Blog Theme: Sexual Identity Therapy – Interview with Mark Yarhouse

I released the advocacy film “I Do Exist” in July 2004. It was supposed to be a documentary style account of five former gays who had become straight through religious means. I showed the film at a conference of change therapists in November of that same year to great fanfare. It was shown all over the world, but ultimately it was not an accurate portrayal of reality for at least 4 of the participants. Gradually over the next couple of years, I became aware of that and stopped selling the video in early 2007.

My experience with “I Do Exist” drove me back to the research on change and sexual orientation. After realizing that I had been moving in the wrong direction with my earlier claims, I  became a critic of reparative therapy. I chronicled that change on this blog from the beginning in July 2005. All of the posts on reparative therapy and sexual orientation change efforts in general would take hours to review. That story is summarized in this Yahoo News account by Jon Ward.

However, I did not simply criticize change therapy, I wanted to find an alternative for people who struggled morally with their sexual orientation. In 2005, I began a process of developing a framework to help guide therapists who worked with religious clients conflicted by their sexual orientation. Right away, I asked Mark Yarhouse to collaborate. By 2006, we came out with the sexual identity therapy framework. Mark and I discuss that story in this interview.

Of the two of us, Mark has been the prolific writer and researcher. His book Sexual Identity and Faith contains applications of the SIT framework and I recommend it for that purpose. I have multiple posts about the framework on the blog and those can be found here.

In addition to talking over our work together, Mark describes his more recent work with Revoice and gender identity. Thanks to Mark for taking time to reminisce.

Dr. Mark Yarhouse is a clinical psychologist who specializes in conflicts tied to religious identity and sexual and gender identity. He assists people who are navigating the complex relationship between their sexual or gender identity and Christian faith. He is the Dr. Arthur P. and Mrs. Jean May Rech Professor of Psychology at Wheaton College, where he runs the Sexual and Gender Identity (SGI) Institute. He is an award-winning teacher and researcher. He was a past participant with the Ethics and Public Policy Center think tank in Washington, DC, and he was named Senior Fellow with the Council of Christian Colleges and Universities to conduct a study of students navigating sexual identity concerns at Christian colleges and universities. He has been a consultant to the National Institute of Corrections to address issues facing sexual minorities in corrections, and he was part of a consensus panel from the American Psychological Association on sexual orientation and gender identity change efforts that convened to provide input to the Substance Abuse and Mental Health Services Administration in Washington, DC.  He is currently the Chair of the task force on LGBT issues for Division 36 (Psychology of Religion and Spirituality) of the American Psychological Association. He was also invited to write the featured white paper on sexual identity for the Christ on Campus Initiative edited by Don Carson for The Gospel Coalition.

He has published over 80 peer-reviewed journal articles and book chapters and is author or co-author of several books, including Understanding Sexual Identity: A Resource for Youth Ministers and Understanding Gender Dysphoria: Navigating Transgender Issues in a Changing Culture. His most recent books are Sexual Identity & Faith and Costly Obedience: Listening to and Learning from Celibate Gay Christians. (this is the book where the celibacy research is reported)

Another Reparative Therapist Unrepairs

David Matheson was a well known defender and practitioner of reparative therapy for many years. He founded Journey Into Manhood with Rich Wyler. JIM was inspired by New Warriors Training Weekend and the Manhood Project. The Manhood Project and their weekend getaways came to the public eye after several bad experiences by several men who attended the events. One committed suicide and directly attributed his mood decline to the Mankind Project.

The premise of Matheson and Wyler was that gay men don’t experience themselves as masculine. Due to lack of masculinity, they are attracted to men instead of women. JIM seeks to provide members with masculinity building experiences along with lots of hugging and touching. Ultimately, the foundation for their work is in the psychoanalytically influenced work of Elizabeth Moberly and Joseph Nicolosi. They believed gay people were attracted to others of the same sex due to a reparative drive which propelled gays to seek the love they missed from their same-sex parents. Theoretically, if a gay person could get non-sexual connection from same-sex peers, the deficit would be filled and heterosexual longings would naturally emerge.

In practice, this hasn’t worked out well. Numerous former ex-gays have become ex-ex-gay. For instance, John Smid once ran Love in Action, an ex-gay camp in Memphis. He is now married to a man. Randy Thomas was number two man at Exodus who is now dating a man. Most recently, Matheson has announced that he is living as a gay man.

Matheson’s announcement will surely send shock waves throughout the small reparative therapy community. He has been one of the most articulate defenders of gender affirming counseling and reparative therapy. After about two decades of being at it, he is still gay.

 

Keeping Focus on the Family Honest on Reparative Therapy

In a recent CBS News report on reparative therapy (sexual orientation change efforts), Focus on the Family’s Jeff Johnston was quoted in support of the practice and a link to FOTF’s website was a part of the story. I have a long history with Focus on this issue. There are some misleading statements on this page which I outline below.

