Alan Osmond channels NARTH

One member of the very talented Osmond family has taken up homosexuality as an interest. Huffington Post today posted about an article on Osmond’s website as if the article was a recent one. However, apparently it was posted in July.  And the piece was not actually written by Osmond, but by Dean Byrd, NARTH board member and past-president in 1999.
In this article that Osmond quotes as an authority, Byrd wrote:

Other researchers note treatment success rates that exceed 50 percent, which is similar to the success rates for treating other difficulties.

Really? One of the studies that quoted a 50% cure rate was reported in 1967 by Harvey Kaye and the Society for Medical Psychoanalysis. However, Dr. Kaye recently told me that the study was wrong and discredited.
Despite dwindling influence among professionals (the recent conference in AZ only drew 70-80 people), NARTH continues to find support among lay people such as here in the case of Osmond. Since NARTH is mostly lay people, I guess that makes sense.

NARTH says Francis Collins is mistaken about his own work

Let’s start at the beginning of this story.
On April 4, 2007, Dean Byrd posted an article on the NARTH website titled, “‘Homosexuality Is Not Hardwired,’ Concludes Dr. Francis S. Collins, Head Of The Human Genome Project” In this article, Byrd quotes from Collins book, The Language of God, citing Collins views of the genetics and homosexuality. In it, Byrd wrote:

As Dr. Collins would agree, environment can influence gene expression, and free will determines the response to whatever predispositions might be present.
Dr. Collins succinctly reviewed the research on homosexuality and offers the following: “An area of particularly strong public interest is the genetic basis of homosexuality. Evidence from twin studies does in fact support the conclusion that heritable factors play a role in male homosexuality. However, the likelihood that the identical twin of a homosexual male will also be gay is about 20% (compared with 2-4 percent of males in the general population), indicating that sexual orientation is genetically influenced but not hardwired by DNA, and that whatever genes are involved represent predispositions, not predeterminations.”
Dr. Collins noted that environment, particularly childhood experiences as well as the role of free will choices affect all of us in profound ways. As researchers discover increasing levels of molecular detail about inherited factors that underlie our personalities, it’s critical that such data be used to illuminate, not provide support to idealogues.

On May 17, 2007, the editor of Ex-gay Watch, David Roberts, wrote an email to Collins asking him if Byrd’s article accurately represented Collins’ views. (The entire correspondence can be reviewed at this link.)
On May 20, 2007, Collins wrote back to Roberts saying about the Byrd article:

The words quoted by NARTH all come from the Appendix to my book “The Language of God” (pp. 260-263), but have been juxtaposed in a way that suggests a somewhat different conclusion that I intended. I would urge anyone who is concerned about the meaning to refer back to the original text.
The evidence we have at present strongly supports the proposition that there are hereditary factors in male homosexuality — the observation that an identical twin of a male homosexual has approximately a 20% likelihood of also being gay points to this conclusion, since that is 10 times the population incidence. But the fact that the answer is not 100% also suggests that other factors besides DNA must be involved. That certainly doesn’t imply, however, that those other undefined factors are inherently alterable.

On September 15, 2008, Greg Quinlan of PFOX told OneNewsNow that the human genome had been mapped and there was no genetic cause for homosexuality. Quinlan attributed this information to Francis Collins, seeming to paraphrase the NARTH article.
On September 19, 2008, Roberts again wrote to Collins to ask him to verify that the prior statement about Byrd’s misleading use of his views was indeed given by Collins.
On September 20, 2008, Collins wrote back to Roberts saying

Thanks for the heads up. I am truly sorry to hear that there is a continuing effort by Mr. Quinlan and others to distort this information about genetic factors in homosexuality. The facts have not changed since the e-mail message I sent you on May 20, 2007.
Regards, Francis Collins

On September 21, 2008, Roberts wrote back to Collins and asked him to copy me in the email exchange. Roberts did this because Quinlan accused Roberts of making fraudulent claims about Collins. Feeling I could be objective, Roberts wanted Collins to include me in the email loop given that I am not associated with any gay advocacy groups. I had also written Collins to verify the statements made on Roberts’ blog.
On September 21, 2008, Collins wrote back with the following message:

Hello David and Warren,
I am happy to confirm that these e-mail communications from May 2007 and yesterday are indeed authentic, and represent my best effort at summarzing what we know and what we don’t know about genetic factors in male homosexuality. I appreciate your continuing efforts to correct misstatements that seem to be circulating on the internet.
Regards, Francis Collins

