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from Medical Issues
The American Medical Association
Responds to NARTH Challenge
(Letter reprinted below. Also available as PDF.)
May 26, 2004
Joseph J. Nicolosi, PhD
President
National Association for Research and Therapy of Homosexuality
16633 Ventura Boulevard
Suite 1340
Encino, CA 91436-1801
Dear Dr. Nicolosi:
Thank you for your letter of April 27, 2004, concerning the American
Medical Association (AMA) Complete Medical Encyclopedia.
The article on "Homosexuality" to which you refer was carefully
researched, written, and reviewed by a physician panel--as were
all the entries in the Encyclopedia.
As you know, the American Psychiatric Association (APA) does not
define homosexuality as an illness or disease, and current
mainstream medical practice recognizes and incorporates the APA's
expertise on this question.
The AMA is a members' organization for physicians governed by the
House of Delegates. The House debates and passes policies, and in the
instance of clinical issues, the policies are usually informed by and
preceded by research-based reports of the AMA Council on Scientific
Affairs. Current policy in the form of H-160.991, "Health Care Needs
of the Homosexual Population," was based on such a council report.
This policy includes the following clause:
[Our AMA:] Opposes the use of "reparative" or "conversion"
therapy that is based upon the assumption that homosexuality per
se is a mental disorder or based upon the a priori assumption
that the patient should change his/her homosexual orientation.
The number of practicing homosexuals is always as an estimate or
opinion, and the doctors who reviewed the article verified that the
percentages used were commonly agreed upon and reasonable. Self-reporting
surveys on sexual behavior are sometimes subject to underreporting, for
a variety of reasons.
Regarding the final point in your letter, the Encyclopedia was
not attempting to dismiss religion or treat it cavalierly. The focus
of AMA health publications for patients, however, is health information
and advice. We expect and assume that readers have
diverse religious views on many topics, and we respect that. But as
a physicians' organization, we key our editorial approach toward
clinical information, and that is what our readers are seeking
from the AMA.
Thank you again for contacting the American Medical Association with
your input.
Sincerely,
John C. Nelson, MD, MPH
President Elect
cc: William G. Plested III, MD
J. Edward Hill, MD
Michael A. Maves, MD, MBA
AMA Board of Trustees Executive Committee
J. Chris Hawk III, MD, Council on Scientific Affairs
Updated: 2 September 2008
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