The Evangelical Blackout of Research on Sexual Orientation

Of late, I have given several talks to a variety of evangelical groups about the current research on sexual orientation. Along the way, I have been contacted by evangelicals who ask about the current status of sexual orientation research. After the conversations and speeches, many questions come up. One question I hear after almost all of these conversations is: Why haven’t we seen anything about these studies?

Many of the questioners read evangelical publications and consume evangelical media. However, they don’t know anything about the brain research of Ivanka Savic in Sweden (2005, 2006, 2008) or Adam Safron and colleagues at Northwestern University (since 2005). Their knowledge of research stops at Dean Hamer or Simon Levay (both published studies in the 1990s).  They know there is no gay gene but they don’t know about the significant brain, perceptual and cognitive differences reported within the past six years by various researchers around the world.

Many evangelicals believe homosexuality is due to abuse. Some will say with confidence that gays are more likely to be abused than straights but they are unaware of the actual magnitudes of difference. However, they are unaware of the 2009 study by Wilson and Widom which found no relationship between abuse and having a gay partner for men or women (men were more likely to have had at least one gay experience in their adult lives but not a recent partner). They are unaware of the 2010 work of Wells and colleagues in New Zealand that found 81.6% of gays reported no sexual abuse in their lives. Abuse is also higher among gender non-conforming children, whether gay or straight. Given that gays are more likely to be gender non-conforming in their histories, it seems likely that greater reports of abuse among gays relate in part to gender non-conformity, and have little, if anything, to do with cause of attractions for the majority of people who are same-sex attracted.

Many evangelicals I speak to think that change of orientation is pretty common and the evidence is being suppressed by the gay-friendly media. Some of them will point to the Jones and Yarhouse study of Exodus participants. Some will even say that over half of the participants changed orientation. When I explain to them what change means in the context of the study, they are surprised. Then I point out a study, also by Mark Yarhouse, that found no change in orientation for men and women in mixed orientation marriages. They wonder why that study was not reported in the media. I wonder the same thing.

I could be wrong but I don’t think any of the studies to which I have referred here have been reported in the Christian press. The Jones and Yarhouse study was reported widely, but the Yarhouse study showing no change among sexual minorities in mixed orientation couples – which is more recent – was not reported anywhere. NARTH – a group of mostly lay people but which claims to be a scientific group – has no information on the 2008 study by Savic and Lindstrom showing clear structural differences in the brain associated with sexual orientation differences. Shouldn’t a scientific organization which claims to be interested in the science of sexual orientation report information which is relevant to sexual orientation? That omission is only one of many.

Many evangelicals get their information from NARTH through groups like Family Research Council, Focus on the Family, Exodus International, etc. Others get information from Christian media. However, these studies are not reported in these places. No wonder most evangelicals approach sexual orientation with a 1990s mindset. It is as if the evangelical world is in blackout mode when it comes to current studies on sexual orientation.

I suspect the culture war is to blame. It cannot be because sexual orientation is not news. The issue comes up in the Presidential campaigns and other news all the time. However, evangelicals are quite unprepared to discuss this very current topic with the most recent and best scholarship.

In my view, Christian media and organizations have a responsibility to provide this information to their readers and consumers. Given the backlog of unreported studies, there is plenty of material for their reporting.

University of Utah professor: NARTH article “unscientific and irresponsible”

Does engaging in same-sex behavior cause people to become gay? NARTH Scientific Advisory Board member Chris Rosik posed this question in a recent review of a study on risk behavior among gay and bisexual men. The study, led by David Huebner at the University of Utah found that gay and bisexual men who engage in risky sexual behavior may justify subsequent risky behavior as their attitudes change in response to their actions. After reviewing the study, Rosik extended the study findings to the causes of same-sex orientation:

First, if engaging in sexual risk behavior leads to changes in beliefs and attitudes that legitimize such behavior, is it wise to encourage early self-labeling and sexual activity among male adolescents experiencing same-sex attractions? Could participation in early homosexual risk activity such as unprotected (or even protected) anal intercourse lead some adolescent boys down a path of homosexual activity and identity and away from what might have been an eventual heterosexual adjustment?

