What is PFOX?

Founded in 1998, Parents and Friends of Ex-Gays & Gays (PFOX) is a 501(c)(3) non-profit organization providing outreach, education, and public awareness in support of the ex-gay community and families touched by homosexuality.  Each year thousands of men and women with same sex attractions make the personal decision to leave homosexuality.  However, there are others who refuse to respect that choice.  Consequently, formerly gay men and women are reviled simply because they dare to exist.  Without PFOX, former homosexuals would have no voice in a hostile environment. 

PFOX families love their homosexual child unconditionally and are a positive presence in their child’s life.  Because of PFOX, the public is beginning to recognize that ex-gays have much to contribute to the understanding of sexual orientation.   

PFOX promotes an inclusive environment for the ex-gay community, and works to eliminate negative perceptions and discrimination against former homosexuals and lesbians.  PFOX conducts public education and community-building activities to further individual self-determination, personal choice, and compassion and respect for all Americans, regardless of their sexual orientation.  PFOX envisions communities characterized by more stable families and a tolerant understanding of sexual orientation. 

Do gay activists oppose the efforts of PFOX to protect the equal rights of ex-gays? 

 

They shouldn’t.  Although gay organizations advocate for the rights of homosexuals, lesbians, bisexuals, and transgenders, the intersexed, and questioning youth, they do not add “ex-gay” to that list.  Yet the addition of ex-gays to the highly diverse realm of sexual orientation ensures tolerance for all segments of our society.  If it were not for ex-gay organizations like PFOX, former gay men and women would have no support in an increasingly hostile environment.  Nor would homosexuals and lesbians have access to information on the right to change their sexual preference if they so choose. 

PFOX is not an anti-gay organization – we are a pro-ex-gay organization.  PFOX believes that all people should be treated with dignity.  We respect the opinions of others, even if they disagree with us. Indeed, we do not ask for their approval – only their tolerance. 

Do I have to dislike ex-gays if I have gay friends or family?

No!  You can have friends who are gay and other friends who are ex-gay.  Befriending the ex-gay community does not mean that you are being disloyal to the gay people you know and love.  Just like you have everstraight friends, you can also have ex-gay friends.

I’m happy being gay, so why should gays change their sexual orientation?

Change is only for those with unwanted same-sex attractions.  What makes you happy may not make someone else happy because we are all individuals.  Please respect other people’s decisions for their lives. 

What is the ex-gay movement?

Former homosexuals are the last invisible minority group in America.  The ex-gay movement is a  civil rights movement to ensure the safety and inclusion of former homosexuals in all realms of society, and to support the ex-gay community’s equal access to all public venues.  Ex-gays and their supporters should not have to be closeted for fear of other’s negative reactions or disapproval.  We like to think that many ex-gays and their families are fine people.  They do not think something is wrong with them because they decided to fulfill their heterosexual potential.  Nor do they believe others should condemn them for the personal decision they have made for their lives. 

Why do gays hate ex-gays so much?

Many gay activist organizations instruct their members to reject ex-gays and homosexuals who refuse to embrace same-sex conduct or self-identify as "gay."  This rejection is another form of heterophobia that can be overcome with education and outreach.  Gay activists cannot claim sympathy as victims when they victimize their own.  We should all be tolerant of each other regardless of our sexual orientation.

The demonization of ex-gays by gays themselves is a sad end to the long struggle for tolerance by the gay community.  That ex-gays and their supporters are now oppressed by the same people who until recently were victimized themselves, demonstrates how far the gay rights movement has come.  Indeed, a new chapter in the movement has begun – the right of homosexuals and lesbians to leave unwanted homosexuality. 

Why would anyone choose to leave homosexuality when there is so much discrimination against the ex-gay community?

Because of the abuse heaped upon them by society, former homosexuals experience discrimination at every level.  When a gay marries an opposite sex partner, that ex-gay is ridiculed by former friends.  Ex-gays find heterosexuals also reject them if their past is known because "Once gay, always gay" is assumed.  While gays can come out of the "closet," ex-gays are forced to stay in theirs because of public prejudice.  While gays gain sympathy as victims, ex-gays are criticized and face life-long intolerance for simply existing as living proof that homosexuality is not innate.  Americans need to face the real issue of bigotry -- oppression of ex-gays. 

What about gay teens and suicide that I’ve heard about?

 

Research shows that the risk of suicide decreases by 20% for each year that a person delays homosexual or bisexual self-labeling.  Therefore, in order to reduce suicide risks, we should not encourage teens to self-identify as “gay” at such an early age.  (Source:  Risk Factors for Attempted Suicide in Gay and Bisexual Youth by Pediatrics, Official Journal of the American Academy of Pediatrics.) 

Do gays undergo reparative therapy in order to become ex-gays?

