Archive for the ‘Fathers’ Category
The Classic Triadic Relationship
Repeatedly, researchers have found the classic triadic (three-way) relationship in the family backgrounds of homosexual men. In this situation, the mother often has a poor or limited relationship with her husband, so she shifts her emotional needs to her son. The father is usually nonexpressive and detached and often is critical as well. So in the triadic family pattern we have the detached father, the overinvolved mother, and the temperamentally sensitive, emotionally attuned boy who fills in for the father where the father falls short.
The close emotional bond is between mother and son. She feels bad for her son: “I’m his only safe haven, and everyone else makes fun of him. His peers reject him; his father seems to have forgotten him; so I’m the only one who understands and accepts him exactly as he is.” That last is the killer phrase: “as he is.” It is as if “who the boy is” could include his androgynous fantasies, fear of other males, rejection of his own body, and discomfort with his masculine nature.
At this point, education is necessary. Mothers need to understand that they can actively discourage distortion about gender without rejecting the boy himself. In fact, it is not a matter of rejection at all, but instead of offering adult guidance to prepare the boy for life in a gendered world — the world to which his anatomy has destined him — and of refusing to participate in his distortions about males and masculinity.
On the other hand, many of the mothers who come to our counselling office are very concerned about their sons’ poor gender esteem or effeminacy, and they want to help them reach normal gender maturity, no matter how challenging that work may become. They intuitively understand the problem their sons are having, and they are at a loss to know how to help their child and to enlist their husbands in the process. They are grateful for whatever direction and advice I am able to provide for them.
A few mothers (particularly, narcissistic mothers) establish a relationship with such a profound blurring of boundaries that the boy is not able to clarify his own individual identity. Mothers who create such an intimate, symbiotic relationship will allow nothing to interrupt the mother-son bond. The longer the profound symbiotic relationship continues, the more feminine the boy. Of course, a mother who is upset by a boy’s normal, rowdy behavior — and who reacts by encouraging him to be more passive and dependent (even though the boy’s real need is for independence) — is putting her own needs before those of her son.
The authors of Someone I Love Is Gay describe this maternal pattern:
Sometimes the relationship is so close that it becomes unhealthy, even bordering on a state of “emotional adultery.” Typically, the son is his mother’s confidante. She talks about her marital problems with him, rather than working them out with her husband. She looks to her son for emotional support and comfort when things go wrong.
In some cases, the mother’s behavior crosses the line into sensuality… Single mothers and women with abusive or emotionally distant husbands are particularly vulnerable to becoming overly dependent on their son.
In some rare cases, mothers of homosexual boys wanted to be men themselves, and they sabotaged their sons’ masculinity by putting themselves in competition with them.
All in all, there is considerable research showing that families of gender-disturbed boys tend to be in turmoil. One study of 610 Gender Identity Disorder (GID) boys found a high level of family conflicts. Many clinicians have observed a higher rate of parental divorce, separation, and marital unhappiness in their homosexual clients’ families, and many parents of GID children had undergone counseling before their child’s gender-identity disorder came to clinical attention.
Psychologist Gregory Dickson points out a paradox regarding the intense mother-son relationship. The gender-conflicted boy usually feels an ongoing need for mothering, but because the mother-son relationship represents a barrier between himself and the male world, the boy feels both angry and appreciative toward her. He also feels both misunderstood and most understood by her. His mother knows him very deeply on one level, but there is another level where she can never go and which she has not fully acknowledged as an integral part of who he is as a male. So there results a paradoxical love-hate, approach-avoidance conflict.
Hasn’t This Research About Parenting influences Been Disproved?
In spite of what you hear from gay activists, no literature disproves the classical theories describing the way homosexuality develops. In fact, a 1996 book, Freud Scientifically Reappraised: Testing the Theories and Therapy, evaluated the prominent psychoanalytic theories in the light of the data now available through modern research. The authors did find conflicting results on the maternal relationship, but the research on fathers was clear:
The reports concerning the male homosexual’s view of his father are overwhelmingly supportive of Freud’s hypothesis. With only a few exceptions, the male homosexual declares that father has been a negative influence in his life…
There is not a single even moderately well-controlled study that we have been able to locate in which male homosexuals refer to father positively or affectionately. On the contrary, they consistently regard him as an antagonist. He easily fills the unusually intense, competitive Oedipal role Freud ascribed to him.
