those clearly identified as bisexual are given any chance of making successful marriages.

This seems reasonable but it is unfortunate that the mystery therapist did not step forward with some verification.

It seems clear that there are some divisions within LDS circles which are similar to what occurs in the evangelical world.

In Quiet Desperation: Rebuttal to Byrd, Cox & Robinson

I posted yesterday that Dean Byrd, Shirley Cox, and Jeffrey Robinson misrepresented the views of Northwestern University researcher Michael Bailey. The misrepresentation happened in a review of the book, In Quiet Desperation. The book was written by Fred and Marilyn Matis and Ty Mansfield and in the first part explores the suicide of Stuart Matis from his parents’ perspective and in the second part, Ty Mansfield explains his views of homosexuality from the vantage point of an observant Latter Day Saint.

Beyond the problem with how Byrd et al handled research in their review, Ty Mansfield claims the trio of NARTH members mishandled his book. I have not read the book so this post simply reports an excerpt from his rebuttal and an observation. I invite readers to read the book and this exchange and decide for yourself.

Now, in response to Byrd, Cox, and Robinson, a reader’s response to a book can have as much or more to do with the reader’s own preoccupations and paradigms as it does with the actual content of the book. And where an author is silent—as I tried to be regarding clinical themes—individuals will fill in the empty space with their own biases. People can stubbornly remain stuck with a given point of view and only see evidence that confirms that view, and any contradictory evidence is ignored. This phenomenon is so common that psychologists have even given it a name: confirmation bias. In Quiet Desperation has been subject to that distortion from two sides. Those who believe that homosexual relationships should be accepted by the Church have co-opted the book for their own purposes. And these reviewers have done the same, but in an opposite direction.

So there will be no further confusion, let me set the record straight. First, I do not believe in a biologically determined cause of homosexuality, and our book does not once make that claim. Second, I wholeheartedly support the Church’s teaching on the family, heterosexual monogamy, and the sanctity of the eternal union of man and woman as the only means of attaining the highest degree of the Celestial Kingdom, and that this ideal is one that everyone should hope and strive for, no matter what their temporal challenges might be. My beliefs, I feel, are in complete harmony with what the Lord’s Prophets and Apostles teach. In addition to supporting the Church’s teachings, most of the reviewers’ scientific assertions about homosexuality I have no quarrel with. Further, I respect the dedication and hard work of these individuals and so many others in assisting those who have sought them out for treatment for their unwanted homosexual feelings. They have brought great encouragement and tireless energy to helping their many patients.

Despite the authors’ affirmation of LDS teaching, Byrd et al criticize the In Quiet Desperation authors with being too pro-gay. Clearly, Mansfield rejects that accusation.

As I read the rebuttal, it occurred to me that this debate was the LDS parallel to the differences between the change and congruence paradigms we discuss here. In fact, Mansfield links to and quotes a Christianity Today article from an anonymous writer which laments both the evangelical focus on change of orientation and those who believe living a gay life is the only alternative for same-sex attracted people.

This author sounds very much like the person I wrote about in the essay, A Valued Life. It seems as though Mansfield is describing a realistic approach to same-sex attraction within the framework of adherence to LDS theology. However, that is not good enough for Byrd, Cox, and Robinson. They write:

However, with appropriate help, many individuals who struggle with same-sex attraction are able to diminish or eliminate that attraction and make substantial changes in their lives. Those who read In Quiet Desperation, therefore, should do so with the knowledge that the Stuart Matis story may have had a much different outcome had Stuart found the needed help.

Similarly, Ty Mansfield and the reader should understand there is much hope and substantial evidence that those who want to overcome same-sex attraction can make changes and achieve happiness and peace in their lives. Therefore, this review is written to contradict for Ty, and the many others who continue to struggle with same-sex attraction, the vision of hopelessness perpetrated through In Quiet Desperation.

I have heard the same criticism. To some, realism and an honest appraisal of the evidence is somehow hope squelching. If the study of Jones and Yarhouse is to be believed, more people in Exodus are living within the congruence model than have reported change. Given the modest change, it seems that what is happening via Exodus mediation is congruence for the lion’s share of the 53% who reported a positive response.

However, for Byrd et al, within their understanding of LDS theology, Mansfield’s approach is “A Slippery Slope that Limits the Atonement” as they title their review. They write:

The book inadvertently limits the power of the Atonement in the lives of people who struggle with homosexual attraction. As professionals with many combined years of practice in treating those with unwanted homosexual attraction, we have witnessed changes in the lives of many of these individuals, and the epiphanies have been many.

Like all emotional challenges, the outcome data has ranges of success. What is clear is that when the same standard applied to treatment outcomes of similarly situated difficulties is applied to the treatment outcomes of those with unwanted homosexuality, the results are remarkably similar. There is much in the professional treatment protocols that are compatible with the restored gospel. Appropriate professional help along with the healing powers of the gospel have repeatedly convinced us that there is no struggle for which the Atonement is not sufficient.

I know very little about the LDS doctrine of the Atonement, but if Mansfield limits it, I would argue that they also limit it in a different manner, given their reliance on “professional help.” It seems to me that what they are saying is that counseling plus the gospel is needed. Well, actually, that is what they say when they write: “Appropriate professional help along with the healing powers of the gospel have repeatedly convinced us that there is no struggle for which the Atonement is not sufficient.” So a little reparative therapy is needed to make the Atonement sufficient.

In any case, the authors offer no “outcome data,” or no research to support their claims of epiphanies. As we discuss within the evangelical context, this debate seems to be in part theological for some involved, rather than based in science. For Byrd et al, it appears their need for the change paradigm is based, at least in part, on their belief that their religious beliefs require that paradigm. Somehow, living in accord with LDS beliefs is insufficient, one must change one’s attractions to demonstrate progression in the faith. In general, I think psychologists have trouble seeing the role of their worldview loyalties in how they interpret data. Too often, loyalty to one’s worldview can lead to confirmation bias when approaching science, picking the studies that seem to fit and ignoring or failing to consider adequately those which do not.

Houston Press on the ManKind Project’s transparency

Chris Vogel, the reporter who broke the Michael Scinto story, files a post about the new transparency from the MKP. Like me, he has been unable to get confirmation from MKP. I do trust my source however.

Vogel interviewed Kathy Scinto, Michael’s mother, who is very happy with the prospects of a change at MKP.

“I’ve got chills,” the mother of Michael Scinto, Kathy, tells Hair Balls. “Honestly, Hallelujah. I can’t believe it.”

“I’m just so happy because that’s all that we ever wanted, and for it to actually happen is just like a miracle,” says Kathy Scinto. “It’s so wonderful.”