Reparative Therapy Of Male Homosexuality
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Joseph Nicolosi (January 24, 1947 – March 8, 2017) was an American clinical
psychologist A psychologist is a professional who practices psychology and studies mental states, perceptual, cognitive, emotional, and social processes and behavior. Their work often involves the experimentation, observation, and explanation, interpretatio ...
who advocated and practised "reparative therapy", a form of the
pseudoscientific Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method. Pseudoscience is often characterized by contradictory, exaggerated or unfalsifiable cl ...
treatment of
conversion therapy Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, romantic orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have ...
that he claimed could help people overcome or mitigate their homosexual desires and replace them with heterosexual ones. Nicolosi was a founder and president of the
National Association for Research and Therapy of Homosexuality The Alliance for Therapeutic Choice and Scientific Integrity (ATCSI), which until 2014 was known as the National Association for Research & Therapy of Homosexuality (NARTH), also known as the NARTH Institute, is a US organization that promotes con ...
(NARTH). Medical institutions warn that conversion therapy is ineffective and may be harmful, and that there is no evidence that
sexual orientation Sexual orientation is an enduring personal pattern of romantic attraction or sexual attraction (or a combination of these) to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Patterns ar ...
can be changed by such treatments.


Biography

Nicolosi held
M.A. A Master of Arts ( or ''Artium Magister''; abbreviated MA or AM) is the holder of a master's degree awarded by universities in many countries. The degree is usually contrasted with that of Master of Science. Those admitted to the degree have ...
from the
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and
Ph.D. A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of graduate study and original research. The name of the deg ...
from the
California School of Professional Psychology The California School of Professional Psychology (CSPP) was founded in 1969 by the California Psychological Association. It is part of the for-profit Alliant International University where each campus's Clinical Psychology Psy.D. and Ph.D. pr ...
. He was a founding member of the
National Association for Research & Therapy of Homosexuality The Alliance for Therapeutic Choice and Scientific Integrity (ATCSI), which until 2014 was known as the National Association for Research & Therapy of Homosexuality (NARTH), also known as the NARTH Institute, is a US organization that promotes con ...
(NARTH) and was its president for some time. NARTH is a professional association that promotes the acceptance of
conversion therapy Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, romantic orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have ...
. He was an advisor to, and officer of, NARTH. NARTH was for some time based in Encino at Nicolosi's own "
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Psychological Clinic". According to the
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, "NARTH presents its methods as based on scientific fact rather than religious belief". Nicolosi was a
Roman Catholic The Catholic Church (), also known as the Roman Catholic Church, is the largest Christian church, with 1.27 to 1.41 billion baptized Catholics worldwide as of 2025. It is among the world's oldest and largest international institut ...
. Nicolosi described his ideas in ''Reparative Therapy of Male Homosexuality: A New Clinical Approach'' (1991) and three other books. Nicolosi proposed that homosexuality is often the product of a condition he described as gender-identity deficit caused by an alienation from, and perceived rejection by, formative individuals of the subject's gender which interrupts normal masculine or feminine identification process.Joseph Nicolosi, Ph.D., ''Reparative Therapy of Male Homosexuality'', Rowman & Littlefield, 2004, Scientific research, summarized in a 2016 academic review, has not supported Nicolosi's hypothesis that parents play a role in the development of sexual orientation, and social theories are particularly weak for males. Research has supported the role of the non-social environment, including
prenatal Prenatal development () involves the embryonic development, development of the embryo and of the fetus during a viviparity, viviparous animal's gestation. Prenatal development starts with fertilization, in the germinal stage of embryonic develop ...
hormones and maternal immune responses. In 2009,
Royal College of Psychiatrists The Royal College of Psychiatrists is the main professional organisation of psychiatrists in the United Kingdom, and is responsible for representing psychiatrists, for psychiatric research and for providing public information about mental healt ...
criticized Nicolosi's appearance at a conference in London, saying that: "there is no sound scientific evidence that sexual orientation can be changed" and "furthermore, so-called treatments of homosexuality create a setting in which prejudice and discrimination can flourish." Nicolosi gave an interview with the
BBC The British Broadcasting Corporation (BBC) is a British public service broadcaster headquartered at Broadcasting House in London, England. Originally established in 1922 as the British Broadcasting Company, it evolved into its current sta ...
in order to defend his opinions, claiming: "we have a great deal of evidence". The conference, at which Nicolosi was a
keynote A keynote in public speaking is a talk that establishes a main underlying theme. In corporate or commercial settings, greater importance is attached to the delivery of a keynote speech or keynote address. The keynote establishes the framework fo ...
speaker, was organized by Anglican Mainstream, a conservative religious charity, and by evangelical conservative lobby group
Christian Action Research and Education Christian Action, Research and Education (CARE) is a social policy charity based in the United Kingdom, with offices in England, Scotland and Northern Ireland. Founding and programmes CARE began in 1971 as the Nationwide Festival of Light, but ...
, and its organizers professed to be "very worried about the continued progress of the gay ... agenda". At the conference, Nicolosi performed "therapy" on a man live in front of the audience, a sight Patrick Strudwick described as "like I was watching a
blood sport A blood sport or bloodsport is a category of sport or entertainment that involves bloodshed. Common examples of the former include combat sports such as cockfighting and dog fighting, and some forms of hunting and fishing. Activities charact ...
". In 2012, California passed a law that banned the provision of conversion therapy to minors, including some of Nicolosi's existing patients. Nicolosi was named as a plaintiff in a lawsuit challenging the law on constitutional grounds but the law, effectively barring Nicolosi's clinic from taking on patients under the age of 18, was subsequently upheld. The Supreme Court later explicitly referenced this case. In 2013, Nicolosi appeared in
Stephen Fry Sir Stephen John Fry (born 24 August 1957) is an English actor, broadcaster, comedian, director, narrator and writer. He came to prominence as a member of the comic act Fry and Laurie alongside Hugh Laurie, with the two starring in ''A Bit of ...
's television documentary '' Stephen Fry: Out There,'' which examined different attitudes to homosexuality. Nicolosi informed Fry that "sixty percent of our clients now are teenagers. Parents call up in a panic because they found out their son is looking at gay porn, and, of course we have to get him into therapy". After the segment, Fry says that "for all his talk of success, Nicolosi is unable to find one of his ex-gays to talk to us". Fry then speaks with Daniel Gonzales, a former client of Nicolosi's who did not have success in changing his sexual orientation. Gonzales condemns the therapy. From 2013, protests were raised in Spain over the sale of three of Nicolosi's books titled: ''I Want to Stop Being Gay'' (), ''How to Prevent Homosexuality'' (), and ''Gender Confusion in Childhood'' (). Major Spanish department store
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was threatened with a boycott by the United Left coalition over its stocking of the works, but continued to market them in 2014. Nicolosi died in March 2017 at the age of 70 from flu complications. On July 2, 2019, leading online book retailer
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removed several of Nicolosi's books from their catalog, including the 2002 publication ''A Parent's Guide to Preventing Homosexuality'', following a
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petition requesting that they do so. Nicolosi's
NARTH The Alliance for Therapeutic Choice and Scientific Integrity (ATCSI), which until 2014 was known as the National Association for Research & Therapy of Homosexuality (NARTH), also known as the NARTH Institute, is a US organization that promotes con ...
continues to exist as "The Alliance for Therapeutic Choice and Scientific Integrity", headed by his son Joseph Nicolosi Jr. Nicolosi Jr. coined the term "reintegrative therapy" for his own approach which he says is distinct from conversion therapy.