It is important to emphasize here that the overinvolved mother is used repeatedly by us here in this book as the example of the mother of a gender-confused boy. Because the deeply involved mother is almost always the type to bring a child in for consultation — and to actively work for change — she is the type of mother we have used to illustrate case scenarios. Indeed, the intimately involved mother is most likely to unwittingly encourage a son’s gender nonconformity. But not all mothers are overinvolved. In fact, among adult homosexual clients, a smaller percentage of their mothers were actually disengaged.
This observation fits in with the findings of Freud Scientifically Reappraised, in which the researchers analyzed the available studies and found that there is some inconsistency in findings about mothers. But — as those researchers agree — the one virtually unchanging variable is the poor relationship with fathers.
Quite a wake-up call, we would say, for fathers who hope for heterosexuality for their sons!
Nicolosi, J., Nicolosi, L. (2002). A Parent’s Guide to Preventing Homosexuality. Downers Grove, Illinois: InterVarsity Press
The Fallout: After the Boy Distances Himself from the Father
Effeminate boys, even more than gender-normal boys, need from their dads what we call reparative therapists call “the three A’s”: affection, attention, and approval. When they fail to get what they need, they interpret their father’s behavior as personal disinterest in and rejection of them. They feel a deep and powerfully hurtful affront to their sense of self. In defense against further hurt, they diminish Dad in their minds, rendering him unimportant or even nonexistent. Their actions say, “If he doesn’t want me, then I don’t want him either.”
From that point on, they want little or nothing to do with their father. Most of all, they do not want to be like him. In effect, they are surrendering their natural masculine strivings. Then, when other boys shun the gender-confused boy (as indeed they will), they become more deeply mired in loneliness, and this loneliness and rejection only confirms their belief in their not being “good enough.” This leads to the problem of idolizing other boys’ maleness. As Richard Wyler explains:
Feeling deficient as males, we pined to be accepted and affirmed by others, especially those whose masculinity we admired most. We began to idolize the qualities in other males we judged to be lacking in ourselves. Idolizing them widened the gulf we imagined between ourselves and so-called “real men,” the Adonis-gods of our fantasies.
In idolizing them, we increased our sense of our own masculine deficiency. It also de-humanized the men we idolized, putting them on a pedestal that deified them and made them unapproachable. www.peoplecanchange.com
Normal boys actively and aggressively played with one another, while prehomosexual boys feel intimidated, so they sit on the curb and watch them. They wish they could join in, but they are held back by the sense that they are different and even “less than” other boys. They feel inadequate and ill equipped to join in.
All too often, the next step is a depressive reaction. Consequently, they often become loners and dreamers and withdraw into a world of fantasy. Quite a few become enthralled with theater and acting and the chance to play a role as someone else. Some overcompensate by pushing themselves to excel in academics; others find it hard to pay attention in class and do poorly despite their above-average aptitude.
Understandably, parents of such children are concerned when they see these signs. Simply using their own common sense, they know something is wrong. As I have said before, for parents these days, if they are unlucky enough to fall into the hands of psychologists who have accepted the premises of gay activism, they may find the experts telling them that what these boys are experiencing is inevitable and derives strictly from their “gay genes” or “gay brains.”
The bad news is that so many well-educated people in positions of influence do not understand the facts about gender-identity confusion in children. The good news is that you, as the parent of a boy or girl, can have an influence on your child’s future sexual orientation.
Don’t care if your child is straight or gay? There are no doubt thousands of other mental health practitioners who will support you in affirming your child’s prehomosexuality if you choose this path.
One such practitioner is psychiatrist Justin Richardson. There is nothing wrong or problematic as such with a boy’s effeminacy, Richardson says, and it is only society’s disapproval that causes the boy’s problems.
Dr. Richardson is an openly gay man. He believes a sensitive and artistic temperament is pivotal in laying the foundation for male homosexuality, but he also acknowledges (as does the American Psychological Association) that there are psychological and social influences that ultimately will solidify such a boy’s gender identity and future sexual orientation. How this boy becomes a “sissy” and a homosexual, Richardson acknowledges, also goes back to the personalities of the boy’s parents and how these personalities mesh or contrast with the boy’s own, thus influencing the depth and quality (or lack thereof) of the parent-child emotional bond. Another factor Richardson identifies is how the boy and his parents react to his developing male body. Still another factor is the ongoing influence of the boy’s playmates. All these are factors that Dr. Richardson identifies — just as we do — as influential in confirming or weakening the boy’s developing sense of masculine gender identification. But significantly, Richardson does not consider any of these influences pathological, because he does not view a homosexual outcome as pathological, In essence, he believes homosexuality “just is.”
