NARTH Touts Jones and Yarhouse Study

I was wondering when NARTH would weigh in on the Journal of Sex and Marital Therapy publication of the Jones and Yarhouse study. Dated October, 2011, the title of the post — Change in Sexual Orientation is Possible — immediately spins the study. Here is what the press release about the Jones and Yarhouse study says:

WHEATON, Ill., Sept. 27, 2011 /Standard Newswire/ — Many professional voices proclaim that it is impossible to change homosexual orientation, and that the attempt to change is commonly and inherently harmful. Psychologists Stanton L. Jones (Wheaton College, IL) and Mark A. Yarhouse (Regent University) have just published in the respected, peer-reviewed Journal of Sex and Marital Therapy the final results of their longitudinal study of individuals seeking sexual orientation change through involvement in a variety of Christian ministries affiliated with Exodus International. The results show change to be possible for some, and the attempt not harmful on average. These results stand in tension with the supposed professional consensus; more information is available at www.exgaystudy.org.
In prior studies, in the words of the American Psychological Association, “treatment outcome is not followed and reported over time as would be the standard to test the validity of any mental health intervention.” This study assessed evolving sexual attractions and psychological distress levels of 98 individuals seeking sexual orientation change beginning early in the change process, and then followed them with five additional assessments over a total span of 6 to 7 years. The researchers used standardized, respected measures of sexual orientation and of emotional distress to test the study’s hypotheses.
Of the original 98 subjects, 61 were successfully categorized for general outcome at the last assessment. 53% were categorized as successful outcomes; specifically, 23% reported success in the form of successful “conversion” to heterosexual orientation and functioning, while an additional 30% reported stable behavioral chastity with substantive dis-identification with homosexual orientation. At the 6 year mark, 20% reported fully embracing gay identity. Modest but statistically significant changes were reported on average for decreases in homosexual orientation. The measure of psychological distress did not, on average, reflect increases in psychological distress associated with the attempt to change.
These results do not prove that categorical change in sexual orientation is possible for everyone or anyone, but rather that meaningful shifts along a continuum that constitute real changes appear possible for some. The results do not prove that no one is harmed by the attempt to change, but rather that the attempt does not appear to be harmful on average or inherently harmful. The authors urge caution in projecting success rates from these findings, as they are likely overly optimistic estimates of anticipated success. Further, it was clear that “conversion” to heterosexual adaptation was a complex phenomenon.
Jones and Yarhouse argue that implications of their findings include respect for the integrity and autonomy of persons seeking to change unwanted sexual attractions for moral, religious, or other reasons, just as we respect those who for similar reasons desire to affirm and embrace their sexual orientation. Full information should be offered to consumers about the options and their potential risks. The results also suggest that it would be premature for professional mental health organizations to invalidate efforts to change sexual orientation and unwanted same-sex erotic attractions.

Some might argue that the press release is not appropriately clear because it speaks of change of orientation in the same release as it says this:

These results do not prove that categorical change in sexual orientation is possible for everyone or anyone, but rather that meaningful shifts along a continuum that constitute real changes appear possible for some.

Most of the reviews of this study have missed this statement. Categorical change — moving from a homosexual orientation to a heterosexual one — is not what has been reported by the Jones and Yarhouse. Clearly some people reported changes which allowed them to make an attribution change to themselves – they feel more straight and so they identify with the label. However, the absolute shifts on average were modest, leading to the assessment from Jones and Yarhouse that “meaningful shifts along a continuum that constitute real changes appear possible for some.”
The NARTH article does not link to the press release and does not mention the assessment that the study does not prove categorical change to be possible for anyone. The review is not as skewed as some I have seen, but it does shade the picture.
I have a more focused post about the study planned, but for now, let me add that the concept of bisexuality is not satisfactorily addressed by the study or by reviewers. Bisexuals I have spoken to describe their lives as a series of shifts. For whatever reason, the direction of their attractions shifts with time and/or with relationships. From their point of view, they are not changing orientation when they fall in love with an opposite sex person after a period of same-sex relationships. Instead, they are flexing along a continuum, all of which is understood to be within their essential orientation.
The other group of people which I worked with are the mixed orientation couples. Some of them believe they have become straight because they have fallen in love with an opposite sex spouse. However, these folks do not plan this, nor does it appear to be subject to manipulation or ministry.
Another issue not addressed well by the study or the reviewers is the difference between men and women. Women are probably more likely to report big changes than men. However, Jones and Yarhouse have mixed groups. Separating men and women in the analyses would clarify the possibility that women change more than men.
In all, I am disappointed that the study has re-ignited the “change is possible” political machine. There is fluidity for some people in their sexual attractions, however this says very little about the experience of people who don’t experience that fluidity. Change of orientation for a small group of people is one hypothesis. However, there are other explanations. I think explanations incorporating the reality of bisexuality, cross orientation relationships, and male-female differences are also plausible. In fact, I think they are more plausible.
As an aside, the NARTH review ends with the obligatory slap at the APAs:

