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New Terminology

Posted on December 24, 2016 at 12:40 AM

Sexual Attraction Fluidity Exploration in Therapy (SAFE-T):

Creating a clearer impression of professional therapies that allow for change

Christopher Rosik, Ph.D.

 

During its May 27th, 2016, meeting, the board of the Alliance

for Therapeutic Choice and Scientific Integrity (ATCSI) voted unanimously to endorse new terminology that more accurately and effectively represents the work of Alliance therapists who see clients with unwanted same-sex attractions. The board has come to

believe that terms such as reorientation therapy, conversion therapy, and even sexual orientation change efforts (SOCE) are no longer scientifically or politically tenable. Among the many reasons the board felt it time to retire these older terms as much as possible were the following:

1. These terms imply that categorical change (from exclusive SSA to exclusive OSA) is the goal. This is a degree of change that is

statistically rare and not demanded of any other psychological experience as a condition of legitimate psychological care.

2. The current terms imply there is a specific and exotic form of therapy that is being conducted (not standard therapeutic modalities)

3. These terms imply that sexual orientation is an actual entity (i.e., the terms all reify sexual orientation as immutable).

4. The terms imply that change is the therapist’s goal and not that of the clients (i.e., it’s coercive rather than self-determined).

5. These terms (especially SOCE) do not differentiate between professional conducted psychotherapy and religious or other forms of counseling practice.

6. These terms have been demonized and/or developed by professionals completely unsympathetic to therapies that allow for change in same-sex attractions and behaviors.

 

This means that Alliance clinicians are immediately on the defensive as soon as they reference their therapeutic work in these terms.

For all these reasons and more, first the Alliance Executive Committee and then the Alliance Board discussed potential new terminology and finally settled upon the name "Sexual Attraction Fluidity Exploration in Therapy" (the acronym of which is SAFE-T). The Board believes this term has many advantages that commend its usage. First, it addresses all of the concerns noted above. It does not imply that categorical change is the goal and in so doing

create unrealistic expectations for many clients. Nor does it imply that change which is less than categorical in nature cannot be meaningful and satisfying to clients. It also makes clear that

SAFE can occur in any number of mainstream therapeutic modalities. Furthermore, by focusing on sexual attractions it avoids the implicit assertion that orientation changes or that orientation as

an immutable reality even exists. By stressing therapeutic exploration, the new term accurately conveys that the therapist is not being coercive but merely assisting individuals in a client-centered examination of their sexual attractions. The Board also appreciated the fact that the acronym SAFE-T immediately challenges portrayals of the professional therapy utilized by

Alliance clinicians as harmful.

Scientifically, the fluidity of sexual orientation (and, for our purposes, especially same-sex attractions) for many women and men is now beyond question (Diamond & Rosky, 2016; Katz-Wise, 2015; Katz-Wise & Hyde, 2015). The language of SAFE-T highlights this reality and points to human experience that cannot be denied, again without the complicating focus on orientation. The only counterarguments to SAFE-T on fluidity grounds might be that therapy-assisted fluidity has not been proven to occur and such efforts could be harmful. These arguments are much easier to defend against with SAFE-T than when one is trying to defend implications of complete orientation change. First, we know that sexual attraction fluidity occurs in response to relational and environmental contexts, the very factors that therapists routinely

address in their work (Manley, Diamond, & van Anders, 2015).

Second, there is research in progress to support the occurr

ence of therapy-assisted sexual attraction fluidity (Santero,

Whitehead, & Ballesteros, 2016; Pela & Nicolosi, 2016), not to mention a rich history of past research, as good as any research of its era (Phelan, Whitehead, & Sutton, 2009). Finally, recent research on “ex-ex-gays” (e.g., Bradshaw, Dehlin, Crowell, & Bradshaw, 2015; Flentje, Heck, & Cochran, 2013) tells us no more about SAFE-T than research focused on divorced consumers of

marital therapy would tell us about its safety and efficacy. While it

is reasonable to conclude that more research is needed to better comprehend the extent of therapy-assisted sexual attraction

fluidity, denying the potential for such a therapeutic process

would seem to be much more a matter of ideological compulsion than it is one of theoretical or scientific implausibility.

Due to all of these important considerations, the ATSCI Board encourages Alliance members and supporters to join them in employing the terminology of SAFE-T in their professional work. One might say, for example, “I practice a cognitive form of SAFE-T” or “I practice SAFE-T from an interpersonal perspective” or “There is no scientific basis for banning any form of SAFE-T” or even “I don’t do SOCE, I only practice SAFE-T.” Because this term

represents what Alliance clinicians actually do in a scientifically accurate and defensible manner, the Board anticipates that the professional interests of these therapists and the public policy

interests of supporters will be much better served by SAFE-T.

