Reparative therapy

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Reparative therapy is a type of therapy designed to change a client's sexual orientation from [[homosexual]] to heterosexual. It is usually of a religious nature, and is not endorsed by professional psychological organisations, such as the American Psychological Association or the American Psychiatric Association.
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'''Reparative therapy''' is a type of therapy designed to change a client's [[sexual orientation]] from [[homosexual]] to [[heterosexual]]. It is usually of a [[religious]] nature, and is not endorsed by professional psychological organisations, such as the [[Wikipedia:American Psychological Association|American Psychological Association]] or the [[Wikipedia:American Psychiatric Association|American Psychiatric Association]].
  
== Origins Of Reparative Therapy ==
+
== Origins ==
  
Before 1973, [[homosexuality]] was considered a mental disorder by the American Psychiatric Association, and was present on the Diagnostical And Statistical Manual(DSM). Certain methods, as extreme as electroshock/aversion therapy or castration, were sometimes used in attempts to change a clients' orientation. In 1973, homosexuality was removed from the DSM, because it had been demonstrated that there was no basis for such a classification. (http://psychology.ucdavis.edu/rainbow/html/facts_mental_health.html)
+
Before 1973, [[homosexuality]] was considered a mental disorder by the American Psychiatric Association, and was present in the association's [[Wikipedia:Diagnostic and Statistical Manual of Mental Disorders|''Diagnostic and Statistical Manual of Mental Disorders'' (DSM)]]. Certain methods, as extreme as electroshock therapy, aversion therapy, or castration, were sometimes used in attempts to change a client's orientation. In 1973, homosexuality was removed from the DSM because it had been demonstrated that there was no scientific basis for such a classification.<sup>[http://psychology.ucdavis.edu/rainbow/html/facts_mental_health.html]</sup>
Many therapists disagreed with the decision to remove [[homosexuality]] from the DSM, for example Charles Socarides(who has an openly gay son) and Bieber. The fact that the APA no longer classed homosexuality as a disorder meant that there was no therapy available for gay people who wanted to attempt to change orientation. This lead to the beginnings of the "ex-gay" ministries, the first of these being Love In Action.  
+
Many therapists disagreed with the decision to remove homosexuality from the DSM &mdash; for example, Charles Socarides (who has an openly gay son) and <!-- first name? -->Bieber. The fact that the APA no longer classed homosexuality as a disorder meant that there was no approved therapies available for gay people who wanted to attempt to change orientation. This lead to the beginnings of the "ex-gay" ministries, the first of these being [[Love in Action]].
  
 
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== Advocates of reparative therapy and "ex-gay" ministries ==
== Advocates Of Reparative Therapy/Ex-Gay Ministries ==
+
  
 
There are many groups that advocate and provide reparative therapy.  
 
There are many groups that advocate and provide reparative therapy.  
The National Assocation for the Research and Therapy of Homosexuality(NARTH) is one such group, whose current president is Joseph Nicolosi. NARTH is not an openly religious ministry.  
+
The [[National Association for Research and Therapy of Homosexuality]] (NARTH) is one such group, whose current president is [[Joseph Nicolosi]]. NARTH is not an openly religious ministry.  
The biggest ex-gay ministry is Exodus International, an evangelical [[Christian]] ministry that promotes "freedom from [[homosexuality]]". Other groups include Parents and friends of Ex-Gays(PFOX), Evergreen International(a group for [[Mormon]]s), and Homosexuals Anonymous.
+
The biggest ex-gay ministry is [[Exodus International]], an [[evangelical]] [[Christian]] ministry that promotes "freedom from homosexuality". Other groups include [[Parents and Friends of Ex-Gays]] (PFOX), [[Evergreen International]] (a group for [[Mormon]]s), and [[Homosexuals Anonymous]].
  
 +
== Ideas and methods ==
  
== Ideas and Methods ==
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Most reparative therapists promote the idea that male homosexuality is caused by a lack of bonding with the father, which causes the male to seek affection from other men, causing homosexual attractions. This idea is without merit, however, because there is no scientific support for such a claim. In addition, expected trends (such as increase in homosexual males that grew up without fathers during WWII) have not been demonstrated, and appear to be non-existent.
  
