Reorientation therapies in the UK: Survey results

A new survey from BMC Psychiatry found that 4-17% of therapists surveyed offer some form of therapy designed to reduce homosexual attractions.
From the article in the BBC News:

A significant minority of mental health professionals had agreed to help at least one patient “reduce” their gay or lesbian feelings when asked to do so.
The survey, published in the journal BMC Psychiatry and conducted by London researchers, involved 1,400 therapists.
Many were acting with the “best of intentions”, said the lead author.
Only 4% said they would attempt to change a client’s sexual orientation, but when asked if they would help curb homosexual feelings some 17% – or one in six – said they had done so.
The incidence appeared to be as prevalent in recent years as decades earlier.

Here is the abstract from the journal article:

Background
We know very little about mental health practitioners’ views on treatments to change sexual orientation. Our aim was to survey a representative sample of professional members of the main United Kingdom psychotherapy and psychiatric organisations about their views and practices concerning such treatments.
Methods
We sent postal questions to mental health professionals who were members of British Psychological Society, the British Association for Counselling and Psychotherapy, the United Kingdom Council for Psychotherapy and the Royal College of Psychiatrists. Participants were asked to give their views about treatments to change homosexual desires and describe up to six patients each, whom they have treated in this way.
Results
Of 1848 practitioners contacted, 1406 questionnaires were returned and 1328 could be analysed. Although only 55 (4%) of therapists reported that they would attempt to change a client’s sexual orientation if one consulted asking for such therapy, 222 (17%) reported having assisted at least one client/patient to reduce or change his or her homosexual or lesbian feelings. 413 patients were described by these 222 therapists: 213 (52%) were seen in private practice and 117 (28%) were not followed up beyond the period of treatment. Counselling was the commonest (66%) treatment offered and there was no sign of a decline in treatments in recent years. 159 (72%) of the 222 therapists who had provided such treatment considered that a service should be available for people who want to change their sexual orientation. Client/patient distress and client/patient autonomy were seen as reasons for intervention; therapists paid attention to religious, cultural and moral values causing internal conflict.
Conclusions
A significant minority of mental health professionals are attempting to help lesbian, gay and bisexual clients to become heterosexual. Given lack of evidence for the efficacy of such treatments, this is likely to be unwise or even harmful.

Going a little deeper into the study, it appears that some of the efforts designated as change might not be direct efforts to change after all. Consider some reasons given for what is labeled by the authors as support for change efforts:

“…where someone had a strong faith, then working to help the person accept their feelings but manage them appropriately may be the best approach if (the) person felt they would lose God and therefore their life was not worth living.”
“Some bisexual individuals may wish to choose an orientation that is
comfortable for them and their lifestyle choices for example. This is a
therapeutic issue to explore and support if that is their wish. It is different from behavioural attempts to reshape desire.”
“Yes, possibly those within marriages that wish to continue with that
relationship rather than break up”

Rather, these therapists give what sound like client-centered responses based on the individual circumstances of the clients. I wonder if the authors of this article may have pushed these responses into either change or gay affirming camps without considering a third more neutral position – what Mark Yarhouse and I call sexual identity therapy.
Most of the other comments relied on a belief that therapists should follow the wishes of the client. This seems reasonable if the client is informed that change is infrequent at best and we do not know going in who might shift and by how much. Also, it is necessary to provide prospective clients with accurate information regarding homosexuality without regard to the ideological loyaties of the therapist. Also, it seems clear that non-homosexually identified people experience same-sex attraction. Helping them sort out their particular situation and arrive and a value-congruent position is not the same thing as reparative or reorientation therapy.
The authors paint a picture of 1 in 6 therapists engaging in change therapy and I think that is misleading. The 4% figure seems like the right number of therapists who deliberately promote change among their same-sex attracted clients.

