Who Invented the Therapy in Those Joseph Nicolosi Books Banned by Amazon?

Recently, Amazon stopped offering Joseph Nicolosi’s books for sale. Nicolosi, who died in 2017, was a polarizing figure in American psychology but was well liked among evangelicals. Evangelicals are writing about reparative therapy now like it was Christian counseling. I know they know it wasn’t but that is a subject for another post.

In this post, I want to publish an adaptation of two 2017 articles (here and here) in which I disclosed a rift in the reparative therapy movement between 1990 and 1996. There was a dispute over who originated the form of therapy later popularized as reparative therapy. This post lays out that dispute. If Elizabeth Moberly had her way in the early days, Nicolosi’s books might have been pulled because she believed they contained too much of her material without sufficient attribution. The ex-gay movement in the form of Exodus International sided with Nicolosi and the rest is history.

The following is adapted from posts which were originally published on January 19 & 20, 2017.

Elizabeth Moberly Accused Joseph Nicolosi of Taking Her Work

Once upon a time, I wrote frequently about sexual orientation, psychotherapy, and the culture wars that have raged about those topics. A review of my blog posts since I started in 2005 would be like reading a history of the ex-gay movement, reparative therapy, sexual orientation change efforts and many related matters. Even though general interest has diminished about gay change efforts since the close of Exodus International, I have some stories still to explore.

Below is a brief letter to the editor exchange between Elizabeth Moberly and Joseph Nicolosi. While I don’t have permission to publish them, I also have some letters involving Dr. Moberly and the Exodus International board which reveals a six-year feud (1990-1996) between Moberly and Nicolosi over who founded reparative therapy.  Moberly strongly asserted that Joe Nicolosi plagiarized portions of her work and took credit for the development of reparative therapy which she believed rightly belonged to her.

First, here is the letters to the editor of the California Psychologist (Jan, 1990).
Moberly Nicolosi LtE Cal Psyc 1990

Thanks to the help of California Psychological Association administrator Patricia VanWoerkom, I was able to get Nicolosi article. An image of part of it is below. To read the entire article, click here.
Nicolosi CPA RT clip 2 89
In the article, Nicolosi says:
Nicolosi CPA article Moberly credit
In the piece, he provided the standard reparative explanation of homosexuality. According to this view, gays do not fully identify with the same sex parent. This gives rise to a defensive detachment which they seek to repair with same sex relationships. He gave credit to Moberly for her writings but this was not enough for her. In her pleas to the Exodus International board, Moberly claimed that Nicolosi was merely a practitioner of her reparative therapy approach. She felt Nicolosi’s article wasn’t just based on her theoretical writings, but that his entire approach was simply borrowed from her. From her point of view, he was not a developer or collaborator, but someone who simply copied what she had already discovered.

Moberly pointed out to the Exodus board that Nicolosi said he was the “author of one of those rumored treatments [to help gays change to straight].” Moberly countered that Nicolosi did not author anything. He simply copied what she had written and passed some of it off as his own work.

Ethics Complaint

According to Moberly, she filed an ethics complaint with the American Psychological Association and California Psychological Association. Only the CPA responded, she claimed, and found that Nicolosi had inadvertently copied her material. A CPA representative later told me that those records were sealed.

I think the founding of modern day reparative therapy is an interesting historical issue. Some time ago, I asked a former Exodus board member (who wants to remain anonymous) about the rift. The individual said the dispute was “common knowledge” among Exodus people. My source said

Elizabeth believed that Joe’s reparative therapy concept belonged to her as reported in her research work in Psychogenesis and Homosexuality: A New Christian Ethic, and that Joe had not given sufficient acknowledgment to her work; and (2) that Joe believed he had referenced her work adequately and had taken her concepts and built upon them sufficiently to justify reporting on his own work in his book Reparative Therapy.

This individual was on the Exodus board at the time and made contacts with both Nicolosi and Moberly to try to resolve their differences. According to my source, the effort was unsuccessful. Nicolosi and Moberly did not come to unity over the issues. In 1996, Moberly left the ex-gay movement to return to England to conduct research into alternative treatments for AIDS and cancer. I tried to contact her in 2011 but received no reply.