Most reparative therapists promote the idea that male [[homosexuality]] is caused by a lack of bonding with the father, which causes the male to seek affection from other men, causing homosexual attractions. This idea is without merit, because there is no scientific support for such a claim, and expected trends(such as increase in homosexual males that grew up during WWII) have not been demonstated, and appear to be non-existent.
+
Methods based on this hypothesis involve attempting to get the male to form a nonsexual bond with a person of the same sex, replacing the love and affection the homosexual never had in childhood. The treatment also often involves attempting to get gay men to behave in a more [[Wikipedia:Masculinity|masculine]] manner.
The methods involve attempting to get the male to form a nonsexual bond with a person of the same sex, replacing the love and affection the homosexual never had in childhood. The treatment also often involves attempting to get gay men to behave in a masculine manner.
+
  
 
Reparative therapy of female homosexuality is along similar lines, with the female not forming the correct bonds with the mother rather than the father.  
 
Reparative therapy of female homosexuality is along similar lines, with the female not forming the correct bonds with the mother rather than the father.  
  
== Success Rates of Reparative Therapy ==
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== Success rates ==
  
 
There is very little evidence to suggest that homosexuals can successfully change orientation.  
 
There is very little evidence to suggest that homosexuals can successfully change orientation.  
In 2001, Dr. Robert L. Spitzer presented a study claiming that some of his clients could change, claiming that 66% of the males and 44% of the female clients in his study claimed "good heterosexual functioning". The study was heavily criticized for several reasons. The clients appear to be handpicked from a large number of people that entered the ministries. Many of the participants were referred from ex-gay ministries, who were likely to send only the most successful clients. Many of the clients--up to 60%--of Spitzer's participants were bisexual, which would cause an inflation of success rates. Even if these problems were overcome, Spitzer's methodology was merely talking to each client for 45 minutes on the telephone, with no follow-up interviews. Self-reporting is unreliable, especially in this case, as 78% of participants had publicly spoken positively about attempts to convert homosexuals to heterosexuality. Spitzer himself did not claim that his results were representative of participants in ex-gay therapy, or that most of clients who go through reparative therapy can successfully change.  
+
In 2001, Dr. [[Robert L. Spitzer]] presented a study claiming that some of his clients could change, claiming that 66% of the males and 44% of the female clients in his study claimed "good heterosexual functioning". The study was heavily criticized for several reasons:
 +
# The clients appeared to be handpicked from a large number of people that entered the ministries.
 +
# Many of the participants were referred from ex-gay ministries, who were likely to send only the most successful clients.
 +
# Many of the clients &mdash; up to 60% of Spitzer's participants &mdash; were bisexual, which would cause an inflation of success rates.
 +
Even if these problems were overcome, Spitzer's methodology was merely talking to each client for 45 minutes on the telephone, with no follow-up interviews. Self-reporting is unreliable, especially in this case, as 78% of participants had publicly spoken positively about attempts to convert homosexuals to heterosexuality. In fact, Spitzer himself did not claim that his results were representative of participants in ex-gay therapy, or that most of clients who go through reparative therapy can successfully change.
  
 
In 2002, two psychologists, Shidlo and Schroeder, published a study about the experiences of 202 clients of reparative therapy. They reported that only 8 of those 202 claimed to have changed sexual orientation, and 7 of those had positions in ex-gay ministries.
 
In 2002, two psychologists, Shidlo and Schroeder, published a study about the experiences of 202 clients of reparative therapy. They reported that only 8 of those 202 claimed to have changed sexual orientation, and 7 of those had positions in ex-gay ministries.
  
== Harms Caused By Reparative Therapy ==
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== Evidence of harm ==
  
There have been many suggestions and indications that reparative therapy causes harm to clients. Shidlo and Schroeder found that the vast majority of their clients were harmed by the attempt to change. These harms involved:
+
There have been many suggestions and indications that reparative therapy actually causes harm to clients. Shidlo and Schroeder found that the vast majority of their clients were harmed by the attempt to change. These harms involved:
 
+
* [[Depression]], [[suicidal]] feelings and suicide attempts after failure to change orientation;
* Depression, suicidal feelings and suicide attempts after failure to change orientation;
+
* Lowered self-esteem and reinforcing of already internalized [[homophobia]], as therapists often had very strong anti-gay biases;
* Lowered self-esteem and reinforcing of already internalized homophobia as therapists often had very strong antigay biases;
+
 
* Distorted perceptions that curing homosexuality would sort out other life problems that are unrelated;
 
* Distorted perceptions that curing homosexuality would sort out other life problems that are unrelated;
 
* Intrusive imagery and sexual dysfunction;
 