 

References

Bradshaw, K., Dehlin, J. P., Crowell, K. A., & Bradshaw, W. S. (2014).

Sexual orientation change efforts through psychotherapy for LGBQ individuals affiliated with the Church of Jesus Christ of Latter-Day Saints.

Journal of Sex & Marital Therapy.

Advance online publication. doi: 10.1080/0092623X.2014.915907

Diamond, L. M., & Rosky, C. (2016). Scrutinizing immutability: Research on sexual orientation and its role in U. S. legal advocacy for the rights of sexual minorities.

The Journal of Sex Research. Advance online publication. doi: 10:1080/00224499.2016.1139665

Flentje, A., Heck, N. C., Cochran, B. N. (2013). Sexual reorientation therapy interventions: Perspectives of ex-ex-gay individuals.

Journal of Gay & Lesbian Mental Health, 17, 256-277. doi: 10.1080/19359705.2013.773268.

Katz-Wise, S. L. (2015). Sexual fluidity in young adult women and men: Associations with sexual orientation and sexual identity development.

Psychology & Sexuality, 6, 189-208.

doi: 10.1080/19419899.2013.876445

Katz-Wise, S. L., & Hyde, J. S. (2015). Sexual fluidity and related attitudes and beliefs among young adults with a same-gender orientation.

Archives of Sexual Behavior, 44, 1459-1470. doi: 10.1007/s10508-

014-0420-1

Manley, M. H., Diamond, L. M., & van Anders, S. M. (2015). Polyamory, monoamory, and sexual fluidity: A longitudinal study of identity and sexual trajectories.

Psychology of Sexual Orientation and Gender Diversity, 2, 168-180.

doi: 10.1037/sgd0000107

Pela, C., & Nicolosi, J. (2016, March).

Clinical outcomes for same-sex attraction distress: Well-being and change.

Paper presented at the Christian Association for Psychological

Studies conference, Pasadena, CA.

Phelan, J. E., Whitehead, N., & Sutton, P. M. (2009). What the research shows: NARTH’s response to the APA claims on homosexuality.

Journal of Human Sexuality, 1, 5-118.

Retrieved from , http://www.scribd.com/doc/115507777/Journal-of-

Human-Sexuality-Vol-1

Santero, P. L., Whitehead, N. E., & Ballesteros, D. (2016).

Effects of Therapy on U.S. Men who have Unwanted Same Sex Attraction. Manuscript submitted for publication.

Parents of a Homosexual Child

Posted on January 6, 2016 at 1:00 PM

Why Is This Child Different From Most Other Children?

Ten Questions & Answers For a Parent of a Homosexual Child

 

(*NOTE: Deep appreciation to Rabbi Samuel Rosenberg,L.C.S.W., Clinical Director of JONAH, and to my Co-Director, Arthur A. Goldberg, for their help with this article. JONAH, Jews Offering New Alternatives to Homosexuality, can be reached by telephone at 201-433-3444201-433-3444 and on the Internet at www.Jonahweb.org.)

 

“Gender, that deep sense or essence within us that reflects our

biological sex, is absolutely fundamental to our humanity.”

- Janelle Hallman

 

OK. You may have always suspected something, but now you know. Your child is self-identified as “gay.” You try to bargain with God, you cry, you rage, you deny – but you can’t run away from the pain that has gripped you ever since your child told you the news.

 

Why did this happen to your child? In today’s politically correct culture, the “experts” tell us that he/she was born that way, but in your heart and soul you know that isn’t true and that something went wrong in your family. Is it your fault? Is it your child’s fault? Is it anyone’s fault? Bottom line, what can and should you do about the situation?

 

Every day, anguished Jewish parents (as well as parents in every other societal group) around the globe ask themselves these questions as they go through the torment of learning about their child’s involvement with homosexuality. One of the worst aspects of this family problem is the common advice that parents must accept their child “for who they are” and there is nothing they can do. Even worse is the mistaken notion that reparative/change/reorientation therapy can actually harm their child. Nothing is further from the truth.

