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STUDIES OF REPARATIVE AND SIMILAR THERAPIES

AN OVERVIEW

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Topics covered in this essay:

bulletResults of studies
bulletAnecdotal observations
bulletA proper future study

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Results of studies of reparative therapy and transformational ministries:

Some evaluations of these therapies have been performed. None have been published in peer reviewed journals. None have produced really useful data:

bulletEx-gay conservative Christian ministries: Some ex-gay ministries do not claim specific success rates; a few estimate 30 to over 70%. But their data should be considered suspect, because:
bulletMany of the groups do not clearly differentiate between homosexual behavior and orientation.
bulletMany appear to ignore the existence of persons with a bisexual orientation.
bulletMany of the groups do not perform rigorous studies; that is not their purpose.
bulletMany of studies that are conducted are short term.
bulletMost, if not all, of the clients retain their original bisexual or homosexual orientation. They continue to have feelings of same-sex attraction, but do not act on them. Both groups are generally recorded as having been "cured."
bulletExodus International: Two psychiatrists, were allowed to interview members of Exodus International in 1978. The percentage of clients with a homosexual orientation who became heterosexual, was under 0.4%. Two of the founders of the organization, Michael Bussee and Gary Cooper, later fell in love and criticized their own organization and other ministries for gays as fraudulent. They said that their program was "ineffective...not one person was healed."
bulletIn 1979, Masters and Johnson claimed an impressive conversion rate of 50 to 60% which was maintained for 5 years after treatment. These results are often quoted by proponents of reparative therapy. Unfortunately, the number is not particularly significant, because:
bullet93% of the subjects were not homosexual; they were bisexual.
bulletsexual orientation was not measured; only sexual behavior.

It is not known whether any homosexuals were able to change either their sexual orientation or behavior during the study. 1

bulletNational Association for Research and Therapy of Homosexuality: In 1997, NARTH announced the results of a study of 860 clients who had experienced reparative therapy. The study is not particularly useful, because they have not published data on the percentage of persons with a homosexual orientation who were able to change their orientation to heterosexual, even temporarily. More details.
bulletDr. Spitzer study: Dr. Robert Spitzer is a psychiatry professor at Columbia University. He conducted a study of 143 ex-gays and 57 ex-lesbians who report that they have become "straight." 8,9 He reported his findings at a meeting of the American Psychiatric Association on 2001-MAY-9. He concluded, as a result of 45 minute interviews with each subject, that 66% of the males and 44% of the females had arrived at "good heterosexual functioning." It is important to realize that the subjects in this study did not end up with a heterosexual sexual orientation; almost all report that they are currently bisexual.

Unfortunately, there appear to be serious flaws in the study, and in its reporting in the media. 
bulletThe most serious deficiency is that 43% of the subjects were referred to Dr. Spitzer by conservative Christian ministries. Another 23% were referred by the National Association for Research and Therapy of Homosexuality (NARTH). These individuals seem to have been hand-picked from a much larger number of bisexuals and homosexuals in therapy. As David Elliot, spokesperson for the National Gay and Lesbian Task Force said, "The sample is terrible, totally tainted, totally unrepresentative of the gay and lesbian community."  
bulletNo information source that we have been able to find described the original sexual orientation of the subjects. We suspect that most or all had a bisexual orientation and engaged in at least some homosexual activity. After therapy, we suspect that they remain bisexual. 
bulletMore details on this study.
bulletSchroeder and Shidlo: Another North American study was launched to determine the experiences of people who have been treated by either ex-gay ministries or by individual reparative therapists. The study is sponsored by the National Gay and Lesbian Task Force, and funded by the H. van Ameringen Foundation. 10 By late 1997, they were half-way towards their goal of 200 subjects. Shidlo had yet to find a single "cure" as a result of reparative therapy. Two of their subjects initially reported that they had been cured, but later admitted that they had simply decided to become celibate; their sexual orientation was unchanged. They had find some harmful effects which effected some individuals during and after therapy.

They concluded their study in 2001. They determined that:
bullet88% of subjects failed to achieve a sustained change in their sexual behavior.
bullet4% reported changing their orientation to heterosexual.
bullet9% reported either losing all sex drive or continuing to struggle to remain celibate.