* Intrusive imagery and sexual dysfunction;
* Monitoring of effeminate or butch tendencies;
+
* Monitoring of effeminate or butch tendencies;<!-- why is this harm? does this need to be more strongly worded? -->
* Harm to relationships with parents as they were often blamed during therapy for [[homosexuality]];
+
* Harm to relationships with parents as they were often blamed during therapy for the homosexuality;
* Alienation, loneliness and social isolation;
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* Alienation, loneliness and [[social isolation]];
 
* Interference with relationships and friendships;
 
* Interference with relationships and friendships;
* Fear of being a child abuser;
+
* Fear of being a [[child abuse]]r;
* Delay of emotional development due to not coming out;
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* Delay of [[emotional]] development due to not coming out;
 
* Loss of religious [[faith]];
 
* Loss of religious [[faith]];
 
* Excommunication and abandonment by religious groups.
 
* Excommunication and abandonment by religious groups.
  
There have been problems with certain ex-gay counselors abusing clients sexually. For example, Chris Austin was recently arrested for this crime.
+
There have also been problems with certain ex-gay counselors abusing clients sexually. For example, [[Chris Austin]] was recently arrested for this crime[http://www.truthwinsout.org/uncategorized/truth-wins-out-responds-to-the-sexual-assault-conviction-of-%E2%80%98ex-gay%E2%80%99-leader-christopher-austin-2/].
There have also been anecdotal accounts of suicides. For example, Stuart Mathis, a gay [[Mormon]], killed himself over his failure to change.
+
 
+
Many people believe reparative therapy, even if successful, to be unethical, because there is no reason for a client to change sexual orientation.
+
 
+
== External Links ==
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[http://www.religioustolerance.org/homosexu.htm Religious Tolerance]
+
 
+
[http://psychology.ucdavis.edu/rainbow/html/facts_changing.html Psychology at UC Davis Article -including information on Spitzer's study]
+
 
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[http://www.truthwinsout.org Truth Wins Out, an organisation designed to combat the claims of Ex-Gay Ministries]
+
  
[http://www.beyondexgay.com/narratives Beyond Ex-Gay, some testimonies from people who have been harmed by the ministries]
+
There have also been anecdotal accounts of suicides. For example, [[Stuart Mathis]], a gay Mormon, killed himself over his failure to change[http://64.233.167.104/search?q=cache:yW1OWPlMfvAJ:www.isupride.org/home/index.php%3Foption%3Dcom_docman%26task%3Ddoc_download%26gid%3D4+Stuart+Mathis+mormon&hl=en&ct=clnk&cd=1&gl=us&client=firefox-a].
  
[http://www.boxturtlebulletin.com/2007/02/15/224 Box Turtle Bulletin's expose on Love Won Out, a Focus on The Family ex-gay conference]
+
Many people believe reparative therapy, even if successful, to be unethical, because there is no real reason for a person to intentionally try to change sexual orientation.
  
[http://www.edgeboston.com/index.php?ch=news&sc=glbt&sc2=features&sc3=&id=4945 Edge Boston's view; a four part article]
+
== External links ==
  
[http://www.anythingbutstraight.com/ Anything But Straight - website of a book that explores the claims of the ex-gay ministries]
+
* [http://www.religioustolerance.org/homosexu.htm Religious Tolerance]
 +
* [http://psychology.ucdavis.edu/rainbow/html/facts_changing.html Psychology at UC Davis Article -including information on Spitzer's study]
 +
* [http://www.truthwinsout.org Truth Wins Out, an organisation designed to combat the claims of Ex-Gay Ministries]
 +
* [http://www.beyondexgay.com/narratives Beyond Ex-Gay, some testimonies from people who have been harmed by the ministries]
 +
* [http://www.boxturtlebulletin.com/2007/02/15/224 Box Turtle Bulletin's expose on Love Won Out, a Focus on The Family ex-gay conference]
 +
* [http://www.edgeboston.com/index.php?ch=news&sc=glbt&sc2=features&sc3=&id=4945 Edge Boston's view; a four part article]
 +
* [http://www.anythingbutstraight.com/ Anything But Straight - website of a book that explores the claims of the ex-gay ministries]
 +
* [http://www.exgaywatch.com/ Ex-Gay Watch]
  
[http://www.exgaywatch.com/ Ex-Gay Watch]
+
[[Category:Psychology]]

Revision as of 20:05, 2 July 2008

Reparative therapy is a type of therapy designed to change a client's sexual orientation from homosexual to heterosexual. It is usually of a religious nature, and is not endorsed by professional psychological organisations, such as the American Psychological Association or the American Psychiatric Association.

