The value of self-determination in counseling

In response to the recent attacks on the sexual identity therapy framework, a supportive reader contacted me with a story of one of her experiences in counseling. I do know the person and can confirm the accuracy of the situation. Why should therapists avoid imposing their beliefs on clients? Read and see what you think.

As someone who has been in counseling, I enormously appreciate your emphasis on self-determination.  As you wrote the other day, any therapist can force any views at any patient. When I was in grad school, I had just started with a female therapist.  She was given plenty of information about my Christian beliefs and how it was important to operate within that for me to succeed.  And then within 5 weeks (before I quit), she sent me to the library to read a book that was essentially how to be a lesbian. And then she basically told me that if I’d just go and have sex with someone that I wouldn’t have problems with it anymore.  And then I quit.  Why is respecting beliefs a better way? I really had a hard time with that, because she tried to force me out of my beliefs.  And it was awful.  I had a hard time trusting any therapist after that.

That therapist should have made a referral. Apparently, the value conflict was so great that the therapist apparently was not able to get past it. Therapists are not machines and have strong beliefs about many things so when the conflict is great, referral is indicated. The sexual identity therapy framework allows for such referrals while at the same time requiring respect for clients and their values.

Ugandan religious leaders speak out against the Anti-Homosexuality Bill

There are many problems still here but this statement represents some movement. The consensus for the Anti-Homosexuality Bill as written appears to be waning.

Position of ICRCU

Tuesday, 9th March, 2010

IRCU is an initiative that brings together different religious institutions to address issues of common concern.

Its membership comprises of the Roman Catholic Church in Uganda, the Uganda Muslim Supreme Council, the Church of Uganda, the Uganda Orthodox Church and the Seventh Day Adventist Church.

Vision: A divinely Peaceful, prosperous and HIV/AIDS free Uganda

We the Council of Presidents of the Inter-Religious Council of Uganda (IRCU) gathered this 10th day of February, 2010, at IRCU Secretariat;

Having read and considered carefully the provisions in the Anti-Homosexuality Bill yet to be debated by Parliament;

Aware of our mandate to nurture and protect the moral fibre of our society, guided by the Holy Scriptures of the religions we subscribe to;

Hereby state that:

1. The Bible, the Quran and other Holy Teachings treat homosexuality as a sin. Both the Bible and Qur’an are  categorical in their objection to same sex relationships (Lev. 18:22; Surah Ash’shura 26:165-166). Homosexual acts are contrary to the natural divine law, and under no circumstance can be approved.

2. The IRCU Council of Presidents, therefore, condemns homosexuality as an undesirable evil that should not be allowed in our society.

3. Our religious teachings promote respect, compassion and sensitivity. We, therefore, condemn the sin but welcome the sinners to confess, repent and seek a new beginning. This is based on the belief that all people are called by God to fulfill His will in their lives; IRCU, therefore, decries the proposed death penalty and life imprisonment in the proposed Bill as unwarranted. We believe homo-sexuals need conversion, repentance, support, and understanding and love in order to abandon their practices and return to God fully.

4. Since the proposed death penalty and life imprisonment do not provide the sinner an opportunity to repent, hence falling short of compassion to those who need conversion, repentance, support and hope, they are unnecessary.

5. Even the proposal to prosecute those who fail to disclose information regarding homosexual acts is inconsistent with the trust, confidentiality and professional ethics of persons such as parents, priests, counselors, teachers, doctors and leaders, to whom the sick, troubled and repentant sinners turn in search of support and advice for rehabilitation. The proposed law does not provide for the rehabilitation of repentant homosexuals. Yet as Religious Leaders, we are mandated to reach out to all people of God in a show of love and compassion (Mt. 9:10-13). The proposed Bill also has the potential to destroy the family as it is likely to undermine the important role of parents in providing guidance to their children.

6. Additionally, in our view the proposed Bill may not be called for considering that acts of sodomy are already condemned under section 145 of the Penal Code. However, we recognize the need to improve on the Penal Code as it has gaps which can be addressed by some provisions contained in the proposed Bill.

7. We the Council of Presidents of the Inter – Religious Council of Uganda, therefore, advise government, and all well-meaning groups and individuals to take remedial measures against this evil that has crept into our society by:

a. Exposing the people and organizations funding homosexuality in the country;

b. Providing enough information on recruitment and funding to the public in the interest of transparency and accountability;

c. Establishing facts on homosexuality and gay activities in Uganda and publishing a brochure which IRCU can distribute through its structures;

d. Emphasizing our core cultural and religious values and undertaking moral education in schools; and

e. Counteracting the distortion and misrepresentation of the debate on homosexuality by the media.

SIGNED:

His Eminence Metropolitan Jonah Lwanga: Archbishop of the Uganda Orthodox Church; Chairperson, IRCU Council of Presidents

His Grace the Most Rev. Henry Luke Orombi: Archbishop of the Church of the Province of Uganda/Member IRCU Council of Presidents

Pr. Dr. John Kakembo

President, Seventh-day Adventist Uganda; Union/ Member IRCU Council of Presidents

His Eminence Sheikh Shaban R. Mubaje: Mufti of Uganda/ Member IRCU Council of Presidents

His Grace Dr. Cyprian Kizito Lwanga

Archbishop of Kampala Archdiocese/

Member IRCU Council of Presidents

Is NARTH the next target?

As I noted yesterday, Peter LaBarbera of American for Truth About Homosexuality doesn’t like the sexual identity therapy framework, saying

As you can see above, Throckmorton’s and Regent University’s Mark Yarhouse’s “Sexual Identity Therapy” model grants the possibility that some clients may come to embrace a positive “gay identity” that “modifies” their religious beliefs in such a way as to “allow integration of same-sex eroticism within their valued identity.”

If he is consistent, he will need to expand his crusade to include an organization and therapist he often cites approvingly. On the AFTAH website, the National Association for Research and Therapy of Homosexuality is referenced at least 46 times (e.g., here). However, on the NARTH website, co-founder of NARTH, Joe Nicolosi says that gay affirming counseling should be available.

The developmental model we suggest must deeply resonate with the men we work with, or they will (rightfully) leave our office and pursue a different therapeutic approach. We explain that our position differs from the American Psychological Association, which sees homosexuality and heterosexuality as equivalent, and along the way, we encourage them to clarify and re-clarify the direction of their identity commitment. Gay-affirmative therapy should, of course, be available for any such client.

A few gay-identified clients do decide to stay with us. Out of respect for diversity and autonomy, I affirm them in their right to define themselves as they wish, and I accept them in their gay self-label.

Nicolosi affirms these clients in “their right to define themselves as they wish,” and he accepts “them in their gay self-label.” Of course, here Nicolosi is speaking as a professional therapist and as such acknowledges that such affirmations come from a respect for autonomy. There is little difference between these options and the options LaBarbera criticizes in his article on the SITF.

There are many problems with LaBarbera’s recent crusade. One, highlighted by this post, is that his critiques of the SITF are devoid of any proper context. The SITF is intended for mental health professionals and professional relationships with clients of all ideologies. Pastors and ministry workers follow a more directive line in keeping with the teachings of their faith. Will NARTH now become a target since they support acceptance of some clients “in their gay self-label” and affirmation of “them in their right to define themselves as they wish?”