More strict than God

I recall reading an article as an undergraduate regarding legalism. I do not remember the name of the author, nor the title of the article. I do remember a line from the article. The author was noting that many churches have rules for behavior that are not derived from the Bible. The rules seem important to the creator of the rule but should not be imposed on others when such rules make one “more strict than God.”
I thought of that mostly forgotten article when I read a post by Brian Pengelly (“When You’re Told that What God Has Done Is Not Enough”)on Bridging the Gap, the blog of New Directions. In that post, Brian describes a speech to a local youth group where he acknowledges that he is same-sex attracted. Even though Brian has not been in a same-sex relationship since high school, is married with kids (corrected 3/23) and does not advocate same-sex relationships, he was criticized severely by several youth ministers who attended the meeting.
Brian attributed the reaction to a theological difference – one we have discussed here before – and that is the difference between charismatic and non-charismatic Protestant Christianity. Brian’s specific concern relates to “Word of Faith” theology, a view that

…God has promised to heal every area of a believer’s life right now and given them the authority to command that healing into existence.

Remember James Stabile? He was the young man that was supposedly delivered from homosexuality during a Pentecostal street meeting. Problem was, he wasn’t.
Brian elaborates:

Because of this, my testimony was a great threat to them because God had simply not done enough in my life. Despite the fact that I could testify that I had not been in a relationship with another male since high school, despite the fact that I was able to enjoy a happy marriage to a woman, despite the fact that God had clearly been using me in ministry for over a decade….my testimony was not acceptable because God had not completely taken away my attraction to men.

Brian knows the thinking because he used to be a part of the Word of Faith perspective.

The authors assumed that because I was telling my story and had my experiences, I had never confessed my sin or had prayer ministry to cast out the demons in my life that may have entered because of being abused. In fact they were so bold as to write:

“Had at any time in Brian’s life he cried out to God and taken his authority that he has been given as a believer and told his body “IN JESUS NAME I AM NOT GAY AND GOD DID NOT MAKE ME GAY AND I WILL NOT HAVE HOMOSEXUAL TENANDANCIES (sic) ANYMORE”, and then taken his mind captive when ever those thoughts came in, Brian most likely would not struggle with this anymore. Had he at anytime repented of that initial time when he was in the library and he spoke out I am gay, and then asked God to forgive him for all the rest of the times that he has thought thoughts or acted in a homosexual manner, asked God to forgive him for that initial self cursing and THEN had the spirit of sexual perversion cast out of him, Brian most likely would not still struggle with this sin.”

The truth is that I once attended a youth group where they taught such things, and believing that they were true, I did go forward to the altar, confess these very sins, and pray that very prayer meaning it with every cell of my body. I believed that God would heal me…… and then he didn’t. When it didn’t happen I was told it was because I lacked enough faith, or I was doing something wrong. The message I received was that it was my fault. And yet I knew in my heart that I had prayed with all the faith that I had and could do no more. When I said this, I was rejected by that group. I spent years believing that lie, that it was my fault and I just wasn’t good enough to make it all go away. As I grew older and studied the Bible I came to realize that this was a false teaching and turned away from it. But that teaching left me in shame and despair for years of my life.

Then he notes the damage is not reserved for the person who experiences SSA, but for their parents as well.

There has also been a sad legacy within the ex-gay movement of using this kind of teaching to burden parents as being at fault for their children’s sexual orientation. I do not know how many times over the years I heard about generational curses, mixed in with some pop psychology to explain the fact that I was attracted to men. My own story does include significant perceived rejection from my father. But the truth is that causation of sexual orientation is incredibly complex and that there is no good evidence to link it to parental behaviour. In fact, several of my best gay friends had wonderful relationships with their parents. But because of this kind of teaching, I have met with more parents than I can count who blame themselves for their children’s sexual orientation. I have listened to them as they examined every little thing they did or said in their lives wondering where they had spoken curses over their children!

One does not need to go to a Word of Faith church for this guilt, although it apparently helps. A NARTH conference will do. Or a well-meaning but errant Christian radio program.
In traditional Christianity, human nature is not perfectable. Perfect parenting, wonderful therapy or any other reparative concept cannot offset this condition. The causes of sexual orientation, while of scientific interest, should be relatively unimportant in a ministry domain. To require change in the direction of desire as a measure of spirituality seems to me to expect something more strict than God expects.

Luca was gay: The lyrics in English

I posted in December, 2008 about the controversy in Italy regarding an ex-gay song to be sung in the Italian music festival, Sanremo by Italian artist, Povia. Up to now, the lyrics to the song not known. We now have them here.
Thanks to a translation by Emiliano Lambiase, I can now post the lyrics to Luca Era Gay (Luca Was Gay), the song sparking all the fuss.