This background is important in order to put NARTH’s response to Collins into context. Earlier this year, NARTH posted an article attacking David Roberts with the charge that Roberts misled Collins. NARTH did not like Collins response to Roberts and NARTH blamed Roberts for Collins’ response.
After the NARTH article came out, Roberts conducted a Freedom of Information Act request to find correspondence between the NARTH and Collins. As the result of his request, he received an undated letter sent from NARTH’s President Julie Hamilton to Collins. The letter is here and is summarized at XGW.
In this letter, Hamilton blames Roberts and me for Collins response to Byrd’s article. Is it really possible that Roberts and I persuaded the Director of the National Institutes of Health and one of the premiere scientists of our time to misread Byrd’s article? About NARTH’s letter, Roberts says,

In it, Collins is treated more like a doddering old man than the head of the National Institutes of Health (NIH).  Even though we sent a link to the original article with our email to Collins, and it is clear from his reply that he read it, Hamilton encloses a copy noting “Although Warren Throckmorton [see this post to see where he comes in] and David Roberts led you to believe otherwise, your statements were not misrepresented by NARTH.”  No, Dr. Collins, regardless of what you think, you do agree with us — sheer arrogance.

What is NARTH saying about Dr. Collins when they tell him that he was persuaded to misunderstand his own book? It appears that NARTH will not accept that Collins means what he says. Counting his response to the American College of Pediatricians (several NARTH board members are affiliated with this group), he has spoken out three times about the way NARTH has characterized his views. NARTH’s response is to his continue to blame the messengers.
For more, see

Francis Collins rebukes the American College of Pediatricians: A closer look

Skip Narth, read Collins – UPDATED with NARTH statement

 

Skip Narth, read Collins – UPDATED with NARTH statement

NARTH really wants to be on the same page with Francis Collins, the current Director of the National Institute of Health. Or at least they really want you to think they are. NARTH is now accusing Exgaywatch editor of somehow duping Francis Collins into criticizing a NARTH article by Dean Byrd which cited Collins. Yes, that is right, NARTH believes David (Skywalker) Roberts and the Jedi Knights at XGW used their mind tricks on the current director of the National Institute of Health, causing him to misrepresent a NARTH article.
You need to go read Roberts post at XGW to get the story.
About the current NARTH apologetic, there are a couple of observations I would like to offer.
Throughout the current article, NARTH confuses genetic with biological. Perhaps, “simple biological theory” means genetic to NARTH. But such a description obscures more than it clarifies. Note this passage:

In April, 2007, NARTH posted a peer-reviewed article which considered what science could and could not say about the genesis of homosexuality. The article basically focused on whether not homosexuality could be explained by a simple biological theory. The article cited a number of studies and scientists, including Dr. Francis S. Collins, and basically, concluded that evidence for a simple biological theory of homosexuality was lacking. The article made no mention of alterability of homosexuality.

The first problem here is that the NARTH article does not consider what “science could and could not say about the genesis of homosexuality.” It did not focus on “whether not homosexuality could be explained by a simple biological theory.” Nor did it conclude that “evidence for a simple biological theory of homosexuality was lacking.” What it did do was briefly discuss estimates of heritability based on several twin studies.
The problem with NARTH’s description is that biology is more than heritability. There are genetic factors which show up larger than expected by chance which is all Collins had to say about the matter. He did not opine on prenatal hormonal influences, such as prenatal testosterone. Collins did not opine on the reasons for maternal chromosomal skewing which occurs far more often in moms of gay men than in moms of straight men. Collins did not discuss brain scans demonstrating differential responses based on sexual orientation to male and female sweat. Nor did Collins say anything in his book about differences in brain symmetry between gays and straights. Thus, Collins did not review all of the biological evidence, nor did NARTH in its “peer-reviewed” article consider “what science could and could not say about the genesis of homosexuality” or demonstrate that a “simple biological theory was lacking.”
In the current article, NARTH labors to demonstrate that Collins agrees with them but doesn’t deal with the fact that he did not agree with them when he commented on the matter. If NARTH contacted Collins directly, it is not disclosed. Their problem is not with XGW but with Collins who said that the original article used his quotes which were “juxtaposed in a way that suggests a somewhat different conclusion that I intended. I would urge anyone who is concerned about the meaning to refer back to the original text.” (quote from Collins to Roberts).
That is good advice. Skip NARTH and go read the Language of God by Francis Collins.
UPDATE: In preparation for this post, I wrote David Pruden and asked if NARTH had made an attempt to contact Dr. Collins with their concerns. First of all, Mr. Pruden clarified that he did not write the article, but rather NARTH’s executive committee did.  Here is the response of NARTH’s executive committee to my inquiries:

If Dr. Collins had problems with a NARTH article, it was his responsibility to contact us.