 

Politically astute gay activists have changed the way society views homosexuality in less than four decades. To their credit, gay activists have brought the issues surrounding homosexuality out of the closet. While this is good, the callous myths that homosexuality is inborn, benign, and unchangeable are absolutely false. Homosexual attractions are the result of childhood wounds which arrested a child’s psycho-sexual development. JONAH’s multi-faceted program (outlined below) offers great hope that your child can grow out of homosexuality and into the God-given heterosexuality which was his/her birthright. Please go to the Library Section of JONAH’s web site, Jonahweb.org, for a more complete discussion of this Model:

 

JONAH’S PSYCHO-EDUCATIONAL MODEL FOR HEALING HOMOSEXUALITY involves:

 

Bibliotherapy

Healing of the Family System

Jewish Spiritual Development

Masculinity Development & Empowerment

Networking, Support Groups, Daily Internet E-mail Listserve

Overcoming Shame & Narcissism

Receiving Healthy Touch & Affection

Experiential Healing Weekends

Individual Psychotherapy

Mentoring

 

JONAH is frequently asked these ten common questions. The answers below can help start a parent on the long, difficult, but ultimately rewarding quest of learning why their child feels same-sex attractions and what can be done about changing this painful truth.

 

 

QUESTION ONE: WHY DID THIS HAPPEN TO MY CHILD?

 

ANSWER: The good news is that your child was born, like all children, to develop into a heterosexual; the bad news is that your child suffered emotional wounds in his/her childhood that blocked his/her innate capacity to grow into heterosexuality. The specific issues for each individual will depend on the totality of his/her environment

 

As Richard Cohen tells us in his book, Coming Out Straight, same-sex attractions (SSA) are symptoms of underlying wounds. They represent an inappropriate response to conflicts in the present, a way to medicate pain and discomfort, unresolved childhood trauma, archaic emotions, frozen feelings, wounds that never healed. They also represent a reparative drive to fulfill unmet homo-emotional love needs of the past – an unconscious drive for greater bonding with the same-sex parent.

 

Very briefly, homosexuality is not about sex, but is rather an emotionally-based condition consisting of the following three subconscious drives:

 

Need for greater attachment to the same-sex parent and less attachment to the

opposite sex parent

Need for stronger gender identification

Fear of sexual or emotional intimacy with the opposite sex.

 

 

QUESTION TWO: DO LESBIANS AND GAY MEN DEAL WITH THE SAME

UNDERLYING ISSUES?

 

ANSWER: Some of the issues underlying male and female homosexuality are the same, but others are different. Here is an outline of the key elements underlying male and female same-sex attraction (SSA). For lesbianism, I will quote Janelle Hallman, a therapist noted for specializing in lesbian issues:

 

The Most Frequently Reported Elements of the Lesbian Struggle:

 

A strained, detached or missing bond and/or attachment with mother WITHOUT an available mother substitute, resulting in a fear of abandonment and need for secure attachment;

The presence of disrespect or abuse at the hands of a male, resulting in a fear or hatred of men;

Few if any girlhood/adolescent same-sex friendships, resulting in a need for acceptance,

belonging and fun;

A sense of emptiness or identity confusion in lieu of a full and rich identity, resulting in a need for self and gender identity.

 

Common Root Problems of the Male Homosexual Struggle:

( A complete discussion of these issues can be found on the web site: peoplecanchange.com.)

 

- Feelings of masculine deficiency;

Idealization of other males and maleness; same-sex peer wounds;

Fear of men, estrangement from men, disassociation from maleness;

Overidentification with the feminine;

Over-sensitivity; body image wounds

Father hunger; mother enmeshment;

Shame, secrecy, self-loathing, isolation, loneliness;

Touch deprivation;

Spiritual emptiness.

 

 

QUESTION THREE: WHAT ARE THE FIRST STEPS I SHOULD TAKE TO HELP

MY FAMILY COPE WITH THIS PROBLEM?

 

ANSWER: Homosexuality is a systemic problem involving family, extended family, school environment, peers, etc. You should never ostracize your child nor should you blame your child. Each member of the family needs to do his/her part in healing the family system.

Family therapy and/or spiritual counseling will help to educate the members of the family in how to set up new and better relationships. Whether your child chooses to leave homosexuality or not, strengthening the family is a worthwhile goal. The lines of communication between parent and child should always be open. Many families find an improvement in their relationship with their child as a result of this “big secret” finally being out in the open. Parents don’t have to accept homosexual behavior, but they do need to always love and accept their child.

 

Bibliotherapy is JONAH’s term for educating yourself about the issues underlying SSA and we believe this is a critical first step. Homosexuality is complex, caused by a variety of factors and often misunderstood by most therapists, doctors, teachers, and the general community. Therefore, parents need to read extensively until they understand the common causes of homosexual attractions and which of these apply to their son or daughter. For those who don’t enjoy reading, there are cassette tapes and videos available. The following web sites display extensive information about SSA and recommend the books, cassettes, and videos that will give you the education you need in order to help your child:

 

Jonahweb.org (Jewish)

NARTH.com (Scientific and Educational)

Peoplecanchange.com (Non-Denominational)

Gaytostraight.org. (Non-Denominational).