Not all ex-gays underwent reparative therapy, or any other kind of change therapy, for that matter.  Some ex-gays transitioned out of homosexuality by ex-gay ministries, Homosexuals Anonymous, group counseling, or on their own initiative.  None of the medical or scientific associations prohibit reparative therapy or any other change therapy.  Indeed, the associations adhere to a code of ethics which call for client self-determination of their individual therapy.  Moreover, none of the associations condone intolerance against former homosexuals.

Do mental health associations support change therapies?

 

Dr. Robert L. Spitzer, Professor of Psychiatry and Chief of Biometrics at Columbia, now says that homosexuality may be changeable.  Dr. Sptizer’s Columbia University study of former homosexuals documented that same-sex attractions may be overcome.  Ironically, Dr. Spitzer is the psychiatrist who initiated the removal of homosexuality from the psychiatric diagnostic manual in 1973.   His provocative new study drew worldwide media attention at the American Psychiatric Association's annual conference on May 9th, 2001[i] and after peer review, it was published in the October 2003 journal Archives of Sexual Behavior.

Like most psychiatrists," says Dr. Spitzer, "I thought that homosexual behavior could be resisted--but that no one could really change their sexual orientation. I now believe that's untrue--some people can and do change."  A total of 200 subjects (143 men and 57 women) were personally interviewed by Dr. Spitzer.[ii]  He now believes that "...there is evidence that change in sexual orientation following some form of reparative therapy does occur in some gay men and lesbians.”[iii]

Dr. Spitzer also stated, “It is often said that those who try to change their sexual orientation become very depressed as a result.  That was not the case for the subjects of this study.  There was in fact a marked decline in depression after their effort to change. [iv]   In his study, Spitzer found that 43% of men and 47% of women reported depression before reorientation therapy; after receiving therapy those numbers dwindled to 1% of men and 4% of women.  According to Dr. Spitzer, "Patients should have the right to explore their heterosexual potential."[v] 

The American Psychological Association admits reorientation therapy is not harmful.  Dr. E. Mark Stern, Ed. D. Fellow of the A.P.A. and Professor Emeritus of The Graduate Faculty of Arts and Sciences, Iona College N.Y., has acknowledged that "the APA [American Psychological Association at its summer 2001 meeting] did admit that there was no body of evidence to prove that reorientation therapies are harmful."[vi]

Dr. Martin Seligman, (1998 President of the American Psychological Association), cites research in his book, What You Can Change and What You Can't, that he is optimistic about change for those who have had fewer homosexual experiences and/or some bisexual feelings.[vii]

Dr. Raymond Fowler, (CEO of the American Psychological Association), acknowledges that his interpretation of the APA's position on reparative therapy is that those who wish to explore developing heterosexual feelings or behavior have a right to do so as part of every client's right to self-determination.[viii]

Dr. Robert Perloff, (Past President of the American Psychological Association), condemns attempts to repress research  on the effectiveness of reparative therapy.[ix] Dr. Perloff, now with the University of Pittsburgh, charged that the APA is "too politically correct, too bureaucratic, too obeisant to special interests."  The APA’s gay Society for the Psychological Study of Lesbian, Gay and Bisexual Issues has consistently lobbied against the right of homosexuals and lesbians to receive treatment for  unwanted same-sex attractions, or to even study the viability of sexual reorientation therapy. 

At a Town Hall Meeting at the organization’s 2006 convention, APA President Gerald P. Koocher stated, “APA has no conflict with psychologists who help those distressed by unwanted homosexual attraction.”  What a psychologist believes about politics and religion should have no bearing on a patient’s desires or needs.

Larry T. Freeman, MA, LPC, Manager, Ethics and Professional Standards for the American Counseling Association (ACA) [2005], affirms that “[T]he ACA’s Code of Ethics Section A.2. (Respecting Diversity) and b. (Respecting Differences) is applicable to clients who seek to change their sexual orientation.  [T]he person(s) should have the freedom of choice to seek appropriate treatment for it…”           

It is gratifying to know that struggling men and women seeking changes to unwanted same sex attractions won't be relegated to second class status in the mental health field simply because they want to live happier, fulfilling lives.  We note that several studies on the efficacy of change therapies have been published in scientific journals.  For example, see "Initial Empirical and Clinical Findings Concerning the Change Process for Ex-Gays” in the American Psychological Association journal Professional Psychology: Research and Practice (June 2002); “Motivational, Ethical, and Epistemological Foundations in the Clinical Treatment of Unwanted Homoerotic Attraction” in the Journal of Marital and Family Therapy, 29, 13-28 (2003); “Can Some Gay Men and Lesbians Change Their Sexual Orientation?” in the Archives of Sexual Behavior, Vol. 32, No. 5, 403-417 (October 2003); “Efforts to Modify Sexual Orientation” in Journal of Mental Health Counseling,” 20, 283-304 (1998); “Ethical Issues in Attempts to Ban Reorientation Therapies” in the American Psychological Association Journal Psychotherapy: Theory/Research/Practice/Training, Vol. 39, No. 1, 66-75 (2002), and “Young Women’s Relinquishment of Lesbian/Bisexual Identities Over a 5-Year Period” in the Journal of Personality and Social Psychology, 84, 352-3649 (2003).

