Submitted on 2024-09-23
This is a study of what is often inaccurately called conversion therapy for sexual orientation, a very controversial topic in the culture wars. This draft restates with pertinent changes a version which faces pending retraction, three years after publication, due to the intervention of LGBT activists. (See Sullins DP, Rosik CH and Santero P. Efficacy and risk of sexual orientation change efforts: a retrospective analysis of 125 exposed men [version 2; peer review: 2 approved]. F1000Research 2021, 10:222 (https://doi.org/10.12688/f1000research.51209.2) This version revises some of the language, adds a sentence acknowledging the retraction of a previous study for unrelated reasons, updates the literature review, and corrects a coding error in the reported percentages in Tables 3, 5 and 6, which slightly strengthens the results. A short critical comment and our response follows the study.
The critical comment was from Dr. Lorenzo Lorenzo-Luaces, a well-known activist scholar who was involved in the retraction of Diaz and Bailey's ROGD study. For over a year the original publishing journal has refused to publish our response and (slightly) revised version responding to his critique.
Recently the journal has advised us it intends to retract the study on (what we judge to be) the pretext that we did not include a citation to a previous retracted study that used the same data but was retracted for reasons unrelated to the data. We have responded that 1) that is a novel and specious reason to retract a study; 2) if applied consistently, it would lead to the retraction of hundreds of other studies that have happened to use data that had previously been used in a study retracted for other reasons; and 3) however, if they think it is so important, we have no objection to including the desired citation, which consists of a single sentence, in a revised version of the paper. (The journal, F1000Research, is designed to accommodate multiple revisions in response to critical debate. We submitted a revised version, which is very similar to this one, using their protocols for doing so, but instead of following their stated revision procedure which is to submit the revision to the original peer reviewers for approval and comment, they summarily removed the revision from the process, without comment or trace.)
Rather than permitting the journal F1000Research to suppress evidence and debate on this issue due to ideological bias, we hope in this forum to instead enable more debate and consideration of the evidence, from any ideological point of view.
Background: Voluntary therapeutic interventions to reduce unwanted same-sex sexuality are collectively known as sexual orientation change efforts (SOCE). Currently almost all evidence addressing the contested question whether SOCE is effective or safe consists of anecdotes or very small sample qualitative studies of persons who currently identify as sexual minority and thus by definition failed to change. We conducted this study to examine the efficacy and risk outcomes for a group of SOCE participants unbiased by current sexual orientation.
Methods: We examined a convenience sample of 125 men who had undergone SOCE for homosexual-to-heterosexual change in sexual attraction, identity and behavior, and for positive and negative changes in psychosocial problem domains (depression, suicidality, self-harm, self-esteem, social function, and alcohol or substance abuse). Mean change was assessed by parametric (t-test) and nonparametric (Wilcoxon sign rank test) significance tests.
Results: Exposure to SOCE was associated with significant declines in same-sex attraction (from 5.7 to 4.1 on the Kinsey scale, p <.000), identification (4.8 to 3.6, p < .000), and sexual activity (2.4 to 1.5 on a 4-point scale of frequency, p < .000). From 45% to 69% of SOCE participants achieved at least partial remission of unwanted same-sex sexuality; full remission was achieved by 14% for sexual attraction and identification, and 26% for sexual behavior. Rates were higher among married men, but 4-10% of participants experienced increased same-sex orientation after SOCE. From 0.8% to 4.8% of participants reported marked or severe negative psychosocial change following SOCE, but 12.1% to 61.3% reported marked or severe positive psychosocial change. Net change was significantly positive for all problem domains.
Conclusion: SOCE was perceived as an effective and safe therapeutic practice by this sample of participants. We close by offering a unifying understanding of discrepant findings within this literature and caution against broad generalizations of our results.
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