Unfortunately, however, the major mental-health associations appear to be moving further away from a purely scientific approach and toward one apparently directed by activists, whereby the purpose of their science does not seem to be understanding those who report change, but rather debunking, dismissing, and ignoring them.

All I can say is: takes one to know one.
NARTH does the same thing they accuse “major mental-health associations” of doing, just on the other side of the ideological perspective. The purpose of NARTH’s “science” seems to be to debunk, dismiss and ignore those who report no change. Regarding activism, NARTH is featuring anti-gay activist Michael Brown in a plenary session at this year’s conference. Brown has no scientific credentials but will be there as an activist, decrying the “homosexual agenda.”
Even more ominous is the presence of Sharon Slater at this year’s conference. Slater runs Family Watch International, a group who lobbies foreign governments at the UN and internationally to maintain laws criminalizing homosexuality. Slater uses NARTH materials in her work. Slater has no scientific credentials, she is there as an activist. I have asked NARTH but gotten no answer as to what scientific benefit Brown and Slater bring to the NARTH audience.
NARTH’s approach may not be “directed by activists.” Perhaps, it is more of a partnership.

Michael Brown: Here is a taste of next month's NARTH conference

The National Association for the Research and Therapy of Homosexuality claims to be a scientific organization. However, a review of their website finds lots of anti-gay advocacy. In the past, when I bring this up with NARTH supporters, what I have been told is that they do it because the APA does it.
While I don’t deny that the mental health groups lean left and this bias comes out at their conferences at times, I wonder why NARTH makes any pretense of being distinct from the APA when they feature non-scientists in prominent speaking spots. Cases in point: this year’s conference features advocate of keeping homosexual criminal Sharon Slater who will speak in an applied workshop (I wonder what application NARTH wants participants to take from Slater’s workshop?). In addition, minister Michael Brown will speak in a plenary meeting to all participants. Brown has a book out called A Queer Thing Happened to America. It is not a science book.
You can hear a little of what he might have to say next month here, courtesy of Right Wing Watch.

Really?
There will always be extremes in any social group who want to say, ‘off with their heads’ to people not in the club. We got our reconstructionists and dominionists and the gays may have them some gay dominionists somewhere. I don’t really think I should be judged by the reconstructionists. Should we judge all gay folk by Brown’s gay dominionists (if they exist)?

NARTH Report: Suicide attempts increase during sexual orientation change therapy

Writing in the second edition of NARTH’s (National Association for the Research and Therapy of Homosexuality) Journal of Human Sexuality, Neil Whitehead proposed a reanalysis (NARTH summary here) of a paper by Ariel Shidlo and Michael Shroeder on potentially harmful outcomes of sexual orientation change efforts. NARTH’s headline describing the paper is

Sexual Orientation Change Efforts Do Not Lead to Increased Suicide Attempts.

Contrast NARTH’s headline with the title of my post. After examining  Whitehead’s  article, I submit that his analysis supports my title as much or more than it does NARTH’s claim.
 Shidlo and Shroeder wrote the following about suicide attempts in their 2002 report:
 

In examining the data, we distinguished between participants who had a history of being suicidal before conversion therapy and those who did not. Twenty-five participants had a history of suicide attempts before conversion therapy, 23 during conversion therapy, and 11 after conversion therapy. We took the subgroup of participants who reported suicide attempts and looked at suicide attempts pre-intervention, during intervention, and post-intervention to see if there was any suggestive pattern. We found that 11 participants had reported suicide attempts since the end of conversion interventions. Of these, only 3 had attempted prior to conversion therapy. Of the 11 participants, 3 had attempted during conversion therapy.