An article in Wikipedia speculates:

"Of the 8 respondents (out of a sample of 202) who reported a change in sexual orientation, 7 were employed in paid or unpaid roles as 'ex-gay' counselors or group leaders, something which has led many to question whether even this small 'success' rate is in fact reliable." 12

It is probable that few if any conservative Christians participated in the Schroeder and Shidlo study because it is sponsored by the National Gay and Lesbian Task Force. In their appeal for subjects, the researchers indicated their bias by stating: "You can be of help in the long process of getting the message out that these conversion therapies don't work and do the opposite of healing by informing your l/g/b communities of our search for participants to be interviewed. Please announce our project in any upcoming lesbian and gay community meetings and spread the word. Help us document the damage!" 11

Schroeder and Shidlo presented a paper about their study at the same annual meeting of the American Psychiatric Association. in 2001-MAY.

According to the New York Times:

"Dr. Schroeder said 18 subjects who deemed themselves 'successes' in becoming heterosexuals 'don't fit into what the public sees as success'."

" 'They were celibate or they continued to really struggle with homosexual desire or behavior,' he said."

"Many subjects, Dr. Schroeder said, had invested 5 to 15 years in the therapies, and when they were not successful experienced 'an inordinate sense of loss'." 13

Although both this study and Spitzer's study were presented together at the APA conference, this study received almost no attention from the media.

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More detailed information is available on most of these studies.

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Anecdotal observations on RT:

bulletDr. Jack Drescher, a medical doctor who works extensively with gays, commented: "My own clinical experience with gay men who failed to change in reparative therapy is that they suffered damage to their self-esteem, experienced resultant anxiety and depression, and often felt a deep mistrust of mental health professionals. This mistrust and shame may explain why no good follow-up studies of these individuals exist."
bulletA representative of the Honolulu, HI Gay and Lesbian Education and Advocacy Foundation (at HawaiiGay1@aol.com ) wrote that over a 25 year period, hundreds of their members had tried reparative therapy groups. He commented: "I can honestly say, I have never seen one of them claiming they were cured or felt better until they began to accept their goodness as a Gay person."
bulletMel White, a prominent Evangelical Christian, unsuccessfully attempted to change his homosexual orientation over a period of decades. His book describes his experiences. 4
bulletInvestigative report of ex-gays: In 1995, reporter Justin Chin joined an ex-gay program which is affiliated with Exodus Ministries in California. His study was funded by the Fund for Investigative Journalism and was published in The Progressive. 5 He found that: "Ex-gays are sexually celibate but homosexuality is still central to them: Everything in their lives revolves around homosexuality and avoiding it. Listening to Exodus conference junkies and ex-program members speak, it is easy to see how this subculture is maintained. Ultimately, the difference between gays and ex-gays is like the difference between cheese and cheddar. The ex-gays try to drown their homosexuality in Bible verses, marriage, family, and their own new subcultural niche, but their homosexuality remains."
bulletThe author attempted to survey each of the 36 websites of the GayChange WebRing. 6 These are mainly Internet sites created by individuals or small Christian ministries. From the sites' content, all appear to be conservative Christian in outlook. Five returned the dreaded "404" error message; one was a discontinued site; two did not publish their Email address. On 2000-MAY-20, we sent a survey by Email to each of the 28 accessible websites.  

The core of the survey letter asked:

"Considering all of the persons who have entered your program and who have made a sincere effort to change, please estimate what percentage of individuals fall into each of the following categories:

  1. Entered the program with a homosexual orientation and left with a heterosexual orientation.
  2. Entered the program with a homosexual orientation and left with a homosexual orientation, but committed to celibacy.
  3. Entered the program with a homosexual orientation and left with a homosexual orientation, and open to future gay/lesbian sexual relationships.
  4. Entered the program with a bisexual orientation and left with a heterosexual orientation.
  5. Entered the program with a bisexual orientation and left with a bisexual orientation, but committed to pursuing only relationships with the opposite gender.
  6. Entered the program with a bisexual orientation and left with a bisexual orientation, but open to gay/lesbian or heterosexual sexual behavior.
  7. Don't know
  8. Other (please define)"

We received 7 replies:

bulletFour stated that they had no results to report. Some of their reasons were:
bulletThey dealt with gays and lesbians only by Email or the phone.
bulletThey met with clients for only a short time.
bulletThey kept no records.
bulletThey dealt with clients anonymously.
bulletOne group reported three successes over 7 or more years:
bulletTwo clients entered therapy with a homosexual orientation, and left with a homosexual orientation. Both have decided to remain celibate.
bulletOne entered therapy with a bisexual orientation, and left with a bisexual orientation, has made a commitment to a person of the opposite sex and is now open to marrying them.
bulletOne group refused to reveal their results because they felt that we are biased.
bulletOne suggested that we contact NARTH for data.