Moberly’s books on reparative therapy were published in the early 1980s. According to Moberly, Nicolosi was introduced to her work via a client and he began using her approach in the late 1980s. Moberly was exasperated that Nicolosi published his first book on the subject in 1991 without giving her what she felt was sufficient credit. In his 1991 book, Nicolosi did in fact cite one of Moberly’s books and gave her credit for the concept of defensive detachment. However, Moberly felt that was insufficient. She pulled out of speaking for at least one of the Exodus conferences because she believed Exodus should not have promoted Nicolosi’s book. Perhaps she would have written Amazon if it existed in 1991.

As to the specific question — who conceptually founded reparative therapy? — I think the answer must be Elizabeth Moberly. She wrote first about all of the key concepts and described the kind of therapeutic relationship that reparative therapists, including Nicolosi, have promoted. Without question, Nicolosi popularized reparative therapy through his books, the organization he co-founded (NARTH), and via the vocal support of Exodus International and Focus on the Family. His appearances with James Dobson on the Focus on the Family radio show and subsequent role as featured speaker at FoF’s Love Won Out conferences solidified Nicolosi’s enduring role as key representative of reparative therapy. The reason his books are now being targeted is because he was the central figure in promoting the approach.

In the current scene, it doesn’t much matter who developed the concepts. People who oppose the books just want them gone. There is a certain irony that long ago the founder of reparative therapy also tried to prevent their promotion.

 

Who Founded Reparative Therapy? Part Two

Yesterday, I described a conflict within the ex-gay movement about who founded reparative therapy. The dispute took place between 1989 and 1996 and involved Elizabeth Moberly, Joseph Nicolosi and the board of now closed Exodus International.
In the post yesterday, I published two letters to the editor, one from Moberly accusing Nicolosi of inadequately citing her work in a February 1989 California Psychologist article on reparative therapy. The other letter came from Nicolosi and claimed his work was different from Moberly’s.
Thanks to the help of California Psychological Association administrator Patricia VanWoerkom, I am able to publish the Nicolosi article. An image of part of it is below. To read the entire article, click here.
Nicolosi CPA RT clip 2 89
In the article, Nicolosi says:
Nicolosi CPA article Moberly credit
He gives credit to Moberly for her writings but this was not enough for her. In her pleas to the Exodus International board, Moberly claims that Nicolosi was merely a practitioner of her reparative therapy approach. She felt Nicolosi’s article wasn’t just based on her theoretical writings but that his entire approach was simply borrowed from her. From her point of view, he was not a developer or collaborator but someone who simply copied what she had already discovered.
Moberly pointed out to the Exodus board that Nicolosi said he was the “author of one of those rumored treatments [to help gays change to straight].” Moberly countered that Nicolosi did not author anything. He simply copied what she had written and passed some of it off as his own work.
According to Moberly, she filed an ethics complaint with the APA and CPA. Only the CPA responded, she claimed, and found that Nicolosi had inadvertently copied her material. I have reached out again to the CPA and in a future post hope to be to confirm or deny Moberly’s claim.
 

From the Archives: Who Founded Reparative Therapy?

Once upon a time, I wrote frequently about sexual orientation, psychotherapy, and the culture wars that have raged about those topics. A review of my blog posts since I started in 2005 would be like reading a history of the ex-gay movement, reparative therapy, sexual orientation change efforts and many related matters. Even though general interest has diminished about gay change efforts since the close of Exodus International, I have some stories still to explore.

Today, I want to post a brief letter to the editor exchange between Elizabeth Moberly and Joseph Nicolosi. While I can’t publish them, I also have some letters involving Dr. Moberly and the Exodus International board which reveals a six-year feud between Moberly and Nicolosi over who founded reparative therapy.  Moberly strongly asserted that Joe Nicolosi plagiarized portions of her work and took credit for the development of reparative therapy which she believed rightly belonged to her.

First, here is the letters to the editor of the California Psychologist (Jan, 1990).
Moberly Nicolosi LtE Cal Psyc 1990
I started to explore this several years ago but got sidetracked. I think the founding of modern day reparative therapy is an interesting historical issue. Some time ago, I asked a former Exodus board member (who desires anonymity) about the rift. The individual said the dispute was “common knowledge” among Exodus people. In essence, my source said

Elizabeth believed that Joe’s reparative therapy concept belonged to her as reported in her research work in Psychogenesis and Homosexuality: A New Christian Ethic, and that Joe had not given sufficient acknowledgment to her work; and (2) that Joe believed he had referenced her work adequately and had taken her concepts and built upon them sufficiently to justify reporting on his own work in his book Reparative Therapy.