So the problem here is Dr. Collins?
I also asked about NARTH’s peer review process. They wrote:

NARTH’s articles go through the Scientific Advisory Committee (SAC). Scientists, both affiliated and unaffiliated with NARTH, are peer-reviewers. As you are aware, peer reviews are blinded reviews and the identity of peer-reviewers remain anonymous; otherwise the peer review process would not work. The peer review process is similar to the peer review process at other places. Steve Simon’s involvement was noted at the end of the article which was posted in 2007.

So the reviewers are their advisors and some unnamed people who are not on their board. Most journals publish an editorial board member list so one can see the qualifications of those who vouch for the integrity of the content. The SAC is published but the outside reviewers are not.
I also asked if NARTH was going to publish the results of their Freedom of Information Request. They replied:

The FOI request resulted in a significant amount of information, only some of which was related to this article. Perhaps you might be willing to publish your communication with Dr. Collins to see how that compares to the information we have obtained.

Click the link in order to see what Dr. Collins wrote to David Roberts and me. I posted about the matter here in 2008 when PFOX’s Greg Quinlan misrepresented Collins’ views.

New gay change group cites Francis Collins to mislead readers

One would think a scathing criticism on the National Institute of Health from NIH director Francis Collins would be enough to stop misuse of his book, the Language of God. However, not so for a relatively new Latter Day Saint sexual reorientation organization called Foundation for Attraction Research. Writing in the Salt Lake City Tribune, FAR Board members Dennis V. Dahle, John P. Livingstone and M. Gawain Wells provide the same quote that led Collins to rebuke the American College of Pediatricians.

As to science, contrary to a source cited by Hansen that same-sex attractions are of purely biological origin, Dr. Francis S. Collins, former director of the National Human Genome Research Institute and the current director of the National Institutes of Health, reached a very different conclusion. Collins, in addressing the etiology of homosexuality in his book, The Language of God, offers the conclusion that homosexuality is “genetically influenced but not hardwired by DNA and that whatever genes are involved represent predispositions, not predeterminations.”

Exgaywatch first reported on the misuse of Collins’ words back in 2008. At that point, Dr. Collins wrote to me in order to verify his communication with David Roberts, editor at XGW.

Then, the American College of Pediatricians cited Collins in an effort to establish the mutability of sexual orientation. Collins did not take kindly to their citation and wrote the following on the NIH website.

Statement from NIH Director Francis S. Collins, M.D., Ph.D., in Response to the American College of Pediatricians

Francis S. Collins, M.D., Ph.D.

Director

April 15, 2010

“It is disturbing for me to see special interest groups distort my scientific observations to make a point against  homosexuality.  The American College of Pediatricians pulled language out of context from a book I wrote in 2006 to support an ideology that can cause unnecessary anguish and encourage prejudice. The information they present is misleading and incorrect, and it is particularly troubling that they are distributing it in a way that will confuse school children and their parents.”

Now the Foundation for Attraction Research takes up the same line of argumentation, although in a somewhat more subtle manner. While the first quote from Collins is clearly about homosexuality and represents Collins views about that specific trait, the second one is not. The FAR authors write:

Collins offers the following additional insight on homosexuality: “There is an inescapable component of heritability to many human behavioral traits. For virtually none of them is heredity ever close to predictive. Environment, particularly childhood experiences, and the prominent role of individual free will choices have a profound effect on us. Scientists will discover an increasing level of molecular detail about the inherited factors that undergird our personalities, but that should not lead us to overestimate their quantitative contribution. Yes we have all been dealt a particular set of cards, and the cards will eventually be revealed. But how we play the hand is up to us.”

While the quote is in Language of God, the statement leading up to it – “Collins offers the following additional insight on homosexuality” – is not. In the book, Collins makes a general statement about the role of genetics and environment but does not offer this view specifically about homosexuality. He does not suggest that “free will” or “childhood experiences” have anything to do with homosexual attraction. The authors want you to think that he does but he does not.