Our survey produced very little meaningful data. The few results support the concept that RT does not change a person's sexual orientation, but can occasionally change an individual's behavior, largely by choosing celibacy.

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A proper future study of Reparative (or similar) Therapy:

Although tens of thousands of individuals are (or have been) involved in these forms of experimental therapy, very few studies have been made of its safety or effectiveness. Those that have been made are seriously flawed

An meaningful study could be conducted along the following lines:

bulletOrganize a  research group containing scientists who have no preconceived beliefs about the nature of sexual orientation. Since this is probably impossible, then the group should at least include balanced numbers of therapists who hold various opposing views on the safety and effectiveness of these therapies.
bulletDesign a study to:
bulletDetermine the sexual orientation of a large number of clients entering reparative therapy. Document their sexual self-identification, fantasies, feelings of attraction, past sexual activities, reasons for seeking conversion, etc.
bulletStudy them periodically during the progress of therapy.
bulletRepeat the evaluation as they leave therapy.
bulletFollow them for at least 5 years after therapy. Periodically assess their sexual orientation by evaluating their sexual self-identification, fantasies, feelings and behaviors.
bulletDetermine how many persons with homosexual orientation before therapy were able to change their orientation to heterosexual or bisexual during therapy and maintain this for many years after therapy.
bulletPublish the results in a peer-reviewed journal.
bulletHave the study independently replicated by one or more additional groups.

The cost of such a study would be miniscule when compared to the expense of blindly continuing reparative therapy at its present level. This type of study has never been conducted. The National Association for Research and Therapy of Homosexuality (NARTH) has called for a review similar to this, to be designed jointly by themselves and the American Psychological Association. Unfortunately, the APA has refused to cooperate. Such a study has little chance of being performed in today's religious and social climate.

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Related essays on this web site:

bulletMenus:
bulletHomosexuality - all aspects
bulletReparative and similar therapies
bulletStatements by professional groups:
bullet about homosexuality
bulletabout reparative therapy
bullet"Cure rate" of reparative therapy
bulletHomosexuality: fixed or changeable; genetic or chosen?
bulletEx-gay newspaper advertisements

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References:

  1. Masters and Johnson, "Homosexuality in Perspective", 1979
  2. "Ex-gay men and women needed for new study," NARTH, at: http://www.narth.com/docs/newstudy.html
  3. Jack Drescher, MD, Letters to the Editor, Psychiatric News" at: http://www.psych.org/ 
  4. Mel White, Stranger at the Gate: To be Gay and Christian in America", Simon & Schuster, New York, NY, (1994) Read reviews or order this book safely from Amazon.com online book store  
  5. "Our Reporter Survives the Ex-Gay Ministries. Exodus International Programs To Cure Individuals of Homosexuality," The Progressive, 1995-DEC.
  6. A list of web sites in the GayChange Webring is at: http://www.webring.org/cgi-bin/webring?ring=gaychange;list 
  7. "Answers to frequently asked questions," at: http://www.barna.org/PageStats.htm
  8. "Study suggests some gays can go straight," CNN.com news, 2001-MAY-9, at: http://www.cnn.com/2001/US/05/09/sexual
  9. Malcolm Ritter, "Some gays can turn straight, controversial study suggests," Associated Press, 2001-MAY-8.
  10. "Changing sexual orientation: Does counseling Work," at: http://www.jasperweb.com/therastudy/index.html 
  11. "Survey -- Homophobic therapies: Documenting the damage," at: http://www.oasismag.com/Issues/9605/
  12. "Reparative Therapy," Wikipedia, at: http://en.wikipedia.org/
  13. Erica Goode, "Scientist Says Study Shows Gay Change Is Possible," New York Times, 2001-MAY-09, at: http://www.nytimes.com

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Copyright © 1996 to 2006 by Ontario Consultants on Religious Tolerance
Latest update: 2006-JUN-03
Author: B.A. Robinson

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