New Sexual Reorientation Study Off to a Shaky Start; Michael Bailey's Brain Scan Offer is Still Good

After the closing of Exodus International, the wind went out of the sexual reorientation sails. In June of last year, former ex-gay organization Exodus International leader Alan Chambers said the movement was “gasping for air.”
However, a quiet breeze may be blowing still as demonstrated by a study being conducted by one of the luminaries of reparative therapy, Joseph Nicolosi and relative newcomer Carolyn Pela.  Nicolosi and Pela summarized their preliminary findings at a meeting of the Christian Association for Psychological Studies a year ago. Nicolosi described the study on his website:

Dr. Pela described the study as being longitudinal with a within-group repeated-measures design.  Their dependent variable was psychotherapy as conducted at Dr. Nicolosi’s Thomas Aquinas Psychological Clinic.  The independent variables were (1) well-being as operationalized by the Outcome Questionnaire 45 (OQ-45.2), a highly respected measure of psychotherapy process and outcome, and (2) separately assessed dimensions of sexual orientation, namely, thoughts, desires, behavior, and identity.  Data collected to date involved 102 male psychotherapy clients who presented with ambivalence, discomfort, or distress regarding their SSA.  Eighty-one participants had been involved in the study long enough to have well-being assessed and data on change were available from 56 participants at the time of the CAPS presentation.

I am pretty sure the dependent and independent variables are reversed in his description. The independent variable is what is manipulated in an experiment and the dependent variable is a measure of results (see this brief explanation). That problem aside, what did they find?

Findings from preliminary data collected over a 12 month period indicated statistically significant reductions in distress and improvements in well-being, significant movement toward heterosexual identity, and significant increases in heterosexual thoughts and desires with accompanying significant decreases in homosexual thoughts and desires.  Effect sizes for these changes were generally in the moderate range, which suggests they are robust and not likely to be statistical artifacts.  The findings did not discover significant change in heterosexual or homosexual kissing or sexual activity.  These findings appear to have been the result of very low base rates in these behaviors among study participants leading to floor effects and a subsequent lack of change, as it is not possible to change a behavior in which participants are not engaging.

To summarize, the participants were thinking straighter but not doing anything about it.
To me, this result is understandable. If one is in treatment with the stated goal to think more about heterosexual outcomes, then there would be strong motivation to produce those experiences when asked. However, the test for any actual change will be when therapy is over and the regular rehearsal of such ideas isn’t happening. The difference between process changes (how a client feels during therapy) and outcome changes (what remains after therapy is over) is often great. Reorientation therapy studies are filled with people who said they had changed during the study but then felt differently months or years later. Thus, follow up must be a key component of any therapy study.
It should be pointed out that this study isn’t a true experiment since there is no control group. There isn’t a way to test for the effect of the passing of time. Spontaneous fluidity has been reported and it isn’t clear without a control group that psychotherapy is responsible for any change that is reported (or to what degree the therapy is responsible). Without a long term follow up and a control group, this study won’t provide much more information than we already have.
Finally, if Nicoloso and Pela truly want a potent and believable pre and post measurement, they should take Northwestern University professor Michael Bailey’s offer to conduct brain scans of the participants. Some years ago, Bailey informed Nicolosi that he could bring his patients to the lab to test their automatic responses to erotic cues. Nicolosi never took him up on the offer. I recently asked Bailey if the offer was still good. He answered in the affirmative. Pre (or even mid) treatment scans compared with post-treatment scans would help to offset the lack of a control group.
 

Who Founded Reparative Therapy? Part Two

Yesterday, I described a conflict within the ex-gay movement about who founded reparative therapy. The dispute took place between 1989 and 1996 and involved Elizabeth Moberly, Joseph Nicolosi and the board of now closed Exodus International.
In the post yesterday, I published two letters to the editor, one from Moberly accusing Nicolosi of inadequately citing her work in a February 1989 California Psychologist article on reparative therapy. The other letter came from Nicolosi and claimed his work was different from Moberly’s.
Thanks to the help of California Psychological Association administrator Patricia VanWoerkom, I am able to publish the Nicolosi article. An image of part of it is below. To read the entire article, click here.
Nicolosi CPA RT clip 2 89
In the article, Nicolosi says:
Nicolosi CPA article Moberly credit
He gives credit to Moberly for her writings but this was not enough for her. In her pleas to the Exodus International board, Moberly claims that Nicolosi was merely a practitioner of her reparative therapy approach. She felt Nicolosi’s article wasn’t just based on her theoretical writings but that his entire approach was simply borrowed from her. From her point of view, he was not a developer or collaborator but someone who simply copied what she had already discovered.
Moberly pointed out to the Exodus board that Nicolosi said he was the “author of one of those rumored treatments [to help gays change to straight].” Moberly countered that Nicolosi did not author anything. He simply copied what she had written and passed some of it off as his own work.
According to Moberly, she filed an ethics complaint with the APA and CPA. Only the CPA responded, she claimed, and found that Nicolosi had inadvertently copied her material. I have reached out again to the CPA and in a future post hope to be to confirm or deny Moberly’s claim.
 

