"We are not to simply bandage the wounds of victims beneath the wheels of injustice,
we are to drive a spoke into the wheel itself." Dietrich Bonhoeffer, Letters and Papers from Prison (1943-1945)


It may be helpful to contextualise the work and understanding of Core Issues Trust in respect of what we offer to clients seeking help in the broad field of therapeutic support for people who experience attractions to the same sex.  Although some associated with our work have now been excluded from professional memberships within the United Kingdom, we continute to mirror good general clinical practise and ethical standards. Such exclusions, it should be noted, are because of view-point differences, and not because of any client complaints that have been lodged against them.

The literature in the field distinguises three general approaches and the differences between these approaches are manifested in how these theroretical understandings are combined with clinical skills.  The three are:

  1. Gay-Affirmative Therapy (GAT)
  2. Sexual Identity Therapy (SIT)
  3. Change Oriented Therapy (COT)

Broadly speaking therapists and support workers are likely to use a range of modalities (or models and techniques), irrespective of which of the approaches they subscribe to. Whilst affirming of all who seek support and affirming client autonomy and self-determination, Core Issues Trust does not offer Gay-Affirming Therapy, neither does it practise Sexual Identity Therapy.  We affirm the view that  change in same-sex attractions and behaviours is a valid goal for some clients.  We encourage professionals to

“respect the autonomy and right to self-determination of individuals who seek change intervention for unwanted same-sex attractions and behavior, as well as those individuals who do not desire such interventions” (NARTH, 2010, p. 20).

We further encourage religious professionals to recognise that for some clients experiencing homosexual desires, even after learning to successfully manage and minimise homoerotic behaviours, it is insufficent to limit help to management - some want to function heterosexually.  Seeking change by maximising heterosexual functioning potential does not, in our view, constitute idolatrous aspirations as some evangelicals appear to teach. The potential to experieince such change is always along a continuum.  How 'change' is understood, of course, is directly related to how 'orientation' is understood.

Generally those working within our organisation problematise the concept 'orientation' and prefer to speak of 'patterning' to indicate the fluidity of sexuality that is becoming increasingly recognised. We urge both clinical and religious professionals to interrogate any language that works to reify 'orientation' as an innate and immutable category of existence.

Core Issues Trust acknowledges that it is possible to conflate sexual identity change with sexual orientation change but asserts this fact does not offer a blanket explanation for all instances of change reported. Changes that are not categorical, but are clear shifts, are nevertheless changes to be welcomed and affirmed among those who seek them.