This individual was on the Exodus board at the time and made contacts with both Nicolosi and Moberly to try to resolve their differences. According to my source, the effort was unsuccessful. They did not come to unity over the issues. In 1996, Moberly left the ex-gay movement to return to England to conduct research into alternative treatments for AIDS and cancer. I tried to contact her in 2011 but received no reply.

Moberly’s books on reparative therapy were published in the early 1980s. According to Moberly, Nicolosi was introduced to her work via a client and he began using her approach in the late 1980s. Moberly was exasperated that Nicolosi published his first book on the subject in 1991 without giving her what she felt was sufficient credit. Nicolosi did in fact cite one of Moberly’s books in the 1991 book and gave her credit for the concept of defensive detachment. However, Moberly felt that was insufficient. She pulled out of speaking for at least one of the Exodus conferences because she believed Exodus should not have promoted Nicolosi’s book.

I haven’t made up my mind yet what I think about it and am still researching it. Clearly she came first with the core concepts of reparative therapy (i.e., homosexual behavior represents a reaction to a same-sex parent wound during development leading to a reparative drive to connect with same-sex love objects). On the other hand, Nicolosi did cite at least one of her books and specifically referred to her in his book.

As to the specific question — who founded reparative therapy? — I think the answer must be Elizabeth Moberly. She wrote first about all of the key concepts and described the kind of therapeutic relationship that reparative therapists, including Nicolosi, have promoted. Without question, Nicolosi popularized reparative therapy through his books, the organization he co-founded (NARTH), and via the vocal support of Exodus International and Focus on the Family. His appearance with James Dobson on the Focus on the Family radio show and subsequent role as featured speaker at FoF’s Love Won Out conferences solidified Nicolosi’s enduring role as representative of reparative therapy.

As time permits, I will post more information from the archives on this topic in the coming weeks.

Narth fact sheet: Female homosexual development

Narth recently released a fact sheet that is relevant to some information I posted regarding reparative therapy research.
The paper has some bright spots but overall reverts to the same reparative drive theoretical formulation for which NARTH is known. On the NARTH website, Dean Byrd praises the APA for taking a more nuanced perspective toward causation and same-sex attraction, but in this paper, NARTH does not follow the APA’s lead.
The paper begins by attempting to make a case for sexual fluidity by quoting mainstream researchers. I suspect researchers such as Michael Bailey, Ken Zucker, and Lisa Diamond will be uncomfortable with how their work is integrated in this piece. The unnamed NARTH author then suggests that the reason research supporting developmental causes is minimized today is due to bias against these findings. For some reason, Rogers Wright is quoted in this context. However, Rogers is referring to psychotherapy and not research on causal factors. Regarding the research on environmental factors, the paper says:

There is, in fact, a wealth of older research identifying many common developmental, temperamental and family patterns connected to homosexuality. This research has never been scientifically refuted.

The citations for this statement are a 10 year old paper by Mark Yarhouse and a 15 year old book by Goldberg. Yarhouse and I were making a case for reorientation therapies broadly speaking several years ago. However, our model now calls for a cautious and realistic assessment of the literature on change and causal factors. Our sexual identity therapy framework is based, in part, on the observation that we do not know what causes sexual orientation in any general sense, nor do we know what, if any, factors might lead to fluidity. Our model stresses value congruence rather than change in orientation.
In fact, “the older research” has been addressed as inadequate to explain the complexity of sexual orientation (e.g, Bell, Weinberg & Hammersmith, 1981; see this post about Fisher and Greenberg’s review of psychoanalytic literature, and this post as well). In the context of the NARTH claim, I would like to ask anyone to produce the three best studies which support the “common developmental, temperamental and family patterns connected to homosexuality.” I am serious about this. Preferably I would like proponents to post them in a comment for discussion but these references may also be emailed to me.
Based on this lead, I expected the author to make a case that the observation of sexual fluidity for some meant that therapy could be helpful in promoting change of orientation. However, the paper did not quite come to that conclusion, saying

The concept of sexual fluidity, defined as the spontaneous evolution or transformation of one’s sexual preferences, is different from the concept of changeability involving intentional effort directed towards altering or changing one’s sexual preferences. As mentioned, many researchers attest to the reality of female sexual fluidity. This does not directly translate into proof that any woman can easily change or alter her same sex attraction. It does however confirm that sexual feeling and behaviors are not absolutely immutable or unchangeable. The degree to which a woman can or will experience change will be uniquely determined based on her history and motivation to do so.