From the Archives: Who Founded Reparative Therapy?

Once upon a time, I wrote frequently about sexual orientation, psychotherapy, and the culture wars that have raged about those topics. A review of my blog posts since I started in 2005 would be like reading a history of the ex-gay movement, reparative therapy, sexual orientation change efforts and many related matters. Even though general interest has diminished about gay change efforts since the close of Exodus International, I have some stories still to explore.

Today, I want to post a brief letter to the editor exchange between Elizabeth Moberly and Joseph Nicolosi. While I can’t publish them, I also have some letters involving Dr. Moberly and the Exodus International board which reveals a six-year feud between Moberly and Nicolosi over who founded reparative therapy.  Moberly strongly asserted that Joe Nicolosi plagiarized portions of her work and took credit for the development of reparative therapy which she believed rightly belonged to her.

First, here is the letters to the editor of the California Psychologist (Jan, 1990).
Moberly Nicolosi LtE Cal Psyc 1990
I started to explore this several years ago but got sidetracked. I think the founding of modern day reparative therapy is an interesting historical issue. Some time ago, I asked a former Exodus board member (who desires anonymity) about the rift. The individual said the dispute was “common knowledge” among Exodus people. In essence, my source said

Elizabeth believed that Joe’s reparative therapy concept belonged to her as reported in her research work in Psychogenesis and Homosexuality: A New Christian Ethic, and that Joe had not given sufficient acknowledgment to her work; and (2) that Joe believed he had referenced her work adequately and had taken her concepts and built upon them sufficiently to justify reporting on his own work in his book Reparative Therapy.

This individual was on the Exodus board at the time and made contacts with both Nicolosi and Moberly to try to resolve their differences. According to my source, the effort was unsuccessful. They did not come to unity over the issues. In 1996, Moberly left the ex-gay movement to return to England to conduct research into alternative treatments for AIDS and cancer. I tried to contact her in 2011 but received no reply.

Moberly’s books on reparative therapy were published in the early 1980s. According to Moberly, Nicolosi was introduced to her work via a client and he began using her approach in the late 1980s. Moberly was exasperated that Nicolosi published his first book on the subject in 1991 without giving her what she felt was sufficient credit. Nicolosi did in fact cite one of Moberly’s books in the 1991 book and gave her credit for the concept of defensive detachment. However, Moberly felt that was insufficient. She pulled out of speaking for at least one of the Exodus conferences because she believed Exodus should not have promoted Nicolosi’s book.

I haven’t made up my mind yet what I think about it and am still researching it. Clearly she came first with the core concepts of reparative therapy (i.e., homosexual behavior represents a reaction to a same-sex parent wound during development leading to a reparative drive to connect with same-sex love objects). On the other hand, Nicolosi did cite at least one of her books and specifically referred to her in his book.

As to the specific question — who founded reparative therapy? — I think the answer must be Elizabeth Moberly. She wrote first about all of the key concepts and described the kind of therapeutic relationship that reparative therapists, including Nicolosi, have promoted. Without question, Nicolosi popularized reparative therapy through his books, the organization he co-founded (NARTH), and via the vocal support of Exodus International and Focus on the Family. His appearance with James Dobson on the Focus on the Family radio show and subsequent role as featured speaker at FoF’s Love Won Out conferences solidified Nicolosi’s enduring role as representative of reparative therapy.

As time permits, I will post more information from the archives on this topic in the coming weeks.

