Brain plasticity and sexual orientation: Train it to gain it?

This article about brain plasticity by Neil and Briar Whitehead posted on Anglican Mainstream caught my attention for several reasons. Some relate to classes I teach but for this post, I am interested in discussion surrounding the main reason the Whiteheads wrote about neuroscience: sexual reorientation.

I have a few questions.

Sex and gender researchers working in the belief that the brain and its functions were more less set, believed they might find evidence that homosexuality was hard-wired in the brain. They looked for signs that parts of the brain used in sexual activity were different in homosexuals and heterosexuals, that, for example parts of a homosexual male brain might be more like a woman’s.

Almost without exception these numerous studies produced contradictory conclusions, and were not replicable. Although gay activism sought to use some of these findings to argue homosexuality was biologically ingrained, the most that can be said scientifically about them is that IF any differences exist they are probably the result of homosexual behavior rather than the cause of it. But it is clear now that no-one is stuck with the type of brain they were born with. Our assumption now should be, change is possible in many behaviors – sexual orientation not excluded – and extraordinary effort will produce extraordinary change.

I don’t agree with this assessment of the state of research. We are on the beginning edge of research regarding sexual orientation differences in the brain and some of those differences seem striking. The work of Savic in particular has found some differences in gay and straight males in areas of the brain which may or may not be modified by experience. This study was just last year; there has not been time to publish replications. What research do the Whiteheads refer to here? This is an ongoing process which the Whiteheads describe as though the research program was in some mature state with many contradictory studies. I believe this is a extremely premature statement:

the most that can be said scientifically about them is that IF any differences exist they are probably the result of homosexual behavior rather than the cause of it.

What evidence has been demonstrated that sexual behavior can make these differences? I would like to know what studies have contradicted the Savic research and other studies which demonstrate brain differences, not just in symmetry but responses to sweat, serotonin and visual cues.

The Whiteheads then discuss brain training, noting that musicians and cab drivers have enlarged areas of the brain which are used for the specific tasks used frequently. They then leap to sex.

Monkey experiments have shown that artificial exercise of three digits on the hand increases the area of the brain asso­ciated with those fingers and decreases the other regions proportionately.(1) Violinists have a grossly enlarged area of the brain devoted to the fingers of their left hands. Those who learn a juggling routine for three months produce observable small changes in the small-scale structure of the brain, and these changes reverse when they stop.(3)

London taxi drivers have an enlarged area of the brain dealing with navigation. Is this innate? No. London bus drivers on set routes did not have this enlarged area, and on retirement of the taxi drivers, the brain area involved diminished.(6) Taxi-drivers were not born that way, but developed the brain area through huge amounts of navigation and learning, and only maintained it through constant use. We change our brains at the micro-level through the way we exercise, and anything we do repetitively espe­cially if associated with pleasure (e.g.) sexual activity. So, if brain scientists did find real differences between the brains of homosexuals and heterosexuals, this was probably the result of different sexual behaviors, not the cause of them.

Do we have any research that demonstrates brain areas which enlarge based on frequent sex? Or straight sex or gay sex? I know of none and the Whiteheads offer none but this appears to be what they are suggesting. They also suggest that gay and straight sex might bulk up different brain areas thus reflecting activity rather than causing it. I know of no research which indicates different brain areas for sexual arousal. This study by Safron et al seems to provide evidence against such an idea.

Now here is where stand up comics should get some material.

Doidge sums up the extraordinary plasticity of the brain with the words, Use it or lose it. (Or, for those trying to drop an unwanted behavior, Don’t use it, and you’ll lose it.)

Even if part of the brain is strongly associated with a particular sexuality it should be possible to change it. Stopping a sexual activity and avoiding stimulation of that brain region, and plunging into some other intense brain activity for months would lead to a diminishing of the intensity of that sexual response. Months is about the timescale of first significant change. That can be true for learning a musical instrument too!

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.