 

      Have mental health associations banned the practice of change therapies?

 No.  To be sure, nearly all mental health associations have issued advisories concerning sexual orientation change in counseling.  The one that has not, the American Mental Health Counseling Association, has taken no position on the subject.  However, these organizations have not banned the practice of reorientation therapies.  Consider the words of the former Executive Director of the American Psychological Association (APA), Raymond Fowler:

The APA's position on reparative therapy is that those who wish to explore developing heterosexual feelings or behavior have a right to do so as part of every client's right to self-determination. If an individual is comfortable with homosexuality, it is not the role of the therapist to convince the client otherwise. If one's feelings are ego-dystonic and there is a desire to talk about changing, that is an acceptable choice and a psychologist may participate if he or she desires. – Ray Fowler, CEO, APA

This common sense statement makes clear that choosing an objective of reparative therapy is the decision of the client. Despite the fact that the mental health associations have politicized the issue of change, the APA chief makes it clear that participation does not violate ethical guidelines and may be an acceptable course.  See also Ethical Principles of Psychologists and the Code of Conduct, American Psychological Association , Principle D. p 1599, 1992 (“[T]hat psychologists…respect the rights of individuals to privacy, confidentiality, self-determination and autonomy”). (Emphasis added.)


Dr. Spitzer was asked if the American Psychiatric Association should now revise the position statements revealing skepticism about sexual orientation change.  He responded as follows:

I think they should; they will not be. It’s not going to happen in the near future, there’s no way it’s going to happen. I think the only issue is whether it goes beyond the position statement whether they go on to say its an ethical violation to do this kind of therapy but those position statements are not going to change. There’s, there’s a gay activist group that is strong and very vocal and recognized officially by the American Psychiatric Association. There’s nobody to give the other viewpoint. There may be a few people who believe it but they don’t talk. – Dr. Robert Spitzer, Columbia University

So despite Dr. Spitzer’s legitimate concerns that people not be forced into reorientation counseling, he clearly favors a revision in the official skepticism of mental health groups toward ex-gays.  Dr. Spitzer has frequently commented that no one has any way to determine how many people can or will change, but he has stood by the view that sexual orientation is much more flexible than he thought before he conducted his study.  So why would professional associations overlook the lives of ex-gays and claim reorientation to be ineffective?  Dr. Spitzer related a hypothesis concerning that issue:

Now I do have to say that one of the concerns of people who have criticized the – the study has been criticized severely by many people particularly gay activists who apparently many feel quite threatened by it. I think they have the feeling that in order for them to get their civil rights its helpful to them if they can present the view that once you’re a homosexual it can never change. Which may actually, they may be right, politically it does help them but it may not be scientifically correct. – Dr. Robert Spitzer; 3/04

So why do critics keep beating the drum to eliminate reorientation counseling?  According to Dr. Spitzer, it may have more to do with political objectives than clinical or professional ones.

The truth is Dr. Spitzer found that his participants benefited from their change experiences. Many were quite depressed prior to entering efforts to change sexuality and much improved afterwards.  Dr. Spitzer notes: “The majority of the subjects reported moderate to severe depression before they were into therapy and there was marked change. Very few were depressed when we saw them.”  In terms of numbers, 42% of men and 47% of women were clinically depressed. After counseling for change, only 1% of the men and 4% of the women continued to experience depression.
 


[i] Dr.Robert L. Spitzer, "200 Subjects Who Claim to Have Changed Their Sexual Orientation from Homosexual to Heterosexual", American Psychiatric Association Annual Convention, New Orleans, (May 9, 2001).

[ii] Ibid

[iii] Dr. Robert L. Spitzer, “Can Some Gay Men and Lesbians Change Their Sexual Orientation?...  Archives of Sexual Behavior, Vol 32, No 5, October 2003, p 403.

[iv] Ibid

[v] Dr. Robert L. Spitzer, "200 Subjects Who Claim to Have Changed Their Sexual Orientation from Homosexual to Heterosexual", American Psychiatric Association Annual Convention, New Orleans, (May 9, 2001).

[vi] Dr. E. Mark Stern, "The Battle Against the A.P.A. Resolution, Interview" NARTH (2002), www.Narth.com

[vii] Reported in "1999 NARTH Conference, Speech by Brent Scharman," The NARTH Bulletin, (December 1999).

[viii] Ibid.

[ix] http://www.narth.com/docs/barring.html

Frequently Asked Questions  Support This Site