Is feeling masculine and being detached from one’s same-sex parent and boyhood peers problematic? Not so to Richardson, because gender itself, he believes, is a matter of indifference. He suggests that parents should consider not only discouraging their son’s effeminacy as a mark of healthy nonconformity. In fact, Richardson goes as far as to say that an indifference to gender distinctions is a mark of intellectual superiority!
We, on the other hand, are rather backward. We are stuck in “concrete” notions of gender — we believe that a boy who likes to wear dresses does indeed have a problem.
There are other therapists, in contrast to Dr. Richardson, who believe that healthy development requires that a person’s interior sense of gender identity and his biology must correspond. Mind, body, and spirit must work together in harmony. The gender-nonconforming boy might be artistic, creative, and relational, but in order to grow into this potential, he must also be confident that he belongs to the world of men.
Once mothers and fathers recognize the real problems their gender-confused children face, agreee to work together to help resolve them, and seek the guidance and expertise of a psychotherapist who believes that change is possible, there is hope. Growth into a heterosexual identity is indeed possible.
Nicolosi, J., Nicolosi, L. (2002). A Parent’s Guide to Preventing Homosexuality. Downers Grove, Illinois: InterVarsity Press
The Importance of Risk Taking
Sometimes a form of “phallic” action is required to bolster the masculine self so that further self-inflicted damage can be averted, i.e., sexual acting out. Yet strong resistance to such action is typical since there is fear that either the action will fail to produce desirable results, or at worst, the man will feel humiliated.
In the same patient referred to earlier, workplace scenarios regularly evoked feelings of submission that he felt powerless to overcome. Analysis of these situations led to identification of specific actions or comments that he had avoided making which could have stemmed the tide of his feelings. For example, he could have given a superior direct feedback about the tone of voice used when addressing him, informed a co-worker that he would no longer take responsibility for the other’s work, and he could have apologized after an overreaction as a way of providing closure to an awkward interaction. When this patient protested that such actions would have futile or humiliating, I suggested that many actions do not produce the “right” results but nevertheless would have restored his sense of masculine dignity in the situation.
I have suggested that a man’s masculinity is judged via the means he uses to interact with the world, rather than the outcome of those means. This intervention attempts to alter the “yardstick” of masculinity from a child’s focus upon the external results, to an adult’s internal set of standards and priorities. Although the boy had no choice other than to measure himself by the arbitrary standards and circumstances around him, as a man, he is free to develop his own “measuring stick.”
The patient’s passage through these masculine rites offers the therapist an opportunity to demonstrate visible pride and satisfaction at his phallic conquests. The therapist must feel free to offer admiring comments balanced by sensitivity to the fragile state of his patient’s masculinity. This gentle affirming or mirroring of the patient’s phallic assertiveness promotes internalization of the therapist’s pride, and thereby, the patient’s confidence that his masculinity is enhanced. In may respects, these therapeutic exchanges parallel the normal developmental dance between a proud and attuned father and an idealizing and vulnerable boy passing through the phallic-narcissistic phase.
The therapist’s reinforcement of the patient’ phallic assertiveness inevitably triggers some core childhood fears that stand in the way of sustained progress. For example, it is typical for these men to feel paralyzed by the fear of disappointing the therapist. They may become overwhelmed with shame and confusion about “what really is expected,” as if a secret agenda is being used to measure them. They may angrily insist upon the unfairness of it all, since so much is upon them to do, or they may simply find one “logical” reason or another to avoid taking such risks.
These resistances must be viewed as windows of opportunity to speak directly to the boy within, and to provide the emotional supplies so scarce during childhood. The therapist’s ability to empathically immerse himself in the patient’s experience, much the way a “good enough” father can recall his own fears and insecurities as a boy, will determine whether these core fears become roadblocks or simply way stations for refueling.
In the same way that a boy who is filled with disappointment in himself needs his father to make it better, the patient needs reassurance, affection and containment from the therapist. Initially, the therapist must put himself in the patient’s experience and communicate from there. Examples might include, “This is scary stuff…It probably looks pretty hopeless at this point…It is unfair that no one else is suffering but you…You’re worried that each step you take will be the wrong one…” Such understanding is essential but not sufficient, since the “good enough” father/therapist must do more.