Effectiveness

In 2017, psychology professor
Warren Throckmorton Earl Warren Throckmorton (born 1957) is an American psychologist and retired professor of psychology at Grove City College in Grove City, Pennsylvania. He developed the Sexual Identity Therapy Framework and was a creator of the documentary ''I Do ...
said that Nicolosi had earlier been offered the chance to assess the viability of his therapy by J. Michael Bailey, a professor of psychology best known for his sexual orientation research. Bailey informed Nicolosi that he could bring his patients to his lab at
Northwestern University Northwestern University (NU) is a Private university, private research university in Evanston, Illinois, United States. Established in 1851 to serve the historic Northwest Territory, it is the oldest University charter, chartered university in ...
to test their automatic responses to erotic cues, i.e. men versus women. Throckmorton wrote that "Nicolosi never took him up on the offer" and that Bailey confirmed the offer was still open. Bailey told Throckmorton that "pre (or even mid) treatment
rain Rain is a form of precipitation where water drop (liquid), droplets that have condensation, condensed from Water vapor#In Earth's atmosphere, atmospheric water vapor fall under gravity. Rain is a major component of the water cycle and is res ...
scans compared with post-treatment scans would help to offset the lack of a control group". In a prominent 2016 academic review, Bailey also critiqued Nicolosi's claims of success, noting that earlier research by
Kurt Freund Kurt Freund (17 January 1914 – 23 October 1996) was a Czech-Canadian physician and sexologist best known for developing the penile plethysmograph (a measurement of sexual arousal in males), research studies in pedophilia, and for the " court ...
found that men's claims of sexual re-orientation were not supported by phallometric assessments, which measure penile blood-flow in response to imagery. Additionally Bailey notes that Conrad and Wincze found that physiological arousal measurements did not support the positive reports of men who had participated in sexual-reorientation therapy. They were still attracted to and aroused by men. Like all forms of
conversion therapy Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, romantic orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have ...
, reparative therapy is
pseudoscientific Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method. Pseudoscience is often characterized by contradictory, exaggerated or unfalsifiable cl ...
, based on faulty assumptions, opposed by mainstream medical and psychological practitioners, and potentially harmful to patients. Some states have enacted laws against conversion therapy.


Publications

*Nicolosi, Joseph (1991). ''Reparative Therapy of Male Homosexuality: A New Clinical Approach''. Jason Aronson, Inc. . *Nicolosi, Joseph (1993). ''Healing Homosexuality: Case Stories of Reparative Therapy''. Jason Aronson, Inc. . * * *Nicolosi, Joseph & Nicolosi, Linda Ames (2002). ''A Parent's Guide to Preventing Homosexuality''. InterVarsity Press. . * * *Nicolosi, Joseph (2009). ''Shame and Attachment Loss: The Practical Work of Reparative Therapy''. InterVarsity Press *Nicolosi, Joseph (2017). ''A Parent's Guide to Preventing Homosexuality'', revised edition. Liberal Mind Publishers


References

{{DEFAULTSORT:Nicolosi, Joseph 1947 births 2017 deaths 20th-century American psychologists American Roman Catholics Conversion therapy practitioners Deaths from influenza in the United States Ex-gay movement Sexual orientation change efforts Psychology writers on LGBTQ topics Health professionals from New York (state)