Regarding sexual reorientation which seems to be the real issue for FAR, Collins said this to Roberts and me in the earlier correspondence:

The evidence we have at present strongly supports the proposition that there are hereditary factors in male homosexuality — the observation that an identical twin of a male homosexual has approximately a 20% likelihood of also being gay points to this conclusion, since that is 10 times the population incidence. But the fact that the answer is not 100% also suggests that other factors besides DNA must be involved. That certainly doesn’t imply, however, that those other undefined factors are inherently alterable. (emphasis mine)

No one knows what sexual attractions to be directed toward the same sex. Collins does not opine on these factors in his book beyond saying that they may not be strongly related to genetics. There are other biological factors besides genes that could be involved. Whatever those factors turn out to be does not mean that they are alterable.

What George Rekers told a Florida court

The blogs continued to blow up over the continuing disclosures regarding George Rekers relationship with a Miami gay man. Apparently the young man has disclosed details of their European trip and is set to go on CNN with more.

In addition to the current event, some reports have looked into Dr. Rekers’ views and beliefs. That is more my purpose with this post. Dr. Rekers has provided controversial testimony in several court cases, the most notable Arkansas and Florida cases which contested adoptions by gay people. I saw in this report from NBC Miami that Rekers was paid between $60,900 and $87,000 to testify in favor of a ban on gay adoptions. In addition, and what really caught my eye, was his testimony that Native Americans could be excluded from adopting children. Here is the exchange included in the news article:

Q. Well, Dr. Rekers, earlier you testified that Native-Americans have a higher rate of alcohol abuse than the general population does, right?

A. Yes.

Q. It’s a very significantly elevated rate of alcohol abuse, I mean compared to the general population?

A. Yes.

Q. So if Native-Americans have significantly higher rates of alcohol abuse, and if they also have significantly higher rates of psychiatric disorders, and if they also have higher rates of relationship instability, is that enough for you to say that all of a sudden they should be categorically excluded?

The Court: I think you can add violence to that, as well.

The Witness: Yeah, violence, yeah.

Q. And violence, as well.

A. Yeah, if it turned out that a majority of the individuals in the Native-American population, that a majority of them were high risk for one of these things happening, as a lifetime prevalence, there could be a parallel rationale for excluding them, as adoptive parents, because it would be not only them, they would tend to hang around each other. So the children would be around a lot of other Native-Americans, who are doing the same sorts of things, you know. So it would be a high risk, and, in fact, since you can’t perfectly predict human behavior, the best you can do and the best the State can do is to look at risk levels, and if a particular kind of household poses multiple high risks for condition that would be detrimental for children, then that would be a rationale for excluding that group.

I was unable to find the entire transcript of the testimony, but did find the ruling from the case which initially upheld the adoption of Jane and John Doe, decided by Judge Cindy Lederman. In that case, Judge Lederman noted on pages 20-21:
There is no question that Dr. Rekers supports the continued ban on homosexual adoption and even the imposition of a ban on homosexual foster parenting based on the high rates of disorders, distressing conditions and relationship instability reported in the studies he considers telling. The witness testified that he does not support such a categorical exclusion of a demographic group based on one variable; rather, his opinion for the  exclusion is based an overall sum of variables. Thus, according to the doctor, any demographic group with overall high variable risks poses a threat to an adoptive child and should be excluded. As applied to the instant facts, the witness opines that Petitioner is in a high risk group; the majority of individuals sharing Petitioner’s demographic characteristic of homosexuality suffer from a disorder or have the propensity to suffer from a disorder; therefore, even if Petitioner is studied to determine his individual risk factor, the prediction for his propensity to succumb to a lifetime prevalence of risk cannot be overcome. Based on Dr. Rekers’ theory, as Native Americans have a high rate of alcohol abuse, substance abuse, domestic violence, depression, and a life time prevalence of these risks, Native Americans should also be considered a high risk group as prospective adoptive parents as well.