Rosik proposes that adolescent boys might alter the course of their adult sexual orientation from straight to gay by experimenting with same-sex behavior. However, Rosik’s generalization is improper according to study lead author, David Huebner. In an email, Huebner told me:

Our study examined how adults’ attitudes about condoms and their perceived peer norms about condoms each relate over time to self-reports of condom use during intercourse with casual sexual partners. Condom use is considered a preventive health behavior, and thus, our results might generalize to other preventive behaviors, such as seat belt use, exercise, smoking cessation, or breast cancer screening. Our study does not, in any way, address the development of sexual orientation during adolescence, or the development of normal, healthy sexuality among gay or straight adolescents. Any attempt to generalize our findings to those topics is unscientific and irresponsible.

Huebner’s team researched attitude changes about risk behaviors, not developmental factors in sexual orientation. Furthermore, the findings are not generalizable to the general development of attractions among teens who are attracted to the same sex.

Rosik’s question may seem like harmless speculation to some. However, many on the religious right encourage fear of gay people on the grounds that gays recruit questioning youth who would otherwise be straight. Uganda’s David Bahati justified the draconian Anti-Homosexuality Bill with the claims that gays are recruiting young people. Over the past two years, Bahati has promised to produce evidence of his claims that gays in Uganda systematically recruit kids. To date, he has not produced any such evidence.

Far right pundits in this country raise fears about anti-bullying programs because they might indoctrinate students into homosexuality. Linda Harvey (aka Mission America) yesterday said on her radio show that gays cultivate kids for pedophiles.

Only about 25% of NARTH’s members are clinicians or researchers with professional training or access to the original study. The rest are lay people and culture warriors who look to the NARTH website for accurate information about scientific work. Unfortunately, those readers could easily come away from his review with the perspective that research done by University of Utah researchers supports the recruitment concept of gay development. Although those with a trained or critical eye will catch the improper generalization, I suspect most will not see it. Thus, given the audience of Rosik’s review, I have to agree with Dr. Huebner and say that Rosik’s unqualified speculation is “unscientific and irresponsible.”

NARTH Founder Retracts Claim of Sexual Reorientation via Lexapro

While examining NARTH’s 2009 review of past studies on homosexuality  (Journal of Human Sexuality, Vol.1 – click the link for the entire issue), I ran across this citation:

Nicolosi (in press) found that while conducting reparative therapy, a 50-year-old male client reported a sudden and dramatic freedom from unwanted homosexual thoughts, feelings, and behaviors after taking Lexapro. The client reported that he continued to be free of these unwanted symptoms more than 18 months after starting the anti-depressant medicine.

To better examine these claims, I asked one of the authors of the NARTH paper, James Phelan, for access to the source. Thanks to Dr. Phelan for supplying the paper for review.

The paper by Joseph Nicolosi was apparently submitted for publication in 2009 to a journal but there is no record of it being published anywhere. As noted, it describes the case of a 50 year old man who was diagnosed by Nicolosi with ego-dystonic homosexuality. The patient was seen for 142 sessions over “about eight years” with no progress. During therapy, the patient described “generalized hopelessness and helplessness, along with a pervasive sense of inadequacy…” He also described himself as “a non-entity.”

After the lengthy unsuccessful treatment for unwanted same-sex attraction and depression, the patient began taking “a 5 ml dosage of Lexapro,” a selective serotonin reuptake inhibitor. According to Nicolosi, the patient had “an almost immediate decrease in his sense of worthlessness and inadequacy, followed soon after the elimination of his homosexuality.”

The paper describes the situation:

After awhile, the patient stopped taking the drug because he was feeling so much better. However, this brief drug holiday did not work out well.

However, there is more to the story.