INTRO:
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man.
1st VERSE:
Luca says: Before telling you about my sexual change, I want to clarify that if I believe in God I can’t recognise myself in human thought which is divided on this matter, I haven’t gone to psychologists, psychiatrists, priests nor scientists.
I’ve gone into my past, delved into it and found out a lot about myself.
My mother had too much love for me, her love turned into full obsession with her convictions, her attentions wouldn’t let me breathe.
My father used to take no decisions and I could never talk with him, he was away at work all day, but I had the feeling that wasn’t the truth, that’s why Mum asked for divorce, I was 12 and didn’t
really understand my father, he said ‘that’s the right solution’ and started to drink after sometime.
Mum always spoke badly of Dad to me and used to say ‘never get married, for God’s sake.
She was sick jealous of my girlfriends and my identity was growing confused.
Chorus:
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man.
2nd VERSE:
I’m another man now, but at that time I was looking for answers, I was ashamed so looked for my answers in hiding, some used to say ‘it’s natural.’
I studied Freud and he didn’t think the same, then high school finished but I didn’t know what happiness was, a big man made my heart shake and that’s when I knew I was a homosexual.
I had no inhibitions with him, he courted me and I thought that was love, yes with him I could feel myself, but then it became like a competition on who made the best sex.
I felt guilty, sooner or later they’ll catch him, but if evidence disappears he’ll be acquitted.
I was looking for who my father was in men, and I used to go with men not to betray my mother.
2nd Chorus:
Luca was gay and now he’s together with her, Luca speaks from his heart. Luca says I’m another man.
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man.
SPECIAL:
Luca says: For 4 years I’d been with a man through love and deceptions, we often betrayed each other.
I was still looking for my truth, that big eternal love, then I met her at a party, among a lot of people, she had nothing to do with it all, she listened to me, undressed me, understood me. I only remember that I missed her the day after.
This is my story, only my story, no illness, no recovery.
Dear Dad, I’ve forgiven you even though you’ve never come back here.
Mum, I often think of you and I love you, and sometimes still see your reflection.
But now I’ve become a father and I’m in love with the only woman I’ve ever loved.
Final Chorus:
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man.
Luca was gay and now he’s together with her, Luca speaks from his heart, Luca says I’m another man.

That is a long song, or at least it seems like it would be from the length of the story involved. Has a little reparative therapy feel to it with the parents involved but it also says, “no illness, no recovery” which is not consistent with that framework.
Luca Era Gay might be considered in the a Because of You genre.
UPDATE: This blogger has what he claims is a more accurate translation.
Peter Ould wonders if Luca was gay after all…

Love is an Orientation: Andrew Marin

Andrew Marin’s of the Marin Foundation promotes his new book Love is an Orientation in this video.

I have not seen the book but I am very hopeful to get a copy soon. I feel very positive about what Andrew describes about his work and look forward to reading more.

If not ex-gay, then what?

Former Q-Syndicate owner, David Benkof writes a provocative column in today’s Jerusalem Post – If not ex-gay, then what?
He writes:

For years, I have been a critic of the ‘ex-gay’ movement, particularly its Jewish manifestation. Many advocates of ‘reorientation therapy’ appear to exaggerate ex-gay transformation rates, and so far the non-gay leaders of the Jewish ex-gay movement have been utterly unable to produce success stories who are willing to be interviewed. Alarmingly, Jewish ex-gay organizers sometimes lead Jewish strugglers perilously close to Christian ideas at odds with Judaism.
Well, I have a suggestion. Instead of gay or ex-gay, those of us who have stopped thinking of ourselves primarily as same-sexers can emphasize the fact that, whether we’re celibate or in opposite-sex relationships, we’re ‘Deliberately Living Traditionally.’ The handy acronym Delta corresponds to a Greek letter representing change; it can be a rival to the use of the letter Lambda to represent all things gay. Delta can serve as a new identity and community for people who are making or have made that tough transition. (Perhaps the Hebrew version will be known as ‘Dalets.’)

He does not promote change but a different perspective and set of choices. How does this sound?