While I appreciate the distinction between spontaneous fluidity and intentional attempts to change, I do not think significant evidence has established that motivation is a catalytic component for such fluidity. Certainly some women testify that they sought change and experienced it but others sought change and did not. We do not know that change is determined by “history and motivation.” This sentence almost sounds like change is related to motivation in some dose-dependent manner – the more motivation, the more the change. This can be a very frustrating and defeating message for people who are quite motivated and yet continue to experience same-sex attraction.
The paper then indicates via quote from George Rekers that gender nonconformity and a feeling of being different is associated with adult homosexuality. This is the same data Bem appeals to in crafting his erotic becomes exotic (EBE) theory. Although less so for females than males, these are true observations. In 1995, Bailey and Zucker summarized the research on gender nonconformity and adult sexual orientation this way:

As our analyses demonstrated for both men and women, research has firmly established that homosexual subjects recall substantially more cross-sex-typed behavior in childhood than do heterosexual subjects. By rough criteria, effect sizes were large for both men and women. Indeed, they were among the largest effect sizes ever reported in the realm of sex-dimorphic behaviors.

However, instead of stopping there, the NARTH paper leaves research and goes to theory and clinical anecdote by suggesting:

Typical in the history of women with same sex attraction are failures of attachment with the mother resulting in disidentification (rejection as role model).

The research cited does not suggest that gender nonconformity leads to failures of attachment, but the lay reader might not catch the shift from data to theory. The NARTH paper cites no studies which demonstrate higher levels of attachment failures, nor higher levels of disidentification with mother. The reference is to a speech given by NARTH Board Member, Janelle Hallman at a NARTH conference.
Then Elizabeth Moberly’s theories are referenced as evidence. Dr. Moberly, who was not a clinician nor did research on sexual orientation, proposed the basic reparative drive theory which holds:

…that the homosexual-whether man or woman has suffered from some deficit in the relationship with the parent of the same-sex: and that there is a corresponding drive to make good this deficit-through the medium of same sex or “homosexual” relationships.”

The NARTH paper also claims poor fathering, marital distress and sexual abuse play a role in lesbian development. Feminist researchers are quoted out of context to make a point about the need for positive attachments among women. However, the reader is not informed that no research has linked poor mother-daughter attachments to later lesbian development
In a second part of this critique, I will take the sexual abuse statistics separately. Let me say now that I reviewed the studies referenced, and I cannot determine how the NARTH author arrived at a statistic of 50% of lesbians, on average, have been sexually abused. One must take into account representative sampling when offering such data. I am looking for something more recent but one 1994 study using a representative sample of lesbians found that 21% of lesbians reported sexual abuse as a child.
The NARTH paper concludes this way:

Women who deal with same sex attraction, possess a history of disindentification with their mothers, and therefore with their femininity. This leads to a longing for connection with the feminine that becomes sexualized in adolescence or adulthood. Without a secure attachment to mother, she fails to identify with mother as a female role model losing the opportunity to develop trust and a healthy gender identity. Because of an empty or distorted view of her feminine self she has an inability to connect in a healthy way with other girls. Her sexual development is arrested.

It is possible that the NARTH author believes that since the paper mentions biological, psychological and social factors in the same paper that a “bio-psycho-social model of causation” is being advanced. However, a review of the paper finds no such model where these factors are integrated with research support.
Despite the use of some research studies in this paper, the conclusion leaves data and moves to the reparative drive theory first articulated by Elizabeth Moberly. Back in March, I posted about Dean Byrd’s review of the APA paper on sexual orientation. Then I wondered

…when NARTH would make an APA-like statement about theorized environmental factors such as child abuse and same-sex parenting deficits. What if NARTH acknowledged “what most scientists have long known: that a bio-psycho-social model of causation best fits the data?” Wouldn’t there be a need for a statement cautioning readers of their materials that evidence for parenting playing a large or determining role is meager? Paralleling Dr. Byrd’s assessment of the APA pamphlet, shouldn’t NARTH say with italics, “There is no homogenic family. There is no simple familial pathway to homosexuality.”

Still wondering.