If we train hard enough, an activity can become automatic and we pay it less conscious attention. That is particularly true of playing a musical instrument. Many of the basic techniques like chords, scales and arpeggios, are so deeply learnt that we don’t think about the details and indeed can’t if the music is fast. Details of driving, throwing a ball, reading, even tying shoelaces don’t and often can’t demand full attention. Anything we do often, we often end up doing automatically. In the same way it can seem that sexual orientation is so deeply embedded that it is innate. But, really, it is no more innate than any complex skill we have worked at to the point where we can do it without thinking e.g. seemingly automatic placement of left-hand fingers on guitar strings to produce a C chord.

Hey, what did you do this summer? Well, I learned to play the…

Changing sexual orientation is like learning to play a musical instrument? Should we have straight lessons? Community colleges could offer them in their continuing education departments. New slogan: “We put the adult in adult development!”

I apparently will need to get this book by Doidge. Whitehead doesn’t offer any of the research Doidge relies on for his startling new discovery about music instruments and sex. I wonder if there are any such studies. Whatever techniques Doidge is aware of, perhaps he ought to share them with Exodus since the changes reported by Jones and Yarhouse do not seem to reflect this new found brain plasticity. (I made this modification here because I have since learned that Doidge does not advocate any techniques of orientation change.).

I suspect this passage in the Whitehead article is deeply insulting to many ex-gays and ex-ex-gays alike (New reparative therapy slogans: “Just train it!” “You’ve got to train it to gain it”). How many such persons have essentially followed this approach: don’t use and you’ll lose it. However, they didn’t lose it.

The Whiteheads then suggest that male and female differences are largely due to experience after birth:

Male and female behavior – let alone ho­mosexuality and heterosexuality – is apparently not hardwired into the brain at birth. In fact, only one quar­ter of the brain is formed in a new-born child; the rest is developed through learning and experience (environ­mental input). We can be confident that whatever male/female differences exist in adult brains (and, no doubt, more will be found at some stage), they will be largely shaped by learning and behavior.

I think researchers in hormones might quarrel with this. I am aware of a recent study which found associations between fetal testosterone levels and sex-typed behavior at age 8.5. Testosterone has an organizing function in the brain prenatally but it is unclear whether it does at or before puberty. There is way too much unknown I believe, for dogmatism here. As with the rest of the claims, I would like to see this research much more than studies about driving and music.

The Whiteheads conclude:

Anatomy is not destiny; change is always possible. The brain is plastic and is in a constant state of change. Indeed the question is rather: what change is not possible?

Well, at the end, an idea is all we have. Essentially, the Whiteheads suggest that because brain plasticity has been associated with driving, musical training and regaining use of motor function, it should be true of sexual orientation change as well. As noted, there are some problems with his facts and no direct evidence for the hyperbolic title of this article.

UPDATE: My comments above about Norman Doidge’s book were made prior to reviewing it. I have since been able to read through parts of it and believe it is a valuable contribution for a lay audience. He does not offer techniques of sexual reorientation nor does he liken orientation change to learning a musical instrument. Neil and Briar Whitehead make those far-fetched connections, not Dr. Doidge. My reaction to the book was solely based on the selective quotations from the Whiteheads. I am sorry if anyone made an impression regarding Doidge’s book based on this post. Readers are encouraged to read the related posts linked below.

Related Posts:

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

My Genes Made Me Do It and brain plasticity

Michael Bailey reacts to “blatant misquotation” on LDS website by Byrd, Cox and Robinson

Researching sexual orientation and health and mental health correlates, I came across a reference to Michael Bailey’s 1999 commentary on the topic in a book review by Dean Byrd, Shirley Cox and Jeffrey Robinson. The way Dr. Bailey was quoted had him saying things that I did not think he believed. I sent the link to him and asked him if the way he was quoted accurately communicated his views. Baliey’s response is below and as I thought, indicates that he was not quoted properly. First, let me provide some background.