I wrote briefly about such thinking in 2006 when I received criticism from NARTH leaders over my view that homosexuals could lead normal lives. NARTH has continued to champion the view that homosexuality should be changed and opposed due to research finding higher levels of depression, anxiety and other mental health concerns. Currently, on their website, they promote an article which conflates orientation and certain sexual practices. Furthermore, NARTH leaders, including George Rekers, make up the majority of the advisory committee for the Facts About Youth website. A project of the splinter-group American College of Pediatricians, the FAY website parrots the NARTH view that “[t]here is significantly greater medical, psychological, and relational pathology in the homosexual population than the general population.” By saying in his Florida testimony that members of other groups (e.g., Native Americans) are not fit to parent based on group differences, Rekers was just taking the NARTH view to a logical conclusion — a conclusion which is shockingly elitist. 

If this view is advanced as a basis for public policy, then perhaps female physicians should not adopt since at least one study found that the rate of suicide is four times higher for them than other females. I think rather, the real basis for concern over homosexual parents relates to Rekers professed moral views which were also on display in the Florida court. According to Judge Lederman’s ruling, Rekers said psychology as a profession and the law should recognize evangelical theology:

An honest scholarly search for the truth about homosexuality should not stop with psychological or medical information alone. Wise professionals should also consider evidence for moral truth as well. The bible teaches that people are foolish if they deny God’s reality and live their lives as though he were not there…. What happens when psychologists and psychiatrists search for truth about homosexuality, but close the door to any possibility of information from the creator of the human race? What happens if scholars deliberately discard all moral evidence as irrelevant to their professional judgments? Roman’s describes the consequences in suppressing truth revealed by the creator…. Those verses indicate that the existence of God is evident within each person, so psychologists and psychiatrists who proceed as though he does not exist are deliberately suppressing truth. To search for truth about homosexuality in psychology and psychiatry, while ignoring God, will result in futile and foolish speculations.

To me, this line of thinking makes it clear why evangelical scholars must face the data with an awareness of our theological biases. Moral concerns are not irrelevant but they must not guide one to preset conclusions in opposition to data and research. To wit, Rekers also testified in the Florida case that children who were bonded to a homosexual parent should be removed from that home and placed with a heterosexual couple. Judge Lederman’s noted: 

Furthermore, according to Dr. Rekers, if children are bonded to a homosexual foster parent, such a placement may continue because the foster care laws permit regular monitoring. However, adoption should not be an option because of the absence of monitoring and safeguards. Dr. Rekers astounded the Court when he testified that he favors removal of any child from a homosexual household, even after placement in that household for ten years, in favor of a heterosexual household. To this Court’s further astonishment, the witness hypothesized that such a child would recover from the removal from his family of 10 years after one year in a heterosexual household. The Court finds this testimony to be contrary to science and decades of research in child development.

The hypotheses regarding bonding and what is better for kids were driven by Reker’s moral posturing and not research. It is not surprising that Judge Lederman dismissed Rekers’ testimony as unscientific and biased:

Dr. Rekers’ testimony was far from a neutral and unbiased recitation of the relevant scientific evidence. Dr. Rekers’ beliefs are motivated by his strong ideological and theological convictions that are not consistent with the science. Based on his testimony and demeanor at trial, the court can not consider his testimony to be credible nor worthy of forming the basis of public policy.

Dr. Rekers’ recent actions have put the spotlight on his views. While Dr. Rekers may find less personal influence in coming days, it is an open question whether his actions will cast a negative light on those who hold similar positions.

Spontaneous change compared to therapeutically mediated change

Something has been bothering me, running around in my head since I did the brief series of posts on Dean Byrd’s review of LDS book, In Quiet Desperation (here, here and here).

In their review of Ty Mansfield’s book, Byrd et al make this statement:

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.

There are several things that bother me about these two paragraphs, but for now I want to focus on this sentence:

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.

Despite a claim of clarity, nothing is particularly clear to me about treatment outcomes for “unwanted homosexuality.” It is not clear to me what other conditions are “similarly situated” in comparison to same-sex attraction. This was not explained.

However, my thoughts about outcomes ran to the studies reported in the NARTH literature review of sexual reorientation, the Jones and Yarhouse study and the usual reparative therapy contention that change results were along a continuum – one-third dramatically changed, one-third somewhat changed and one-third not changed. However, whatever numbers one likes, one cannot put it in context without a control or comparison situation. Another term for this in this context is spontaneous remission. Don’t some people change in various ways for reasons unrelated to therapy?

Certainly that is the case for other situations which are the proper focus of therapy. Note this abstract for a study of improvement rated by patients at a community mental health center in Utah.