Broadening perspective, instilling objectivity, or offering concrete and specific handling of situations can build confidence where it is most needed. For instance, “You need to know that I’m proud that you’ve made it this far and that doesn’t disappoint me, but tells me that we need to put our heads together and prepare you better next time…Of course it seems like a foreign land because you’ve never really been settled there before, but I will help you learn the terrain and before long, you’ll feel like a native…The only thing expected is that you’ll keep telling me about your feelings and confusion so that I can help you manage them and guide you to where you want to go…It’s important to realize that your fear makes it easy for you to find excuses not to follow through, such as when you jump to conclusions about the entire female population based upon the experiences you’ve had with only a few…Now, let’s talk about what you can realistically expect to happen and how you might want to handle it so you feel better prepared…I think that you’ll feel less like you’re submitting if you made those conditions clear and explain why you neglected to tell them earlier…”
Richfield, S. A. (8 February 2008). The Treatment of Ego-Dystonic Homosexuality: The Development of a Masculine Self-Image., from http://narth.com/docs/richfield.html
Fathers of Male Homosexuals: A Collective Clinical Profile
It is widely agreed that many factors likely contribute to the formation of male homosexuality. One factor may be the predisposing biological influence of temperament (Byne and Parsons, l993). No scientific evidence, however, shows homosexuality to be directly inherited in the sense that eye color is inherited (Satinover, 1996).
Recent political pressure has resulted in a denial of the importance of the factor most strongly implicated by decades of previous clinical research–developmental factors, particularly the influence of parents. A review of the literature on male homosexuality reveals extensive reference to the prehomosexual boy’s relational problems with both parents (West 1959, Socarides 1978, Evans 1969); among some researchers, the father-son relationship has been particularly implicated (Bieber et al 1962, Moberly 1983).
One psychoanalytic hypothesis for the connection between poor early father-son relationship and homosexuality is that during the critical gender-identity phase of development, the boy perceives the father as rejecting. As a result, he grows up failing to fully identify with his father and the masculinity he represents.
Nonmasculine or feminine behavior in boyhood has been repeatedly shown to be correlated with later homosexuality (Green, l987, Zuger, l988); taken together with related factors–particularly the often-reported alienation from same-sex peers and poor relationship with father–this suggests a failure to fully gender-identify. In its more extreme form, this same syndrome (usually resulting in homosexuality) is diagnosed as Childhood Gender-Identity Deficit (Zucker and Bradley, 1996).
One likely cause for “failure to identify” is a narcissistic injury inflicted by the father onto the son (who is usually temperamentally sensitive) during the preoedipal stage of the boy’s development. This hurt appears to have been inflicted during the critical gender-identity phase when the boy must undertake the task of assuming a masculine identification. The hurt manifests itself as a defensive detachment from masculinity in the self, and in others. As an adult, the homosexual is often characterized by this complex which takes the form of “the hurt little boy” (Nicolosi, 1991).
During the course of my treatment of ego-dystonic male homosexuals, I have sometimes requested that fathers participate in their sons’ treatment. Thus I have been able to familiarize myself with some of the fathers’ most common personality traits. This discussion attempts to identify some clinical features common to those fathers of homosexuals.
For this report, I have focused on sixteen fathers who I consider typical in my practice–twelve fathers of homosexual sons (mid-teens to early 30’s), and four fathers of young, gender-disturbed, evidently prehomosexual boys (4- to 7- year-olds). The vast majority of these fathers appeared to be psychologically normal and, also like most fathers, well-intentioned with regard to their sons; in only one case was the father seriously disturbed, inflicting significant emotional cruelty upon his son.
However as a group, these fathers were characterized by the inability to counter their sons’ defensive detachment from them. They felt helpless to attract the boy into their own masculine sphere.
Clinical Impressions.
As a whole, these fathers could be characterized as emotionally avoidant. Exploration of their histories revealed that they had typically had poor relationships with their own fathers. They tended to defer to their wives in emotional matters and appeared particularly dependent on them to be their guides, interpreters and spokespersons.
While these men expressed sincere hope that their sons would transition to heterosexuality, nevertheless they proved incapable of living up to a long-term commitment to help them toward that goal. In his first conjoint session, one father cried openly as his 15-year-old son expressed his deep disappointment with him; yet for months afterward, he would drive his son to his appointment without saying a word to him in the car.
Further, while they often appeared to be gregarious and popular, these fathers tended not to have significant male friendships. The extent to which they lacked the ability for male emotional encounter was too consistent and pronounced to be dismissed as simply “typical of the American male.” Rather, my clinical impression of these fathers as a group was that there existed some significant limitation in their ability to engage emotionally with males.