 

 

QUESTION FOUR: WHAT ARE THE LONG TERM GOALS OF A HEALING PROGRAM?

 

ANSWER: Remember that your child has probably been feeling tremendous conflict and anxiety for years before you found out about his/her SSA. We have found there is a process involved in coming to terms with this issue. The following suggestions have worked for other parents who have faced this problem:

 

Educate yourself about the causes of homosexuality and the strategies used to grow out of same-sex attraction.

The same-sex parent should become more involved with the child feeling SSA while the opposite-sex parent should step back and encourage the growth of the same-sex parent’s relationship with the child.

Seek counseling for you and your family with a gender-affirming therapist.

Understand that you probably will go through a process of grieving, followed by healing, and finally acceptance and understanding.

Tell a few close relatives or friends about the problem so you can confide in someone about the pain and confusion you feel. Choose your confidants carefully so you do not choose someone who has accepted the gay activist’s mythology.

Seek out group support and networking with others who have faced your problem. JONAH can help with referrals to appropriate resources.

Speak with a Rabbi or spiritual advisor to help you come to terms with your relationship to God and the anguish you feel.

Understand that whether your child chooses to grow out of homosexuality or not, you can keep your family together and have more trusting and vital relationships.

Expect your family’s healing process to take time – there are no “quick fixes.”

 

 

QUESTION FIVE: WHAT SHOULD I NOT DO?

 

ANSWER: There are a number of caveats that are supported by most individuals and organizations that work in this field. Some are common sense and some have been gleaned by long years of experience:

 

Never ostracize your child. He/she did not choose to have SSA.

Don’t try to convince your child that he/she must change – it doesn’t work because a person needs internal motivation to undertake this difficult journey.

Don’t focus on this issue when you are with your child because he/she is much more than a person with homosexual issues.

Don’t try to make your child feel guilty; don’t take a burden of guilt on yourself either.

SSA resulted from the combination of his/her individual temperament, the relationships within the family, and the totality of his/her environment. Everyone in the family (including siblings) needs to assume some responsibility for repairing the broken relationships and forging healthier family dynamics.

 

 

QUESTION SIX: WHAT DOES “CHANGE” MEAN IN RELATION TO GROWING

OUT OF HOMOSEXUALITY?

 

ANSWER: Growing out of homosexuality rarely means that the person will never again experience a homosexual thought or attraction. We must learn to stop treating those who feel SSA as “different kinds of persons.” We understand that recovery from alcoholism, drug addiction, gambling, obesity, heterosexual promiscuity, etc., doesn’t mean the person will never be tempted again. So, too, many recovered homosexuals feel overwhelmed at times of stress and desire a “quick fix” to solve their problems. However, if they understand their “trigger points” and disengage them, they generally can resist such impulses.

 

Fantasizing or acting on homosexual impulses has been the way these individuals handled stress and feelings of inadequacy in the past, so at times they may briefly fall back to old habits of thinking and feeling. The difference will be that now they understand their homosexual feelings are symptoms of underlying emotional issues they need to address. Fantasizing or acting on those homosexual impulses will not solve their problems – in fact, acting out usually makes things worse because acting out covers up the real issues affecting their lives. Growth out of homosexuality or “change” will be different for each man or woman who makes the journey. Some will never have a homosexual feeling again; some will frequently struggle to overcome their attractions and/or compulsions; most will fall in between these two extremes.

 

 

QUESTION SEVEN: WHY DO NUMEROUS THERAPISTS, DOCTORS, RABBIS, TEACHERS, AND MEMBERS OF THE JEWISH COMMUNITY EMBRACE THE THEORY THAT HOMOSEXUALITY IS INBORN AND UNCHANGEABLE?

 

ANSWER: Gay activism has done an excellent job of convincing the public. Not only do they confuse political and personal goals, but most distressingly they wrongly label those who have a principled disagreement with them as homophobic. Many professionals in the therapeutic field are skeptical about gay activist claims, but are afraid of being called intolerant, non-inclusive or homophobic if they speak up or protest.

 

In the personal sphere, each man or woman who feels SSA should be treated with the same dignity and compassion we feel for anyone with an emotional problem – which includes everyone of us at some point in our lives. However, to say that a problem like SSA is normal and merely an alternative lifestyle is the equivalent of saying that obesity or alcoholism is normal.