Contents

Origins

Before 1973, homosexuality was considered a mental disorder by the American Psychiatric Association, and was present in the association's Diagnostic and Statistical Manual of Mental Disorders (DSM). Certain methods, as extreme as electroshock therapy, aversion therapy, or castration, were sometimes used in attempts to change a client's orientation. In 1973, homosexuality was removed from the DSM because it had been demonstrated that there was no scientific basis for such a classification.[1] Many therapists disagreed with the decision to remove homosexuality from the DSM — for example, Charles Socarides (who has an openly gay son) and Bieber. The fact that the APA no longer classed homosexuality as a disorder meant that there was no approved therapies available for gay people who wanted to attempt to change orientation. This lead to the beginnings of the "ex-gay" ministries, the first of these being Love in Action.

Advocates of reparative therapy and "ex-gay" ministries

There are many groups that advocate and provide reparative therapy. The National Association for Research and Therapy of Homosexuality (NARTH) is one such group, whose current president is Joseph Nicolosi. NARTH is not an openly religious ministry. The biggest ex-gay ministry is Exodus International, an evangelical Christian ministry that promotes "freedom from homosexuality". Other groups include Parents and Friends of Ex-Gays (PFOX), Evergreen International (a group for Mormons), and Homosexuals Anonymous.

Ideas and methods

Most reparative therapists promote the idea that male homosexuality is caused by a lack of bonding with the father, which causes the male to seek affection from other men, causing homosexual attractions. This idea is without merit, however, because there is no scientific support for such a claim. In addition, expected trends (such as increase in homosexual males that grew up without fathers during WWII) have not been demonstrated, and appear to be non-existent.

Methods based on this hypothesis involve attempting to get the male to form a nonsexual bond with a person of the same sex, replacing the love and affection the homosexual never had in childhood. The treatment also often involves attempting to get gay men to behave in a more masculine manner.

Reparative therapy of female homosexuality is along similar lines, with the female not forming the correct bonds with the mother rather than the father.

Success rates

There is very little evidence to suggest that homosexuals can successfully change orientation. In 2001, Dr. Robert L. Spitzer presented a study claiming that some of his clients could change, claiming that 66% of the males and 44% of the female clients in his study claimed "good heterosexual functioning". The study was heavily criticized for several reasons:

  1. The clients appeared to be handpicked from a large number of people that entered the ministries.
  2. Many of the participants were referred from ex-gay ministries, who were likely to send only the most successful clients.
  3. Many of the clients — up to 60% of Spitzer's participants — were bisexual, which would cause an inflation of success rates.

Even if these problems were overcome, Spitzer's methodology was merely talking to each client for 45 minutes on the telephone, with no follow-up interviews. Self-reporting is unreliable, especially in this case, as 78% of participants had publicly spoken positively about attempts to convert homosexuals to heterosexuality. In fact, Spitzer himself did not claim that his results were representative of participants in ex-gay therapy, or that most of clients who go through reparative therapy can successfully change.

In 2002, two psychologists, Shidlo and Schroeder, published a study about the experiences of 202 clients of reparative therapy. They reported that only 8 of those 202 claimed to have changed sexual orientation, and 7 of those had positions in ex-gay ministries.

Evidence of harm

There have been many suggestions and indications that reparative therapy actually causes harm to clients. Shidlo and Schroeder found that the vast majority of their clients were harmed by the attempt to change. These harms involved:

  • Depression, suicidal feelings and suicide attempts after failure to change orientation;
  • Lowered self-esteem and reinforcing of already internalized homophobia, as therapists often had very strong anti-gay biases;
  • Distorted perceptions that curing homosexuality would sort out other life problems that are unrelated;
  • Intrusive imagery and sexual dysfunction;
  • Monitoring of effeminate or butch tendencies;
  • Harm to relationships with parents as they were often blamed during therapy for the homosexuality;
  • Alienation, loneliness and social isolation;
  • Interference with relationships and friendships;
  • Fear of being a child abuser;
  • Delay of emotional development due to not coming out;
  • Loss of religious faith;
  • Excommunication and abandonment by religious groups.

There have also been problems with certain ex-gay counselors abusing clients sexually. For example, Chris Austin was recently arrested for this crime[2].

There have also been anecdotal accounts of suicides. For example, Stuart Mathis, a gay Mormon, killed himself over his failure to change[3].

Many people believe reparative therapy, even if successful, to be unethical, because there is no real reason for a person to intentionally try to change sexual orientation.

External links

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