From their sons’ earliest years, these fathers showed a considerable variation in their ability to recognize and respond to the boys’ emotional withdrawal from them. Some naively reported their perception of having had a “great” relationship with their sons, while their sons themselves described the relationship as having been “terrible.” Approximately half the fathers, however, sadly admitted that the relationship was always poor and, in retrospect, perceived their sons as rejecting them from early childhood. Why their sons rejected them remained for most fathers a mystery, and they could only express a helpless sense of resignation and confusion. When pushed, these men would go further to express hurt and deep sadness. Ironically, these sentiments–helplessness, hurt and confusion–seemed to be mutual; they are the same expressed by my clients in describing their own feelings in the relationship with their fathers.
The trait common to fathers of homosexuals seemed to be an incapacity to summon the ability to correct relational problems with their sons. All the men reported feeling “stuck” and helpless in the face of their sons’ indifference or explicit rejection of them. Rather than actively extending themselves, they seemed characteristically inclined to retreat, avoid and feel hurt. Preoccupied with self-protection and unwilling to risk the vulnerability required to give to their sons, they were unable to close the emotional breach. Some showed narcissistic personality features. Some fathers were severe and capable of harsh criticism; some were brittle and rigid; overall, most were soft, weak and placid, with a characteristic emotional inadequacy. The term that comes to mind is the classic psycholanalytic term “acquiescent” – the acquiescent father.
Homosexuality is almost certainly due to multiple factors and cannot be reduced soley to a faulty father-son relationship. Fathers of homosexual sons are usually also fathers of heterosexual sons–so the personality of the father is clearly not the sole cause of homosexuality. Other factors I have seen in the development of homosexuality include a hostile, feared older brother; a mother who is a very warm and attractive personality and proves more appealing to the boy than an emotionally removed father; a mother who is actively disdainful of masculinity; childhood seduction by another male; peer labelling of the boy due to poor athletic ability or timidity; in recent years, cultural factors encouraging a confused and uncertain youngster into an embracing gay community; and in the boy himself, a particularly sensitive, relatively fragile, often passive disposition.
At the same time, we cannot ignore the striking commonality of these fathers’ personalities.
In two cases, the fathers were very involved and deeply committed to the treatment of their sons, but conceded that they were not emotionally present during their sons’ early years. In both cases it was not personality, but circumstance that caused the fathers’ emotional distance. In one case the father was a surgeon from New Jersey who reported atteding medical school while trying to provide financial support for his young family of three children. The second father, an auto mechanic from Arizona, reported that when he was only 21 years old, he was forced to marry the boy’s mother because she was pregnant. He admitted never loving the boy’s mother, having been physically absent from the home, and essentially having abandoned both mother and boy. Both fathers, now more mature and committed to re-establishing contact with their sons, participated enthusiastically in their therapy. But in both cases, the sons had, by then, become resistant to establishing an emotional connection with their fathers.
Attempt at Therapeutic Dialogue.
My overall impression of fathers in conjoint sessions was of a sense of helplessness, discomfort and awkwardness when required to directly interact with their sons.
These men tended not to trust psychological concepts and communication techniques and often seemed confused and easily overwhelmed with the challenge to dialogue in depth. Instructions which I offered during consultation, when followed, were followed literally, mechanically and without spontaneity. A mutual antipathy, a stubborn resistance and a deep grievance on the part of both fathers and sons was clearly observable. At times I felt myself placed in the position of “mother interpreter,” a role encouraged by fathers and at times by sons. As “mother interpreter,” I found myself inferring feeling and intent from the father’s fragmented phrases and conveying that fuller meaning to the son, and vice versa from son to father.
Some fathers expressed concern with “saying the wrong thing,” while others seemed paralyzed by fear. During dialogue, fathers demonstrated great difficulty in getting past their own self-consciousness and their own reactions to what their sons were saying. This limited their empathetic attunement to the therapeutic situation, and to their sons’ position and feelings.
As their sons spoke to them, these fathers seemed blocked and unable to respond. Often they could only respond by saying that they were “too confused,” “too hurt,” or “too frustrated” to dialogue. One father said he was “too angry” to attend the sessions of his teenage son–a message conveyed to me by the mother. At the slightest sign of improvement in the father-son relationship, a few fathers seemed too ready to flee, concluding “Everything is okay – can I go now?”