 

In the political sphere the gay activists have also gone too far and have almost succeeded in deconstructing the male/female design of God, nature, and evolution. We Jews were the first to proclaim that the nuclear family should be the basic building block of society. Numerous groups seek to overturn the Torah prohibition against the practice of homosexuality and accept such behavior as normal and unchangeable.

 

As parents who admit that we inadvertently played a role in our children feeling same-sex attraction, we must stand together and educate the Jewish community and the larger community about the prevention, intervention, and treatment of homosexuality. Our children, and all children, deserve to know the truth about this important issue.

 

 

QUESTION EIGHT: WHAT DOES JUDAISM SAY ABOUT HOMOSEXUALITY AND

IS IT STILL RELEVENT IN THE MODERN WORLD?

(For a fuller discussion of this question, please see the Rabbinical Commentary Section of Jonahweb.org.)

 

ANSWER: JONAH’s philosophy is consistent with the Torah’s approach to homosexuality. There is no word in the Torah for a homosexual, although there are words for homosexual behavior, which leads us to believe that the Torah sets forth an understanding that homosexuality is neither inborn nor an identity. The Jewish literature is replete with examples of accepting and loving the person who feels same-sex attractions while not accepting the undesirable behavior.

 

Accepting a person’s same-sex attractions as inborn and unchangeable does great harm to the individual, the family, and the community. There is absolutely no reliable proof that homosexuality is inborn so to tell young people who feel same-sex attractions they were born that way and have no choice to grow out of homosexuality is simply cruel and untrue. Same-sex attractions are just one of the many life-damaging conditions we all must learn to overcome.

 

In Judaism, teshuvah (repentance and return) is available to all of us. We must reach out to those feeling SSA, welcome them into the Jewish community, and educate them about their ability to grow out of homosexuality.

 

 

QUESTION NINE: WHAT PROFESSIONAL RESOURCES ARE AVAILABLE?

 

ANSWER: JONAH is constantly expanding its world-wide list of referrals and resources. Please call our Message Line at 201-433-3444201-433-3444 for recommendations in the following categories:

 

Individual and/or family therapy with those committed to gender affirmative psychotherapy.

Support groups

Experiential Healing Week-ends for individuals, couples, and families

Teleconferencing classes for individuals, parents, therapists, and couples

Educational books, articles, and tapes

Seminars and conferences helpful to parents dealing with homosexuality.

 

 

QUESTION TEN: IT SEEMS SO DIFFICULT TO GROW OUT OF HOMOSEXUALITY, IS IT WORTH THE STRUGGLE?

 

ANSWER: While we cannot answer that question for any particular individual, we can tell the truth about homosexuality so that the individual is enabled to choose his/her own path based on facts, not myths. Some will choose not to start the journey, some will only be able to journey part of the way, some will be able to complete the journey. Many who complete the journey will reach back to help others. As one inspiring response to this question, here are the words of Jeffrey Burke Satinover, M.D., who is a member of JONAH’s Advisory Board:

 

“I have been extraordinarily fortunate to have met many people who have emerged from the gay life. When I see the personal difficulties they have squarely faced, the sheer courage they have displayed not only in facing these difficulties but also in confronting a culture that uses every possible means to deny the validity of their values, goals, and experiences, I truly stand back in wonder. Certainly they have forced me by the simple testimony of their lives to return again and again to my own self-examination. It is these people – former homosexuals and those still struggling, all across America and abroad – who stand for me as a model of everything good and possible in a world that takes the human heart, and the God of that heart, seriously. In my various explorations within the worlds of psychoanalysis, psychotherapy, and psychiatry, I have simply never before seen such profound healing.

 

Because it is not really a battle over mere sexuality, but rather over which spirit shall claim our allegiance, the cultural and political battle over homosexuality has become in many respects the defining moment for our society. It has implications that go far beyond the surface matter of “gay rights.” And so the more important dimension of this battle is not the political one, it is the one for the individual human soul. It would be easy in this modern era, when our vision for things invisible is so easily blinded by the dazzling allure of our material accomplishment, to not even take the soul – and her loving, watchful, worried shepherd – seriously. But the soul that emerges in the lives of those who have successfully struggled with homosexuality, and the soul that is in the process of emerging in those who struggle still, is so beautiful that at one stroke her emergence into sight, even dimly, simply shatters the false dazzle of modernity.