Top Ten Posts in 2015

The ten top posts during 2015 are as follows with the most popular first:
1. Open Letter to Gateway Church Pastor Robert Morris from a Former Member of Mars Hill Church – This was posted on November 2, 2014 but remained popular throughout 2015. Driscoll recently joined Jimmy Evans as a director to form The Trinity Church in Phoenix.
2. Former Chief Financial Officer at Turning Point Claims David Jeremiah Used Questionable Methods to Secure a Spot on Best Seller Lists – This story about David Jeremiah’s questionable tactics from a former insider was a scoop but not one which stuck to Jeremiah like  a similar scandal did to Mark Driscoll.
3. Hillsong’s Brian Houston Interviewed Mark and Grace Driscoll After All (VIDEO) (AUDIO) – First, he said he would interview Driscoll, then he said he wouldn’t, then Brian Houston aired an interview with Mark and Grace Driscoll. It was great theatre but didn’t draw good reviews from former Mars Hill leavers.
4. A major study of child abuse and homosexuality revisited – This post from 2009 is one of the most popular articles in the history of the blog. In it, I demonstrate a key mistake in a journal article often used to link homosexuality and child abuse.
5. Southern Baptists Say Enough to Perry Noble and NewSpring Church – I am surprised that this post got so much attention.
6. Gospel for Asia Faces Allegations of Misconduct; GFA Board Investigation Found No Wrongdoing – The GFA story received the most attention from me this year.
7. Pastor of Willow Creek Presbyterian Says Church Reaction to Hiring Tullian Tchividjian is “Overwhelmingly Positive” – I briefly covered Tullian Tchividjian’s comeback as a development minister at a PCA church in FL.
8. A Few Thoughts on The Village Church Controversy – Village Church’s leadership apologized for their response to a young woman who sought a divorce from her husband who had admitted having child porn.
9. Hillsong Founder Brian Houston Issues Statement On Mark Driscoll at the Hillsong 2015 Conference – Mark Driscoll’s return to the spotlight garnered much reader attention.
10. Gospel for Asia’s K.P. Yohannan and the Ring Kissing Ritual – While the financial scandals were of interest to readers, this article ranked higher than the money problems.
To fully capture activity on the blog, one should consider the Gospel for Asia scandals (Patheos considered my coverage as a part of one of their top ten Evangelical stories of 2015).
It has been a good year and I thank my readers and those who support the blog with their comments and regular visits.

I Am Michael: The Retelling of Michael Glatze

Michael Glatze burst into the awareness of those in the ex-gay world in July 2007. He was a gay activist who in a panic turned to God. At that time, I had turned from my days supporting sexual reorientation change efforts and had established the sexual identity therapy framework as the better approach to traditionally evangelical believers who were also attracted to the same sex. I was very curious about his experience and he discussed some of it with me in an interview very shortly after the his coming out as straight with WorldnetDaily. At the time, I wrote, “I know nothing about Mr. Glatze beyond this article, although I suspect we may be hearing more about him in the coming days.”

Initially, Glatze was portrayed by the evangelical press as an orthodox Christian convert. However, he confirmed to me, albeit reluctantly, that he had converted to the Mormon church. He later left the LDS church and at one point joined a Buddhist retreat center. He gave two interviews to Joe Nicolosi (most recent in 2014) about change of orientation that somehow Nicolosi and Glatze spun into support for reparative therapy (recall that Glatze was not involved in any change therapy efforts).

Glatze resurfaced a couple years later with a series of blog posts sharply critical of President Obama. One, in particular, was featured by ExGayWatch and seemed to express racist overtones. Glatze later provided an explanation to me about the comments which seemed more like unfocused rage at Obama.
I was a little surprised when I heard that James Franco was going to do a movie about Glatze’s changes. The film, I Am Michael has been getting good reviews but may not be available widely. In any case, as a biopic, I am sure it is interesting but at some point I would like to explore what really happened to Glatze. There are clues that he might not have been exclusively gay or that he might be bisexual. Is his experience generalizable to others, or is there some infrequent alignment of circumstances that led to the dramatic change? The writing I have done previously gives me little that’s solid.
In his 2014 interview with Joe Nicolosi, Glatze denigrates the experience of LGB people in much the same way he did in 2007. However, in this video below, he seems to articulate what the American Psychological Association calls “organismic congruence” or being who you experience yourself to be. It is hard to tell what he believes now, at least from this interview, but he seems much more at ease.
[youtube]http://youtu.be/DERC4kpd5Ag[/youtube]
As I wrote before, I suspect we may be hearing more about him.