I wrote to Dr. Nicolosi and asked permission to post the entire paper. He wrote back quickly to clarify that the claim made in the NARTH paper is not longer valid. Nicolosi explained,

I can say that two years later now, that the use of Lexapro has not fulfilled its promise. We no longer see the use of Lexapro as a positive addition to Reparative Therapy.

So another one of the papers referred to in NARTH’s landscape review can be set aside as evidence for sexual reorientation.

Even in Nicolosi’s paper, there was evidence that the medication effect was an anomaly. Nicolosi wrote:

However, these cases were not mentioned in the NARTH review. Instead of noting that the case reported was only one success out of four tries, the authors only noted the one case which appeared to be a success at the time. Now, according to Dr. Nicolosi, Lexapro has not lived up to that claim.

This report can be added to others where significant questions have been raised  (e.g., the Bieber study, the Kaye study, the work of Masters and Johnson, the Pattison and Pattison research).

NARTH rewards what it does

During the recent NARTH (National Association for the Research and Therapy of Homosexuality) conference in Phoenix, organization President Julie Hamilton gave an award to Michel Lizotte, a Canadian journalist. The award was given because Lizotte has been “clearly presenting the research and providing hope and help to those who are seeking such help” in Canada.

I imagine other scientific groups give awards to non-scientists if they believe the recipient is doing a good job promoting the scientific claims and aims of the group. While it is telling that NARTH could not find a researcher to honor, I am sure there is precedent for such an action. However, what says a lot about NARTH is the type of “education” Mr. Lizotte has been presenting.

A look at Lizotte’s website (translated from the French via Google translation) indicates that he promotes the reparative drive theory of homosexuality. On this page, Lizotte posted videos of Joseph Nicolosi explaining the reparative theory. Lizotte claims research on homosexuality supports his views:

Several studies 2  have been conducted to understand the origin of homosexuality. The latest research 3  continue to accumulate supporting evidence that male homosexuality is not innate but acquired, that is to say, built during life, and most of the time – without the is the only reason – because of the failure of the process of tracing the sexual identification of the young son of his father, as a result of a dysfunctional relationship between the two, as we have described above .

Examining the footnotes tells you a lot about his efforts and NARTH’s decision to promote Lizotte’s work. Footnote 2 lists:

Stekel (1930), Rubenstein (1956), Bieber (1962), Ovesey (1969), Birk (1974), Pattison and Pattison (1980), Van Den Aardweg (1986) and others.

Stekel, Bieber, Rubenstein* and Ovesey were psychoanalysts who developed their theories about homosexuality, not from studies, but from a limited number of psychoanalytic cases. Bieber’s study has recently been compromised by revelations that one co-author, Cornelia Wilbur, conspired with a journalist to distort at least two case reports, including the famous case of Sybil. Bieber’s methods had been discredited because he relied on psychoanalysts who already believed homosexuality derived from deficient parenting. Furthermore, Bieber did not include non-patients and did not ask questions of the patients, but relied on case reports of the psychoanalysts.

Van Den Aardweg’s 1986 book reports the results of his cases treated with “Anticomplaining therapy.” He reports lots of successes but essentially these are his claims with no independent verification or peer review.  Birk’s 1974 report comes the closest to a credible report of change but adds no new information about the “origins of homosexuality.” If anything, however, behavioral psychotherapist Birk would disagree with most of what is on Lizotte’s website about causes. In 1980, Birk reported that those who wanted to gain heterosexual capacity had some success but they were not free of homosexual behavior or feelings.

The reference to Pattison and Pattison is odd because the study had nothing to do with the origin of homosexuality and asked no questions about parents or causes. Instead the study claimed that 11 men had changed their orientation dramatically due to religious factors. However, that study has been compromised by revelations that at least two study participants recanted their stories of change within a year of the studies completion.

The reference number 3 lists the following as representing recent research:

Bene (1965), Biller (1974), Moberly (1983), Van der Aardweg (sic) (1986), Byne and Parsons (1993), Bem (1996), Whitehead and Whitehead (1999), Landolt (2004).