 

And so, as dangerous a moment as this one may be, when so much of our inheritance stands in the balance, there is great hope as well. Slowly but surely, the great truths that have embodied themselves in the lives of these men and women – after terrible struggle – will be made widely known. More and more people will themselves gain the courage to return home from their long and fruitless wanderings in the wasteland of modern sophistication, however painful that return may be. It is our joyful duty to stand waiting, with open arms, remembering that we too are journeying home.” (Dr. Jeffrey Satinover: Postscript: Homosexuality and the Politics of Truth)

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Questions for a Counselor

Posted on January 5, 2016 at 3:50 PM

 

JONAH'S Suggested Questions for a Prospective Therapist or Counselor

Author / Contributor :: JONAH's Directors

JONAH is frequently asked for referrals to therapists or counselors who are experienced in working with those who are unhappy feeling same-sex attraction. We provide referrals if we are familiar with a therapist who lives in the required geographical area and at times we recommend telephone therapy. However, there are times when we do not have a particular therapist to recommend and/or one of our members wants to interview a new therapist.

In order to be sure the prospective therapist or counselor you are interviewing understands fully the concepts involved in reparative or change therapy, we have compiled a list of questions you can ask to determine if this is the right person for you to work with.

If you find a therapist who is effective in treating unwanted same-sex attraction, please contact us with the name so we can speak with him/her and perhaps add this person to our referral list.

Here are basic questions you can ask of any therapist:

These five questions are taken directly from Anne Paulk's 2003 book:

Restoring Sexual Identity: Hope for Women Who Struggle with Same-Sex Attraction (page 115).

 

Do you believe that men and women are "born gay?"

Do you believe that wanting to leave homosexuality is harmful or dangerous?

Do you believe that change is even possible?

Can you support me in my desire to change?

Have you read relevant research concerning the topics of gender identity disorder,

homosexuality, and family structure?

 

The following six questions or requests are taken directly from Richard Cohen's 2000 book:

Coming Out Straight: Understanding and Healing Homosexuality (page 115).

 

Please tell me about your education and training in this area of sexual reorientation therapy.

What therapeutic modalities do you use? Please explain them in simple layman's terms.

Have you worked with others who have transitioned out of homosexuality?

What is your success rate in doing this kind of work?

Do you believe in God? (If important: What is your religious faith?)

Have you done your own healing work?

Bekommen Menschen mit ungewollten gleichgeschlechtlichen Neigungen keine Hilfe?

Posted on

 

Alle Unterstützung für aktive Schwule, aber keine für die, die erst gar nicht dorthin wollen?

 

Menschen mit gleichgeschlechtlichen Neigungen haben in der Regel ein breites Angebot an Beratungs- und sonstigen Dienstleistungen zur Verfügung – wenn sie diese ausleben. Staatlicherseits dick subventioniert bleibt hier kaum ein Wunsch oder Bedürfnis unbefriedigt.

Will man/frau aber – aus welchen Gründen auch immer – dieses Leben verlassen oder erst gar nicht dorthin kommen, sieht es rabenschwarz aus.

 

Therapien

 

Ansprechpartner für psychotherapeutische Unterstützung: Die Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN). Auf eine Anfrage hin, ob es denn für Menschen mit ungewollten gleichgeschlechtlichen Neigungen Unterstützung gibt – wohlgemerkt nicht (!) automatisch für Menschen, die „heterosexuell“ werden wollen, kam eine sehr standardisierte Antwort: Zunächst wird man darüber belehrt, dass 1973 die amerikanische Psychiatervereinigung APA Homosexualität vom DSM (Liste der psychischen Krankheiten) gestrichen hatte. Als Folge davon wurde das 1991 auch bei uns (hier: der ICD) so gehandhabt. Homosexualität sei keine Krankheit, sondern eine häufige Form menschlichen Zusammenlebens. Sie bedürfe deshalb keiner Therapie.

 

Abgesehen davon, dass dies keine Antwort auf die ursprüngliche Frage war (es ging nicht um eine „Therapie“ von Homosexualität, sondern um therapeutische Begleitung bei der Suche nach einem alternativen Leben!), wird hier – bewusst oder unbewusst – ein wesentliches Detail verschwiegen.

 

Die Tatsache, dass Homosexualität aus dem DSM bzw. ICD genommen wurde, beruhte keineswegs auf neuen medizinischen Erkenntnissen. Die lagen damals schlichtweg nicht vor – und tun dies auch heute nicht. Der Grund hierfür war allein politischer Art – ein erheblicher Druck der Schwulenbewegung. Selbst heute also lässt sich die DGPPN instrumentalisieren und verschließt politisch nicht korrekten Forschungen den Weg.