In 2004, the book In Quiet Desperation: Understanding The Challenge Of Same-gender Attraction by Fred & Marilyn Matis, and Ty Mansfield was published by Deseret Book, a publisher owned by the Latter Day Saint (Mormon) church. About the book, the publisher says,

Most likely, someone you know is living a life of quiet desperation, struggling with feelings of same-gender attraction. In an effort to help Latter-day Saints understand and reach out to those who suffer from this difficulty, Fred and Marilyn Matis discuss how they’ve dealt with the knowledge of their son Stuart’s challenge with same-gender attraction, and how parents and others can reach out with love. In addition, Ty Mansfield discusses his own challenge and how he continues to go forward with faith in the gospel of Jesus Christ. “The Lord promised that he will change our hearts, but he didn’t say when,” writes Mansfield. “He never promised it would happen in mortality. He only said it would happen.”

Here is a video news clip of the authors describing their hope for their book.

This is gut wrenching to watch. I could write an entire post just sorting through these stories in the context of the LDS church (in fact, there will be additional posts on this topic). For now, I offer this information as context for understanding why NARTH past-president Dean Byrd, Brigham Young University Social Work professor, Shirley Cox, and private practitioner, Jeff Robinson quoted Michael Bailey’s work on mental health and homosexuality.

Even though the In Quiet Desperation authors advocate living faithfully as LDS adherents, Byrd et al wrote a sharply critical review in 2005 of the book, published on a website dedicated to defending Mormonism (FAIR -Foundation for Apologetic Information and Research).

Titled “A Slippery Slope that Limits the Atonement,” the review is a harsh rebuke of the authors and the publisher. They begin:

While we, the authors of this review, are critical of the content and message of In Quiet Desperation, we want to be clear that we do not place all of the blame for any harmful effects the book may have on the shoulders of the Matises and Ty Mansfield. Indeed, In Quiet Desperation is symptomatic of the confusion about same-sex attraction commonly had throughout society. Members of The Church of Jesus Christ of Latter-day Saints are not immune to such confusion.

Specifically, because the In Quiet Desperation authors are realistic about the prospects of sexual reorientation, Byrd et al condemn their work and message.

Byrd et al also fault the In Quiet Desperation authors for recognizing the negative effects of social pressure and stigma on the mental health of gays. Even though the Matises’ son demonstrated evidence of stigma and self-hatred, was clearly depressed and committed suicide, Byrd et al attacked the concept that stigma can lead to emotional problems. This is the context for their misrepresentation of Michael Bailey’s views.

Byrd et al criticize Ty Mansfield’s views on stigma as follows:

Much of the difficulty with homosexual challenges, Mansfield places on a homophobic society (p.128). He notes:

* The negative rhetoric voiced in society (p. 189).

* The bias or ignorance in society (p. 195).

* The closed-minded society (p. 221).

Readers should be aware that the above statements can be frequently found on gay activist Web sites. While Mansfield and others suggest that society’s view of homosexual men and women is a causative factor in their resulting mental illnesses, such does not appear to be the case. There is a high correlation between engaging in homosexual practices and a greater than normal risk of suffering from mental illness including suicidality, anxiety disorders and clinical depression.12 While one might suggest that society’s view of homosexual men and women is a determining factor in their mental illnesses, such does not seem to be the case since the study was duplicated in The Netherlands with the same results,13 and The Netherlands is arguably the most gay-affirming country in the world!

Activist researcher J. Michael Bailey offered other hypotheses: “homosexuality represents a deviation from normal development and is associated with other such deviations that may lead to mental illness,” or “the consequences of lifestyle differences associated with sexual orientation” leads to mental illness or “behavioral risk factors associated with male homosexuality such as receptive anal sex and promiscuity” leads to mental illness.14

Reading this passage, one could come away thinking that Dr. Bailey believes “other hypotheses” are superior to the one involving stigma. One might also think that Bailey believes certain sexual practices lead directly to poorer mental health outcomes among gays. (It is worth pointing out that no one in the book In Quiet Desperation advocates or apparently lived or lives a promiscuous life.) When Bailey examined how his work had been cited, he reacted as follows:

I was dismayed to read Byrd, Cox and Robinson’s summary of my views. In the context of a debate about the reasons for higher rates of mental illness among homosexual individuals, Byrd et al cites me as “offering” several hypotheses other than the increased stigmatization of homosexual people. It is unfortunate and misleading that they did not indicate that I discussed some versions of the hypotheses they mention alongside the stigma hypothesis. I was noncommittal about the merits of the hypotheses, because the required scientific research had not been conducted (and still hasn’t for the most part). I concluded: “it would be a shame—most of all for gay men and lesbians whose mental health is at stake—if sociopolitical concerns prevented researchers from conscientious consideration of any reasonable hypothesis.” But I also wrote: “It would indeed be surprising if antihomosexual attitudes were not part of the explanation of increased suicidality among homosexual people, but this remains to be demonstrated.”

One of Byrd et al’s out-of-context quotations is so egregiously wrong that it amounts to a blatant misquotation. They suggest that I believe that “behavioral risk factors associated with male homosexuality such as receptive anal sex and promiscuity leads to mental illness.” I do not. I brought up receptive anal sex and (relative) promiscuity as factors that help explain increased rates of HIV infection among gay men. I said explicitly that it was unclear how these could help explain the increased rates of suicidality and depression among homosexual people. I favor open debate on controversial issues, including those related to sexual orientation. But constructive debate depends on responsible, accurate reporting of facts (and facts include what other people actually said and meant). In these remarks Dean Byrd, Shirley Cox and Jeff Robinson fail to live up to these requirements. For those interested in what I really said, please see the actual article that Byrd et al mischaracterize.

In fact what Michael Bailey says in his article about the stigma hypothesis is the following:

Consider first the idea that increased depression and suicidality among homosexual people are caused by societal oppression. This is an eminently reasonable hypothesis. Surely it must be difficult for young people to come to grips with their homosexuality in a world where homosexual people are often scorned, mocked, mourned, and feared, and there is considerable anecdotal evidence that the “coming out” process is emotionally difficult. The hypothesis would be strengthened by findings that issues related to self-acceptance, or acceptance by others, often trigger homosexual people’s depressive and suicidal episodes. Furthermore, homosexual people should not, by this model, be more suicidal than heterosexual people in reaction to stressors of equal magnitude. It would indeed be surprising if antihomosexual attitudes were not part of the explanation of increased suicidality among homosexual people, but this remains to be demonstrated.

And then as Bailey notes, Byrd et al really distorts his meaning regarding lifestyle differences. In the 1999 commentary, Bailey writes:

Another possible explanation is that increased psychopathology among homosexual people is a consequence of lifestyle differences associated with sexual orientation. For example, gay men are probably not innately more vulnerable to the human immunodeficiency virus, but some have been more likely to become infected because of 2 behavioral risk factors associated with male homosexuality: receptive anal sex and promiscuity. It is unclear how an analogous model would account for homosexual people’s increased rates of suicidality and depression…

In my opinion, Byrd, Cox and Robinson owe Bailey an apology and a retraction. Here I have only dealt with the misrepresentation of Bailey’s views. According to this rebuttal by Ty Mansfield, the entire review is a lengthy misrepresentation of his book. And I am not the only one who believes Byrd et al have done an injustice to this book and to the science of sexual orientation. Other LDS authors have also weighed in on the matter and in a post to come this week, I will review their critique of Byrd et al’s treatment of In Quiet Desperation.

And it is not the first time…

The persistent rumor that the APA wants people to change churches

I addressed it here and now here but it continues.

This morning I read an article on the website of the National Catholic Register by Father Benedict Groeschel, host of Sunday Night Live on EWTN (Catholic network). Father Groeschel is laboring under a significant misunderstanding of the APA report when he writes:

On top of all that, in an almost bizarre ignoring of the purposes of his own discipline, one of the members of the task force that composed the report claimed that people who belong to religions that expect celibacy from the unmarried and monogamy from the married but find such expectations too difficult or onerous should simply change to a religion which requires less of them.

