Reparative and similar therapies

Introduction, Part 2

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Topics covered in this essay:

	Acceptance
	How we answered an Email inquiry
	Safety
	Effectiveness

This essay is continued from Part 1.

Acceptance of conversion therapies: 

Within the mental health community there are two schools of thought about these therapies: 

Many hundreds of conservative Christian therapists and ministries promote them as effective and safe. These therapies mesh well with their fundamental religious beliefs: Starting with three fundamental religious beliefs common to most conservative Christians, that: The Bible condemns homosexual behavior God hates homosexual acts. God is involved in every life event, including fertilization of ova. Then it would appear irrational for God to create about 5% of the embryos as homosexual. Thus, sexual orientation cannot be genetically predetermined. Starting with another two fundamental religious beliefs: God is omnipotent, and thus has the power to change a person's sexual orientation. God has promised to answer the sincere prayers of born-again believers. Then, sexual orientation must be changeable, at least for born-again believers, through effort, counseling, and prayer.

Almost all of the hundreds of thousands of remaining mental health professionals feel that therapy is: incapable of changing a person's sexual orientation,  is contraindicated,  may be damaging to the client, and  has the potential to cause serious depression triggers suicide in some cases.

How we answered an Emailed inquiry:

We received an Email from an evangelical Christian who wants to start a ministry for gays and lesbians, and asked for help. We responded:

Safety of these therapies:

Within medicine, there are strong governmental controls that govern the introduction of new medications and treatment regimens. But mental and physical therapies are largely unregulated. Anybody can introduce and promote a new, totally unproven, form of experimental therapy. If it catches on, thousands of therapists may adopt the concept and start treating their patients. Over the last two decades we have seen treatments based on therapists' beliefs in: abuse of patients during former lifetimes, abuse during UFO visitations, facilitated communication for autistic children, indwelling demonic spirits, mind control within religious Cults, multiple personality disorder/dissociative identity disorder, recovered memory therapy, ritual abuse in day care centers, Satanic ritual abuse, and therapeutic touch. 

All of these treatment methods have a few points in common:

1. None are currently accepted by most therapists.
2. None were accepted by most therapists at any time in the past.
3. All are, or have been, widespread forms of therapy by a minority of therapists and clergy.
4. None have been meaningfully researched and shown to be helpful.

Most of these have been shown to be frauds; all might eventually prove to be ineffective. Many generate a trail of devastated lives; some have been shown to trigger deep depression and suicide. 

According to Wikipedia:

"While no comprehensive study has been yet carried out into the long-term consequences of conversion therapies, the Schroeder and Shidlo study...found that the majority of respondents reported being left in a poor mental and emotional state after the therapy, and that rates of depression, anxiety, alcohol and drug abuse and suicidal feelings were roughly doubled in those who underwent reparative therapy. Of particular concern was the lack of support given by reparative therapists and counselors to those who found their program to be contributing to psychological distress" ₁

No consensus exists on the safety, effectiveness, and possible adverse consequences of conversion therapies at this time. We urge extreme caution.

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Effectiveness of these therapies:

From our study of reparative therapy, we suspect that:

	Many bisexuals have been convinced, during therapy, to confine their relationships to the opposite gender. This is commonly referred to by therapists and Evangelical Christian ministries to gays and lesbians as "leaving the homosexual lifestyle,"  "changing their homosexuality,"  "becoming an ex-gay," "set free from the addiction of homosexuality and lesbianism," "seeking freedom from homosexuality," "called...to a new kind of life," "being a recovered gay," "redeem their lives from the pit," etc. Note that their sexual orientation is unchanged; they simply decided to behave differently  -- to only become romantically involved with members of the opposite gender.
	Some homosexuals have been convinced during therapy to choose celibacy. Therapy promoters generally use the above terms to describe this group as well. Note that their sexual orientation is unchanged; they remain homosexual; they simply decided to not act on their sexual longings -- to not have a sexual partner, and to accept a life of loneliness.
	Some homosexuals have completed therapy in a temporary euphoria. They believe that they have changed their sexual orientation. Some are even able to engage in sexual intercourse with members of the opposite gender, by closing their eyes and fantasizing that they are actually making love to a person of the same sex. The belief that they are now heterosexual always, or almost always, fades with time.
	Some have entered therapy with great anticipation that they will be able to change their sexual orientation. When it proves unsuccessful: Many become severely depressed. Some of these have attempted or actually committed suicide.  Some have the opposite reaction. They achieve greater self-esteem. They finally realize that they have exhausted all their options; their homosexual orientation cannot be changed. They accept themselves for what they are, and pursue gay/lesbian relationship(s) without guilt.
	We have been able to find a few documented case of individuals with a homosexual orientation who report having changed to a heterosexual orientation. Almost all of the cases that we have located turned out to be false leads: the individual later admitted that he/she had not changed their orientation. Many have left the "ex-gay" movement to become an "ex-ex-gays."

Unfortunately, these suspicions are based on inadequate evidence. Certainty awaits a meaningful, credible study by mental health professionals. Unfortunately, the studies that have been made to date are seriously flawed.

Related essays on this web site:

	Menu: Reparative and similar therapies
	Homosexuality - all aspects
	Homosexuality: fixed or changeable; genetic or chosen?
	The causes of sexual orientation
	Statements by professional groups, etc. about homosexuality
	Ex-gay newspaper advertisements

References used:

The following information sources were used to prepare and update the above essay. The hyperlinks are not necessarily still active today.

1. "Reparative therapy," Wikipedia, downloaded at 2006-JUN-04, from: http://en.wikipedia.org/
2. 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.

Copyright © 1996 to 2009 by Ontario Consultants on Religious Tolerance
Latest update: 2009-FEB-24
Author: B.A. Robinson

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