In his NARTH paper, Whitehead makes a series of assumptions about the participants in the Shidlo and Schroeder study. I think these are questionable assumptions but for sake of discussion, I will play along. First, he assumes that these suicide attempts occur over a span of 25 years (13 years pre-therapy, two years in therapy and then 10 years post-therapy). He then assumes that the attempts occurred at a constant rate over that span to calculate an expected number of suicide before, during and after therapy. Whitehead then compares his expected attempts with the actual number of attempts as reported by Shidlo and Schroeder. Whitehead summarized his findings as follows:

(a) Comparing pre-therapy, therapy, and post-therapy groups, there is overall no significant increase in suicides per unit time.
(b) There is a very clear increase in attempts during therapy.
(c) There is a trend to fewer attempts after therapy.

Using his assumptions, Whitehead wrote:

Suicide attempts reported before therapy were 25, and those reported during and after therapy combined numbered 34. The expected numbers allowing for the time periods and normalized to the above total are 30.55 and 28.44. The expectation on which this is calculated is that therapy has no effect, either positive or negative.

In this analysis, no difference shows up in suicides related to therapy when suicide attempts before therapy are compared with the time period during and after therapy. However, Whitehead does not stop there. About suicide attempts during therapy, he wrote:

For attempts before and during therapy, the observed results are 25 and 23, and the calculated expected normalized figures are 42.18 and 5.82. These are very different from the observed, and the chi-square test produces a result of p < 0.001. They are not the same, and therapy has therefore been associated with a several-fold increase in attempts.

In other words, there is a very large increase in suicide attempts during therapy. The title of my post is accurate. According to this NARTH report, sexual orientation change “therapy has therefore been associated with a several-fold increase in attempts.”
Continue reading “NARTH Report: Suicide attempts increase during sexual orientation change therapy”

NARTH to Feature Anti-gay Activists at Annual Convention

The National Association for the Research and Therapy of Homosexuality (NARTH) bills itself as “a scientific, secular organization.” However, this year the organization’s annual conference in Phoenix, AZ will begin with a decidedly religious and political tone. On the first day (Nov. 4) of the conference, Rev. Michael Brown and Sharon Slater will speak. Brown, who recently wrote a book called A Queer Thing Happened to America, will speak in a plenary session, while Sharon Slater, leader of Family Watch International will talk about her anti-gay work internationally and at the United Nations (Slater’s name does not appear on the current conference schedule, however, NARTH’s David Pruden confirmed today that she is giving the speech labeled “The United Nations and an International Overview.”)
Regarding homosexuality, Dr. Brown told religious talk show host Sid Roth in April of this year that some people can be delivered from homosexuality by ridding them of demons. To Roth, Brown said:

Sid:  I have met people that have been prayed for deliverance that were homosexual and when the demon was cast out of them even their walk was different.
Mike:  Listen, why is it that people can accept demonic influences in other behaviors? Someone’s a heterosexual pornography addict and they get delivered from demons and their free.  Someone’s addicted to drugs, they get delivered from demons, someone’s got a horrific fierce temper, they get deliver from demons and their free.  Why can’t we recognize that this can happen with homosexuality too?  It’s not every person.  I was in Israel Sid, talking to a top national leader and he talked to me about some men in his congregation and he said that he watched them in front of his eyes and get truly delivered, he said and they are free.  They are different, they are fully heterosexual.

More recently, Brown accused unnamed gay activists of complicity in the murder of Larry King, the young gay teen who was murdered in school by classmate Brandon McInerney. Brown wrote on the OneNewsNow website:

Of course, there is only one real killer, Brandon McInerney, just 14 years old at the time of shooting. He confessed to killing Larry in cold blood in full view of his classmates. But there are others who are complicit in Larry’s terribly tragic death, and rather than point the finger at a “homophobic” society, they should point it at themselves. I’m speaking of course of gay activists, who have made Larry into a martyr for the cause of gay activism when, in reality, he was more a victim of gay activism.

Brown argues that gay students should keep their feelings hidden because such feelings, when expressed, provoke harassment from other students. In the article on Larry King, Brown asked:

If our schools really are so “homophobic” and dangerous, why not encourage these kids to keep their sexual orientation to themselves until they’re in a safer environment?

Sharon Slater is the director of Family Watch International, a Phoenix based group which opposes the repeal of laws criminalizing homosexuality. Last month in an interview, Slater told me that she favored laws in the United States which make homosexual behavior a crime. She and her organization Family Watch International work with United Nations member nations to maintain laws which criminalize gays. About those laws, Slater said

“We do not support any laws that promote violence against homosexuals.” She added that her organization presents research showing that gays can change orientation. Such research is relevant to her stance because, “laws that promote violence would discourage therapy for people with unwanted same-sex attraction.”
I asked Mrs. Slater if she considers a 14-year jail sentence a form of violence. She said that her organization has no position on that question saying, “FWI does not dictate to nations what specific laws people should enact or protect regarding homosexual sex or whether they should fine or jail individuals.”