 

Weiterhin heißt es in der Antwort, die DGPPN lehne „reparative Therapien“ oder „Konversionstherapien“ entschieden ab. Auch hier: dies war nicht Gegenstand der Frage. Außerdem konnte ich keine Organisation und keinen Therapeuten hier in Deutschland ausfindig machen, der eine „Konversationstherapie“ anbietet. Auch hier geht die DGPPN der Schwulenbewegung auf dem Leim. Reparative Therapie und Konversionstherapie werden hier fälschlicherweise in einem Atemzug genannt, beschreiben aber etwas ganz anderes. Während eine Konversionstherapie die sexuelle Orientierung verändern will (es gibt mittlerweile tatsächlich Anzeichen für eine „Fluidität“ menschlicher Sexualität – sie ist also keineswegs in Stein gemeiselt!), konzentriert sich die Reparative Therapie auf einige der Faktoren, die zur Entwicklung gleichgeschlechtlicher Neigungen beitragen, etwa eine Störung der Geschlechts-Identität, unerfüllte legitime Bedürfnisse, ein gestörtes Verhältnis zum gleichgeschlechtlichen Elternteil etc. Dies ist offenbar der DGPPN noch nicht einmal bekannt – sie bedient sich ungeprüft der Meinung von wissenschaftlichen Laien, die ihre eigene Agenda verfolgen. Selbst das Argument, Homosexualität sei eine „häufige“ Form menschlichen Zusammenlebens, ist wissenschaftlich irrelevant. Eine psychische Störung, die häufig auftritt, wird alleine dadurch ja auch noch nicht zum weniger pathologisch. Die Tatsache, dass es viele tun, macht etwas weder in moralischer noch in medizinischer Form „besser“ oder „schlechter“.

 

Als medizinischen „Beleg“ für die eigene Sichtweise führt die DGPPN an, es gebe keine empirische Evidenz (Nachweis) für günstige Effekte von Konversionsverfahren, wohl könne Patienten dadurch aber Schaden zugefügt werden. Erneut wird hier auf eine Verfahren polarisiert, dass weder bei uns allgemein angewandt noch gefragt wurde. Derart pauschalisierte Aussagen sind nicht wissenschaftlich und schon gar nicht ethisch vertretbar. Jeder Therapeut und jede Therapeutin kann dem Hilfesuchenden potentiell Schaden zufügen. Die Frage ist, ob dann die Therapieform als ganze oder der Therapeut Schuld hierfür trägt. Da die DGPPN sich offensichtlich noch nicht einmal mit den wissenschaftlichen Arbeiten hierzu befasst hat und alternative Therapiemodelle auch im Studium nicht Gegenstand der Lehre sind, kann sie hierzu auch keine gültige Aussage treffen. Würde man die von ihr getroffenen Aussagen auf alle Formen sexuellen Empfindens übertragen und damit alles mehr oder weniger als „normale“ Formen menschlichen Zusammenlebens hinstellen, würde dies zu absurden und unverantwortlichen Ergebnissen führen.

 

Die Mitarbeiterin der DGPPN (der ich noch nicht einmal böse Absicht unterstellen will!) weist weiterhin darauf hin, dass psychische Erkrankungen unabhängig von der sexuellen Orientierung „anhand der klinisch relevanten Symptome gemäß ICD-10 Kriterien klassifiziert“ werden und dementsprechend von Fachleuten therapiert werden sollen. Dies ist schon aus wissenschaftlicher Sicht ein unsinniges Vorgehen. Hier werden bewusst Faktoren und Ursachen ausgeklammert bzw. voneinander getrennt gesehen, die durchaus etwas miteinander zu tun haben können. Mit anderen Worten: Der Patient bekommt nicht die beste Hilfe, die verfügbar ist, da dies politisch nicht korrekt ist.

 

Womit wir beim Abschluss-Statement der DGPPN-Kollegin sind: "Direkt oder indirekt erfahrene Diskriminierung kann zur Entstehung psychischer Erkrankungen bei homosexuellen Menschen beitragen." Hier trägt die schwule Propaganda reiche Früchte: alles, was nicht politisch korrekt ist, ist „Diskriminierung“. Hier wird in unglaublicher Art und Weise unterstellt, dass Therapeuten, die oben genannten Ratsuchenden Hilfe anbieten, nicht wissenschaftlich arbeiten, sondern „diskriminieren“. So macht man es sich selbst sehr einfach – man muss sich erst gar nicht mit dem Thema in einer objektiven, wissenschaftlichen Herangehensweise befassen, sondern stellt Andersdenkende als Menschen zweifelhaften moralischen Charakters dar. Das ist nichts anderes als unselige Propaganda.