This is a very strange list. Bene’s very non-recent survey of gay and straight men found differences between gay and straight men on parental relationships. Biller’s book addresses much more than sexuality and proposes that paternal deprivation is behind a multitude of problems. These references, taken alone, support the reparative drive theory. However, as is typical of NARTH, studies which report contradicting findings are ignored in Lizotte’s list. For instance, when gay and straight men with low scores on a neuroticism scale were compared by Marvin Siegelman in 1974, the parental variables expected by reparative drive theory disappeared. More recently (2009), a Finnish study found that gay men rated their fathers as being warmer than straight men rated their fathers.

Continuing with the list: While Moberly theorized that same-sex parenting deficits caused homosexuality, she did no research to support her views. Van Den Aardweg is listed again (both old and recent research), Byne and Parsons reviewed the evidence for direct genetic factors in the development of sexual orientation but had nothing to say about the reparative drive theory. Bem proposed a theory that is a competitor to the reparative theory. Whitehead and Whitehead present no new research in their book on genetics. Reading Lizotte’s website, an uninformed reader might think that the reparative theory was well supported by research. An informed reader knows better.

The 2004 study by Landolt deserves mention since on the surface, it might seem to support reparative theory. The study examined attachment anxiety in gay men. According to the authors,

Several childhood factors are reported to be associated with a homosexual orientation in men, including gender nonconformity and rejection by parents and peers.

The authors then assessed these factors and found, among other things, a relationship between paternal and peer rejection and attachment anxiety. While this may seem like what reparative therapists would expect, it is also what one would expect in anyone, gay or straight. The study cannot be used as a support for reparative theory because the study did not use a comparison group of straights. I would expect that straight men who are gender non-conforming and rejected by their fathers would experience more anxiety in attachments. However, one cannot say anything about how gay men compare to straight men since the authors did not design the study to address causal factors in sexual orientation.

In short, Lizotte makes claims about homosexuality, supports the claims with old, poorly designed and/or irrelevant citations, fails to cite conflicting and/or newer research and then says that “the latest research” supports his position.

No wonder NARTH gave him an award.

*I cannot find a 1956 paper or book by an author with the last name of Rubenstein that would be relevant. There is a relevant paper by Rubenstein in the British Journal of Psychiatry in 1958. Even in this paper, there is no research other than case reports.

The Pink Swastika and NARTH

In 2009, I reported that NARTH (National Association for the Research and Therapy of Homosexuality) had removed all but one reference to Scott Lively’s works from their website. That reference was a note in their newsletter which described Lively’s short speech at the 2005 NARTH convention where he donated money to the organization on behalf of his Pro-Family Charitable Trust. As an aside, Lively has donated at least $2000 to NARTH since 2003.
In fact, Lively’s involvement with NARTH goes back further than his donations. In 1995, Lively spoke at the NARTH conference and presented his signature theme – homosexuals started and animated the Nazi party. In that paper still available on the NARTH website, Lively wrote, “In many respects, the SA was a creation of Germany’s homosexual movement, just as the Nazi Party was in many ways a creation of the SA.”
The problem is not that Lively documents the existence of homosexuals among the Nazis; that much was true. For instance, Ernst Roehm and others in his orbit were gay or bisexual. However, Lively errs by saying the “homosexual movement” created the Nazi party, as if the inevitable outcome of a movement for civil rights for gays is national socialism. See this link for more on the Pink Swastika.
In fairness, the paper does not show up in a search conducted on NARTH’s website (actually very little available on the website comes up from using that search engine). However, it does come up in various Google searches.
Although NARTH is not making this article easy to find, it is still available and demonstrates to me something about the DNA of the organization. Despite claiming to be a scientific organization, the leadership has invited anti-gay activists to present their views since the early days of the organization. Scott Lively favors legal restrictions on homosexual behavior and free speech surrounding advocacy for gay rights. At the most recent conference, NARTH featured Sharon Slater, a leading proponent of criminalization.