Focus says:

Focus on the Family does not and has never offered sexual-orientation change therapy, also referred to as “reparative therapy.” We have licensed counselors on staff who take one-time phone calls and refer to other therapists, upon request. We also support an individual’s right to counseling for unwanted homosexuality — and the rights of counselors to offer such help.

Although technically true, Focus did recommend reparative therapy via their Love Won Out traveling ex-gay workshops from the late 1990s into the late 2000s. Reparative therapy popularizer Joe Nicolosi was the featured speaker on the origins and treatment of homosexuality. Exodus, Focus on the Family and NARTH (National Association for Research and Therapy of Homosexuality) were the trinity of sexual orientation change efforts in the United States. Even if Focus didn’t have counselors on site who offered counseling, they promoted reparative therapy to the world in a very aggressive manner.

Focus really confuses matters in their definition of “sexual orientation change efforts.”

“Sexual Orientation Change Efforts” (SOCE) is a broad term that deals with any kind of help from a licensed mental-health professional for those with unwanted homosexuality. This is counseling, or talk therapy, to assist someone with unwanted homosexuality —whether it’s behavior, attractions or identity — to live according to their faith and values.

Focus tries to soften the meaning of the word “change.” SOCE is a broad term but it doesn’t refer to “any kind of help from a licensed mental-health professional for those with unwanted homosexuality.” Change means change. SOCE is about trying to help people change their orientation. Opponents of SOCE oppose the efforts of counselors to change orientation.

Focus confuses the issue by saying SOCE includes counseling efforts to help clients “live according to their faith and values.” That would only be SOCE if living according to one’s faith meant changing sexual orientation. However, sexual identity therapy (which is what Mark Yarhouse and I developed) helps people without focusing on orientation change as a goal. Our perspective is that clients can be assisted within their religious framework without any SOCE.

Sexual identity therapy is not SOCE. SIT is a kind of help for people who are conflicted about their sexual orientation but it isn’t SOCE. SIT does help people seek harmony within themselves without using SOCE. Focus’ description of SOCE is too broad and misleading. Focus appears to want to make this issue about religious freedom when in fact, it is about what is helpful with clients.

Focus then speculates about what isn’t allowed by a ban on SOCE.

If this therapy is banned, think about the impact this would have on minors:

A teen boy who is hooked on gay pornography — and wants to stop — could not get help from a licensed professional counselor.

A young girl who was sexually abused, and was questioning her identity, could only get help to identify as lesbian, bisexual or transgender.

A boy who wants to develop his sense of masculinity and identity could not get help to affirm his masculine identity from a state-licensed counselor.

A girl who’s involved in a same-sex relationship, but whose faith says that’s not best for her, could not get help to stop the relationship from a licensed counselor.

As worded above, SOCE is not required to address any of these situations. Laws prohibiting SOCE for minors allow for identity exploration and the treatment of sexual abuse. The laws do not forbid clients from acting in line with their religious beliefs as long as the counselor does not implement techniques designed to change a client’s sexual orientation. For instance, if a same-sex attracted teen is in a same-sex relationship but believes it is wrong, she can seek help to take steps to end it and cope with the results.

Sponsor: Celibacy as Therapy Goal Allowed by CA's Anti-Conversion Therapy Bill

The outrage surrounding California’s anti-conversion therapy bill (AB 2943) is growing by the press release. For instance, last Monday (April 30) Summit Ministries canceled a conference in CA because they contend the bill (when it becomes law) will forbid advice which doesn’t affirm homosexuality. According to the press release,

Summit’s program would fall under the proposed law because its lineup includes defenders of traditional man/woman marriage and people who advocate pursuing only those sexual activities approved in the Bible. Myers said it has also been common during prior trainings for students to ask questions of Summit staff about how to address confusion over gender identity and sexual attraction in the context of their faith. By prohibiting such conversations, AB2943 would cripple Summit’s ability to care for and equip its students, Myers said.
“What are we going to say to a young person experiencing sexual confusion?” he asked. “That the state of California forbids us from allowing a biblical ethic embraced by billions of people for thousands of years to inform our answer?
“California state authorities are hijacking good-faith concerns about reparative therapy to deny constitutional protection to those who hold traditional views of sexuality and marriage,” Myers added. “We cannot and will not bend God’s truth to accommodate the state of California.
“This is the most blatant chilling of free speech in America in my lifetime.”

According to the bill’s sponsor, the bill doesn’t relate to speech or religious teaching. It regulates sexual orientation change efforts. The bill would only apply to their conference if Summit Ministries charges conference goers for sexual orientation change counseling.
If students ask questions about what the Bible teaches, the teachers are free to provide whatever teaching they believe. They can recommend change efforts, celibacy, prayer, meditation, or whatever they believe. They can recommend books, sell books and tapes, and even recommend therapists. However, those therapists can’t conduct those treatments under the new law.