It was hypothesized that outpatient psychotherapy in a mental health center would result in an improvement rate of 65% or more, a spontaneous remission rate of 36% or less, and a difference of at least 29% from gain in improvement due to therapy. The analysis of 201 follow-up questionnaires supported all three hypothesis. A five-year follow-up questionnaire provided evidence for external validity in the form of a correlation between original improvement rate and subsequent need for outpatient treatment and inpatient treatment. The results were interpreted as being significant evidence for the efficacy of psychotherapy and for the validity of self-report method of measuring improvement and spontaneous remission.

Note that the rate of improvement was significantly higher than expected based on a spontaneous improvement rate of 36% or less. The authors had reasons to predict this rate and took it into account when assessing the meaning of a 65% improvement rate overall. 

My point is not to compare sexual reorientation to mental health improvement near Salt Lake City, Utah. However, I want to raise the issue that considering spontaneous improvement is important when one is communicating the meaning of changes reported without a control group. There are a couple of studies which have looked at spontaneous change, although none would be directly comparable to any current studies of sexual reorientation. Diamond found spontaneous change in her study of 100 women. In 2005, Kinnish, Strassburg and Turner reported varying levels of sexual orientation flexibility in the Archives of Sexual Behavior. Their report found that 19% of men and 17% of women in their sample moved in a heterosexual direction (from gay to bisexual,  or bisexual to straight — none went from exclusively gay to exclusively straight). In 2003, Dickson, Paul and Herbison reported spontaneous change in a New Zealand cohort. The chart of movement can be viewed here. Note that 5 of 15 went from some same-sex attraction to only heterosexual attraction and none from “major attraction to the same sex” to straight.  

While these studies are suggestive, they cannot be directly compared to existing studies of sexual reorientation.  However, the fact that some men with some same-sex attraction and many women might shift spontaneously should be taken into account when thinking about the role of therapy in mediating sexual orientation change.

The Dickson study is intriguing in that the results can be interpreted as supporting the existence of different types of homosexual orientation. About their results, the authors note in the abstract:

These findings show that much same-sex attraction is not exclusive and is unstable in early adulthood, especially among women. The proportion of women reporting some same-sex attraction in New Zealand is high compared both to men, and to women in the UK and US. These observations, along with the variation with education, are consistent with a large role for the social environment in the acknowledgement of same-sex attraction. The smaller group with major same-sex attraction, which changed less over time, and did not differ by education, is consistent with a basic biological dimension to sexual attraction. Overall these findings argue against any single explanation for homosexual attraction.

To me, this is a reasonable hypothesis. I believe there are multiple pathways to adult sexual orientation and for some, apparently the social context means more than for others. Also, for some the trait may continue to shift around through life with changing circumstances, yet for others, not at all.

UPDATE: In an odd attack piece, the gay website Queerty reads this post (actually the Crosswalk version) as a kind of strange defense of change therapies or change of orientation in general.  A commenter named Timothy (is it our Timothy?) gets the point, but whoever writes for them and the commenters thus far over there are clueless.

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.

APA brochure kerfuffle

The Southern Voice has an article regarding the recent breathless, echo-chamber enhanced series of articles from some conservative blogs and news services about changes in the American Psychological Association statement regarding sexual orientation.

As I noted here awhile back, the recent flurry was not new news. My first blog about it was when NARTH’s Dean Byrd produced an article for the NARTH website.

In the Sovo article, the APA’s Clinton Anderson seems bemused by the far right response to something they did over a year ago.

Clinton Anderson, director of the APA’s lesbian, gay, bisexual and transgender concerns office, said the change was so subtle that “from our perspective, there really hasn’t been any change.”

But some conservative groups have hailed the wording change as apparent affirmation that sexual orientation is not genetically defined.

Peter LaBarbera, president of Americans for Truth about Homosexuality, said the reason “so many people in the pro-family movement are delighted by this is that it seems to confirm our doubts that there’s a gay gene, that homosexuality is inborn.”

“A lot of gay activists have used the idea of genetic homosexuality as a convenient argument to further their case,” he said. “This makes it harder for them to do that, because they can chastise the religious right, but it’s harder for them to chastise the APA.”

I still wait for NARTH to issue a similar position statement regarding the nature of homosexuality – multiple factors, multiple pathways, we don’t know how any of this works very well, etc.

Instead NARTH trumpets a paper saying that research leads to a conclusion that homosexuality is not innate – despite the absence of any evidence to support the “conclusion” in the paper.