Treatment Interventions
Before conjoint father-son sessions begin, the client should be helped to gain a clear sense of what he wants from his father. To simply expose the father to a list of complaints is of no value. He should also decide on a clear, constructive way to ask for this. Such preparation shifts the son from a position of helpless complaining, to staying centered on his genuine needs and the effective expression of them.
The Deadly Dilemma.
Eventually, within the course of conjoint sessions a particular point will be reached which I call “the deadly dilemma.” This deadlock in dialogue–which seems to duplicate the earliest father-son rupture–occurs in two phases as follows:
Phase 1: With the therapist’s assistance, the son expresses his needs and wants to his father. Hearing his son, the father becomes emotionally affected, so much so that he cannot respond to his son’s disclosure. He is overwhelmed by his own reactions, becoming so “angered,” “hurt,” “upset,” or “confused” that he cannot attend to his son’s needs. Blocked by his own internal reactions, he is unable to give what his son asks of him.
Phase 2: In turn, the son is unable to tolerate his father’s insular emotional reaction in place of the affirmative response he seeks from him. To accept his father’s non-responses, the son feels he must abandon the needs he has expressed. The only recourse for the son is to retreat again to the defensive distancing which is already at the core of the father-son relationship. The son cannot empathize with the father’s non-responsiveness because to do so is painfully reminiscent of childhood patterns that are associated with his own deep hurt and anger: namely the imperative, “My father’s needs must always come before mine.” The son’s hurt and anger is in reaction to what appears to him to be “just more lame excuses” for Dad’s inability to give the attention, affection or approval he has so long desired from him. Indeed, to the son this seems like Dad’s old ploy, with all the associated historical pain.
This deadly dilemma originated, I believe, during the preverbal level of infancy. As one father’s recollections confirmed, “My son would never look at me. I would hold his face with my hands and force him to look at me, but he would always avert his eyes.” Other men have described an “unnatural indifference” to their fathers during their growing-up years.
During the course of therapy with these fathers, I began to see the deep hurt in them–a hurt that came from their sons’ indifference to their attempts (however meager) to improve the relationship.
Reflecting on his now-elderly father, one client sadly recalled:
I feel sorry for my father. He always had a certain insensitivity, an emotional incompetence. Many of the interactions at home simply went over his head. He was dense, inadequate. I feel a pity for him.
These fathers appeared unwilling or unable to be open and vulnerable to their sons; unable to reach out, to hear their sons’ pain and anger with respect to them, and unable to respond honestly. Their emotional availability was blocked and they were unable to turn the relational problem around. Rather they remained removed, seemingly dispassionate and helpless.
In conjoint sessions, none of the fathers were capable of taking the lead in dialogue. When dialogue became stagnant, they were unable to initiate communication. I believe the consistent inability of these fathers to get past their own blocks and reach out to their sons played a significant role in these boys’ inability to move forward into full, normal masculine identification and heterosexuality.
Bibliography
Bieber, I. et al (1962) Homosexuality: A Psychoanalytic Study of Male Homosexuals. New York: Basic Books.
Byne, W. and Parsons, B., “Human sexual orientation: the biologic theories reappraised,” Archives of General Psychiatry, vol. 50:228-239, March l993.
Evans, R. (1969). Childhood parental relationships of homosexual men. Journal of Consulting and Clinical Psychology 33:129-135.
Green, Richard (l987) “The Sissy Boy Syndrome” and the Development of Homosexuality. New Haven, Ct.: Yale U. Press.
Moberly, Elizabeth (1983) Homosexuality: A New Christian Ethic. Greenwood, S.C.: Attic Press.
Nicolosi, Joseph (l991) Reparative Therapy of Male Homosexuality; A New Clinical Approach. Northvale, N.J.: Jason Aronson, 1991.
Satinover, J. (1996). Homosexuality and the Politics of Truth. Grand Rapids, MI: Baker Books.
Socarides, Charles (1978). Homosexuality. New York: Jason Aronson.
West, D.J. (1959). Parental figures in the genesis of male homosexuality. International Journal of Social Psychiatry 5:85-97.
Zucker, K. and Bradley, S. (1995) Gender Identity Disorder and Psychosexual Problems in Children and Adolescents. N.Y.: The Guilford Press.
Zuger, Bernard (l988) Is Early Effeminate Behavior in Boys Early Homosexuality? Comprehensive Psychiatry, vol. 29, no. 5 (September/October) p. 509-519.
Nicolosi, J. (8 February 2008). Fathers of Male Homosexuals: A Collective Clinical Profile., from http://www.narth.com/docs/fathers.html