 

Die angestrebte Therapie, so die DGPPN, ziele nicht auf die Homosexualität ab, sondern auf die Konflikte, die in Verbindung mit religiösen, gesellschaftlichen und internalisierten Normen entstehen. Mit anderen Worten: der gute alte Leitsatz „Nicht der Homosexuelle hat ein Problem, sondern die Gesellschaft“. Ziel des Therapeuten sei es, dass sich der/die Homosexuelle wieder gut bei dem fühle, was er/sie tut und gegebenenfalls alle Einstellungen überwindet, die dem entgegen stehen. Das ist keine wissenschaftliche Therapie, das ist ideologisch motivierte politische Korrektheit par excellence. Hier fügt die DGPPN ihrerseits möglicherweise denen Schaden zu, die aus persönlichen, religiösen oder anderweitigen Gründen ein Ausleben ihrer Neigungen nicht für gut heißen können. Anstelle ihnen beizustehen und ihre Ansichten zu respektieren, sorgt die DGPPN noch für Schuld- und Schamgefühle und will ihnen Ansichten aufschwatzen, die nicht die ihren sind. Mit welchem Recht?

 

 

Die Krankenkassen

 

Hier hält man sich mit einer klaren Antwort auf die Anfrage bedeckt. Die AOK etwa geht erst gar nicht auf dieses Thema ein, sondern verweist allgemein auf Informationen zur Psychotherapie. Auch hier wird einem Ratsuchenden offenbar nicht weiter geholfen. Soll man vielleicht erst alle Therapeuten in der Gegend abklappern, um einen zu finden, der bereit ist, einem beizustehen?

 

 

 

Die Kirchen

 

Bei einem Pastor, einem Priester etc. Hilfe zu suchen, ist beinahe ein Glücksspiel. Manch einer wird hier das finden, was er/sie sucht, allerdings ist die Bandbreite der Haltungen, Meinungen, Ansichten und Herangehensweisen hier – selbst innerhalb einer Kirche – enorm. Wenige halten sich an das, was ihre eigene Lehrautorität verkündet. Viele handeln nach eigenem Gutdünken. Wirklich empfehlenswert ist dies für Betroffene nicht. Zu groß ist das Risiko hierbei, an „den Falschen“ zu geraten – mit unkalkulierbaren Konsequenzen.

 

 

Angebote im Bereich Lebensberatung und Seelsorge

 

Hier sieht die Lage etwas besser aus. Im Gegensatz zur landläufigen Meinung sind von anerkannten Lehreinrichtungen zertifizierte Lebensberater und Seelsorger in der Regel theoretisch und praktisch sehr gut ausgebildet und erfahren. Natürlich führen diese Einrichtungen keine Therapien durch, eine seelsorgerische Begleitung oder eine Teilnahme an einer Selbsthilfegruppe kann hier sehr hilfreich sein. Zu nennen sind hier etwa christliche Einrichtungen wie Wüstenstrom (www.wuestenstrom.de), das Weisse Kreuz (www.weisses-kreuz.de) oder Organisationen wie Jason International (http://jason-online.webs.com), der Partnerorganisation der internationalen, wohl ältesten Organisation auf diesem Gebiet: Homosexuals Anonymous (www.homosexuals-anonymous.com).

 

 

Fazit

 

Der Standpunkt der DGPPN soll hier auf keinen Fall verteufelt werden. Selbstverständlich sind psychische Krankheitsbilder von entsprechenden Psychotherapeuten oder Psychiatern zu behandeln. Betroffene sollten hier keinesfalls zögern, Hilfe zu suchen. Nötigenfalls klärt ein Eingangsgespräch, ob der Therapeut/Arzt bereit ist, die Einstellung des Patienten zu akzeptieren und nicht dagegen zu arbeiten. Gleichwohl werden die meisten Betroffenen alleine dadurch nicht die Hilfe finden, die sie brauchen. Abgesehen davon hat nicht jeder von ihnen eine psychische Erkrankung. Deshalb ist ein TNetzwerk von Freunden, Seelsorgern, Lebensberatern, Therapeuten, Ärzten usw. nicht nur sinnvoll, sondern notwendig. Der DGPPN kann man nur wünschen, dass sie nicht das nachplappert, was andere ihr vorplappern, sondern sich als Teil eines Netzwerkes siieht und dieses – wie auch die Ratsuchenden und deren Überzeugungen selbst – respektiert.