Would the Bill Prohibit Counseling to Live a Celibate Life?

Summit Ministries argued that biblical advice, such as celibacy, would be prohibited by the bill. I asked bill sponsor Evan Low’s office if counselors could help clients seek celibacy if clients wanted to avoid homosexual behavior. Low’s office referred me to policy advisor Anthony Samson who answered by email that “AB 2943 would not prohibit one from providing therapeutic help to an individual seeking to become celibate.”  He pointed to the word “includes” in the following definition of “sexual orientation change efforts”

(i) (1) “Sexual orientation change efforts” means any practices that seek to change an individual’s sexual orientation. This includes efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same sex.

Samson said, “The term ‘includes’ means that the practices following it must be in connection with seeking to change an individual’s sexual orientation.  In other words, ‘efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same sex’ would be precluded to the extent they were provided in connection with seeking to change one’s sexual orientation.” Samson explained, “Because providing services to help one become celibate would not be in connection with changing one’s sexual orientation, it would be permitted.”
So biblical advice would not be banned and therapeutic help for traditional clients will still be available as well. For instance, I have no hesitation in conducting or recommending sexual identity therapy in CA.
To me, these protestations appear to be efforts to derail the bill in order to protect reparative therapy. Having read the bill, I can tell that the Summit press release, and most of the Christian news articles on this bill are reactionary efforts which don’t deal directly with the actual bill. If these groups want to be ta ken seriously, they should secure scholarly opinions from serious legal scholars and not culture warriors.
Furthermore, if religious conservatives want to have an impact on this legislation, I encourage them to do what I have done. Contact the sponsor and enter into a respectful, rational, fact-based dialogue.

Fact Sheet on AB 2943

Why the Mental Health Professionals Want to Ban Conversion Therapy

Sponsor: CA Conversion Therapy Bill Won't Ban Books or the Bible

Some conservative pundits are worried that a bill moving to the California State Senate will ban the Bible or at least some Christian books. Upon examination, I don’t see a basis in fact for that claim.
The bill is AB 2943 and would amend state law on unlawful business practices with a prohibition on performing sexual orientation change therapy for a fee. A fact sheet for the bill provided by bill sponsor Assemblyman Evan Low can be viewed at the link below.

Fact Sheet on AB 2943

Liberty Counsel has been spreading the view that the Bible would be banned by the bill and National Review’s David French has made a serious case that the bill would lead to a ban on certain Christian books.  Essentially, they say that the current law prohibits the sale of “goods” which result in harm from being sold. They argue that books which promote changes in behavior away from homosexual behavior even if the goal is celibacy might be considered within the reach of the statute since the statute defines sexual orientation change as including “efforts to change behaviors or gender expressions.”
Since the entire bill is about sexual orientation change, it seems clear to me that the reference to behavior change is due to the practice of some change therapists to get gay clients to engage in heterosexual behaviors even when it doesn’t seem natural as a kind of behavior therapy. This isn’t a reference to celibacy – which by the way doesn’t reflect a change in orientation.
In fact, the next section of the bill says that sexual orientation change efforts as defined by the statute don’t include interventions which:

(A) provide acceptance, support, and understanding of clients or the facilitation of clients’ coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices; and (B) do not seek to change sexual orientation.

Clients who decide to live a celibate life can count on a counselor’s help as long as those interventions are neutral regarding change of orientation.

Does the Bill Ban Books?

I wrote Assemblyman Evan Low to ask if AB 2943 prohibited the sale of books or videos promoting conversion therapy by therapists. I also asked if the amended law would prohibit the sale of religious books or videos which advocate that gays should change their sexual orientation by religious means. Finally, I asked if AB 2943 prohibited the sale of books or videos promoting celibate behavior for gays as a way to adhere to religious beliefs.
Low’s Communications Director Maya Polon wrote back to answer all three questions negatively. According to the sponsor, the bill doesn’t relate to books or speech. I followed up by asking if any of the unlawful business practices has ever led to the banning of any books or speech. She wrote back to say that she wasn’t aware of any instance where books about any those practices have been banned. I also asked Mr. French via Twitter if he was aware of books banned in CA due to the unlawful practices law but have not heard back from him as yet.
A few days ago Evan Low responded to this issue via Twitter:


I haven’t decided what I think of the bill yet but unless this part of the law has ever been used to try to ban books before, then it doesn’t seem to be a serious reason to oppose it now. There is a lot wrong with conversion therapy but generally I favor more freedom not less. What makes me think this could be a reasonable response to the harm reparative therapy can do is that there is nothing in the bill that stops a person from trying to make personal changes outside of a professional context. Furthermore, I don’t see how the bill prohibits counselors from helping clients who pursue celibacy. However, it does remove the stamp of approval of the mental health professions for change therapy.