I should say I am pretty sure this is misinformation. I don’t know if a member of the task force speaking for him or herself might have said people should switch churches. I have not been able to find a quote to this effect. However, I do know the APA denied this intent and the APA report does not support the idea that a church switch would be promoted as some kind of easy way out for its own sake. Any switching would be done for reasons based in belief change and could go either direction – from gay affirming to non-affirming or vice versa.

How did Father Groeschel become misinformed? A familiar suspect appears later in the article.

It is necessary to register a strong objection to this recent statement. For valid and reasonable information I suggest the writings of an outstanding researcher and therapist in this area, Dr. Joseph Nicolosi, who has long been the inspiration behind the National Association for Research and Therapy for Homosexuality.

Recently, he was quoted in this newspaper pointing out that research used by homosexual activists shows that public opinion regarding homosexuality will change if people believe it is genetic. “To the extent people are not responsible,” said Nicolosi, “their behavior will be tolerated.” (See “Scientists Outing ‘Gay Gene’ Myth,” July 26-Aug. 8.)

More information regarding NARTH and Nicolosi’s work can be found at NARTH.com and JosephNicolosi.com.

I would strongly suggest that Register readers register their protest with the American Psychological Association for what amounts to an abuse of research and demand that the APA distance itself from this pseudoscientific presentation. For those interested, the website for the APA is APA.org.

I actually hope Register readers do contact the APA. When the APA responds that these charges are off the mark and refers people to the actual report, people will find they have been misled.

Mankind Project goes transparent

In 2007, I took some heat over my interest in and criticism of the Mankind Project. My initial interest was sparked by the suicide of Michael Scinto shortly after attending a New Warriors Training Adventure, the signature program of MKP. In addition to my interest in strange approaches to counseling, this program was doubly intriguing because reparative therapists and their supporters (e.g., Joe Nicolosi, Richard Cohen, Arthur Goldberg, Paul Miller) recommend NWTA as a way to reduce same-sex attractions.

Since then, MKP has made it plain that they do not recommend NWTA as a reparative therapy adjunct and they have become quite gay friendly. However, these reparative therapists have not back away from their support. For instance, Richard Cohen, in his book for parents of gay children, recommends that fathers and sons attend the weekend together.

One regular criticism of MKP relates to the secrecy of the activities on the NWTA weekends — and for good reason. Some men would surely not go if they knew of the sometimes odd things they would be asked to do. Some of the odd things are harmless but sometimes they can be upsetting. I list links to some on this blog, such as this one, called Killing Daddy. See this page for more about MKP and click this link for prior posts on the topic.

And so, it was with interest that I read a note from a reader who follows MKP. He noted that MKP is now going transparent. All of this is on my MKP page but here is a couple of sections of the memo.

Transparency and the NWTA: Next Steps

At the February 2009 Annual Meeting in Glen Ivy the Project Council approved a proposal moving MKP toward greater transparency. The full proposal is included at the end of this note, which is intended to let you know the work we’re doing to put the plan into action.

External Communications

This is the main focus of the initiative designed to increase candor regarding FAQ’s for men coming to the training as well as specifically addressing inaccurate criticism of MKP and the NWTA on the web.

· We are developing a set of FAQ’s to guide men in speaking with potential initiates about the training and the organization. You are encouraged to share information about the NWTA to the extent that it is requested, encouraging men to step into the mystery while answering questions honestly.

· The MKP public website is being revised to include the above material and appropriate “spoiler” warnings. It will include direct responses to some of the specific criticisms and misperceptions on the web (Houston Press, Haven Ministry, Rick Ross, Warren Throckmorton, Reid Baer, etc.)

MKP is going to talk more freely about what they do but they are going to respond to what some of us have published as “misperceptions.” Well, I look forward to finding out what those misperceptions are.