In December, 2009, I asked NARTH’s leadership about the organization’s position on Uganda’s Anti-Homosexuality Bill. At that time, some proponents of the bill were suggesting that forced therapy for gays should be included in the bill. NARTH’s David Pruden rejected the forced therapy as ineffective. However, NARTH’s Dean Byrd declined to take a position on criminalization saying,

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

NARTH takes no position on criminalization and yet brings in a non-scientist who supports criminalization around the world in an “applied workshop.” NARTH claims to be a secular organization but brings in a minister who believes some homosexuals can be changed by removal of demons. I cannot imagine another scientific group giving a platform for similar views.
 

MN Parents Action League Obstructs Bullying Prevention with Help of Ex-Gay Groups

Today, the New York Times examined the conflict in the Anoka-Hennepin school district over bullying prevention. The school district in Michele Bachmann’s Congressional district has lost eight students to suicide in the last two years. Critics of the district say that some of the suicides are due to anti-gay bullying and want the school district to renounce a policy of neutrality toward discussions of sexual orientation. A parent’s group, using ex-gay literature and arguments, is fighting to keep the policy in place.
Although not named in the article, the group is called the Parents Action League.  They claim to disapprove of bullying for any reason; however, I believe they are a part of the problem. Their website does not do what they claim — “to…equip citizens with current and accurate information” — and in fact adds to harmful sterotyping of GLB people.
You can read what they have to say about homosexuality on their FAQs page. Most of it is outdated criticisms of old studies. I have addressed these issues in prior posts. My focus now is to point out what appears to me to be the real focus of this group. One of the questions asked and answered is:

If we don’t approve of homosexual behavior and affirm same-sex attraction, won’t we be causing depression and unhappiness for “gay” teens?
On the contrary, when a child has been deliberately misinformed about the causes of homosexuality and told that homosexual acts are normal and natural, all hope for recovery is taken away.  Hopelessness can lead to depression and affect a child’s ability to be happy.  If we really love someone, we’ll tell him or her the truth that change is possible.

After deliberately misinforming their readers about homosexuality, the PAL people then get to their bottom line. The depression felt by bullied kids at Anoka-Hennepin is not due to disapproval and vilification, it is due to the fact that no one has given you the ex-gay message – change is possible.
PAL claims it wants a neutrality policy but it really doesn’t. PAL people want kids told that there is hope for change. Not neutral; and mostly wrong.
As I wrote on the CNN Belief Blog last year, I believe the school should name the problem and specifically forbid bullying based on real or perceived sexual orientation. The Olweus Bullying prevention program should be implemented.
I also believe that groups like NARTH and Exodus should take some responsibility for the information they promote. Speaking directly to NARTH and Exodus: Parent’s are obstructing the well being of children because of the information you disseminate. You promote change as happening more frequently than it actually does, and I believe you know it.  Many people do decide to channel their actions in alignment with their beliefs, but it is infrequent that someone goes from gay to straight in attractions, fantasies and actions. You should end your silence and communicate the real situation to these groups. Part of the reason they obstruct progress in addressing bullying is because of the distorted narrative you have helped to create.
I believe there are caring people with the PAL, but they think that being attracted to the same sex is due to deliberate choice of a lifestyle or the result of bad parenting or a wicked culture. If they knew that many same-sex attracted kids have great loving parents, attend church, live moral lives and are simply trying to understand what is happening to them, they might become part of the solution and not the problem. Why do PAL people think what they think? Many reasons probably, but the intellectual source nearly always comes back to NARTH or Exodus.
UPDATE: To be consistent, I need to add Mission America, PFOX, Focus on the Family and the American College of Pediatricians to the two groups listed above. Regarding Exodus, there is only one item (Janet Boynes’ book) directly related to an Exodus affiliate. However, the organization does offer for sale books which are listed on the PAL website, including Joseph Nicolosi’s Parents Guide to Preventing Homosexuality.
I have received several emails on this post, most supporting this call for groups to evaluate how their message is working against bullying prevention. A couple have criticized me saying that I advocate censorship of a valid point of view.  I don’t see it that way. I see it as advocating responsibility. When a group like PAL is using the belief that gays are by definition disordered, depressed and the products of bad parenting and/or abuse in order to offset bullying prevention efforts, then I think it is time to re-evaluate the situation.