Controlled comparison of aversive therapy and covert sensitization in compulsive homosexuality

Ethical objections to the use of behaviour therapy in homosexuality are discussed. It is pointed out that these objections were often based on a limited view of the aims of the therapy. The need for evaluating such therapy, as it is currently used, is elaborated.Twenty subjects requesting behaviour therapy to reduce compulsive homosexual urges were randomly allocated, half to receive aversive therapy using electric shocks and half to receive covert sensitization. Both groups were studied for one year. There was no consistent trend for one therapy to be more effective than the other in reducing the strength of compulsive homosexual urges, and the response to both was similar to that reported in previous studies. It was considered that aversive therapies in homosexuality do not act by establishing a conditioned aversion, nor by altering the subjects' sexual orientation. They reduce aversive arousal produced by behaviour completion mechanisms when subjects attempt to refrain from homosexual behaviour in response to stimuli which have repeatedly provoked such behaviour in the past.