In any event, the proposal for transparency was apparently approved and will result in significant changes if this memo can be believed. Here is the context of the proposal for transparency and some of what is supposed to happen.

Transparency Regarding the NWTA

Context

In our Confidentiality Agreement and the processes Secret Male Ritual and Integrating the Training we ask men not to share the processes on the NWTA. As an institution we maintain this secrecy in how we speak and write about our training. In the last few years we have been criticized on blogs, on websites, and in a suit for not providing sufficient details for men to make an informed decision about attending our training. The ManKind Project has been labeled a cult by some for our refusal to disclose what we do on the training. It is likely that at least some of these attacks could have been avoided if we had provided more information about the training. The cost of these attacks has been significant to MKP and to our centers. At the same time, most, if not all, of our processes have been described in various media, and in some cases our protocols have been made available on websites.

In many contexts, MKP as an institution and we as individuals highly value transparency, and around the globe organizations are being increasingly called to provide transparency about their activities. Nevertheless we have continued to hold an expectation that we can and should keep our NWTA processes secret. Many of us are concerned that knowing more about the training will make it less effective for participants. Others who read about our processes before attending the NWTA say it was still extremely impactful. I have spoken in depth with the Leader and Center Councils about how we hold secrecy and transparency, and the overwhelming response has favored transparency.

Proposal

I believe that on balance, it will serve the ManKind Project to release our expectations of secrecy and step into transparency about our processes. I propose that MKP begin to provide disclosure about our processes to the extent it is requested by potential initiates and the general public. This means:

· Men who have done the NWTA will be released from any obligation to maintain secrecy about our processes, and will be encouraged to share information about the NWTA to the extent it is requested. This applies particularly to men involved in NWTA enrollment.

MKPers can now sing like birds about their experiences. Might as well, many of the processes and procedures are already on the web anyway. But this way, new initiates will know more directly from the people involved what they are getting into. While I still think MKP is a risky proposition given the lack of training of the leaders and the questionable efficacy of the processes, this move is a good one.

Not sure how many MKP or anti-MKP readers I still have but if you are out there, what are your reactions to this move? Do you believe it? Is it enough? Too much?

AHO!

Blog post at US News & World Report: Does the APA advise a church switch?

Here’s the blog post over at Dan Gilgoff’s US News and World Report blog, God and Country.

The backdrop: The initial article about the APA sexual orientation and therapy report to hit the wire was by David Crary at the AP. However, some (many?) papers truncated the article in such a way that it seemed as though the APA was recommending either celibacy or a church switch as a way to resolve sexual orientation conflict.

Not long afterwards, OneNewsNow picked up that point and ran with it. From the US News blog post:

A news report from OneNewsNow, the information arm of the American Family Association, said the APA report “suggests that if a person with same-gender attractions has problems because of their religious beliefs, they should just change churches.” About the APA report, spokesperson for the National Association for the Research and Therapy of Homosexuality (NARTH) and executive director of Evergreen International, a ministry to homosexuals of the LDS Church, David Pruden, told OneNewsNow:

“The suggestion was as a Christian, when your conscience comes in conflict with what’s going on in your life — temptations, attractions, concerns, whatever they happen to be — that what you simply do is jettison your standards so that it becomes easier to live with your temptations.”

Both OneNewsNow and Mr. Pruden stand by their statements. But is it accurate to say that the APA report advises that conflicted people switch churches or “jettison” beliefs?

Of course it is not accurate. In the US News & World Report post, I quote Rhea Farberman who directly denies the claim. I then quote from the APA report which finds benefit in social support groups even if not gay affirming.

This is not to say that the APA discourages someone from changing churches if the client feels it is best. I suspect this goes in any direction. For instance, a client might decide to leave a gay affirming church if this seemed more in keeping with identity development. According to this report, psychologists would not try to prevent such a move, but neither would they encourage it.

I approached both NARTH and OneNewsNow with no change.