This document is a motion for a temporary restraining order and preliminary injunction filed in federal district court. The plaintiffs, which include psychologists, counselors, and counseling organizations, are seeking to immediately restrain the enforcement of a new New Jersey law (A3371) prohibiting "sexual orientation change efforts" on minors. The plaintiffs argue the law violates their free speech and religious rights by prohibiting them from providing counseling to minor clients who want to address unwanted same-sex attractions and prioritize their religious values over their sexual orientation. They are suffering irreparable harm from being unable to provide this counseling. The motion seeks to enjoin enforcement of the law while the case is pending.
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Motion For Temporary Restraining Order and Preliminary Injunction - 1
This document is a motion for a temporary restraining order and preliminary injunction filed in federal district court. The plaintiffs, which include psychologists, counselors, and counseling organizations, are seeking to immediately restrain the enforcement of a new New Jersey law (A3371) prohibiting "sexual orientation change efforts" on minors. The plaintiffs argue the law violates their free speech and religious rights by prohibiting them from providing counseling to minor clients who want to address unwanted same-sex attractions and prioritize their religious values over their sexual orientation. They are suffering irreparable harm from being unable to provide this counseling. The motion seeks to enjoin enforcement of the law while the case is pending.
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Doc 3 - Application for Temporary Restraining Order and/or Preliminary Injunction
This document is a motion for a temporary restraining order and preliminary injunction filed in federal district court. The plaintiffs, which include psychologists, counselors, and counseling organizations, are seeking to immediately restrain the enforcement of a new New Jersey law (A3371) prohibiting "sexual orientation change efforts" on minors. The plaintiffs argue the law violates their free speech and religious rights by prohibiting them from providing counseling to minor clients who want to address unwanted same-sex attractions and prioritize their religious values over their sexual orientation. They are suffering irreparable harm from being unable to provide this counseling. The motion seeks to enjoin enforcement of the law while the case is pending.
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Motion For Temporary Restraining Order and Preliminary Injunction - 1
This document is a motion for a temporary restraining order and preliminary injunction filed in federal district court. The plaintiffs, which include psychologists, counselors, and counseling organizations, are seeking to immediately restrain the enforcement of a new New Jersey law (A3371) prohibiting "sexual orientation change efforts" on minors. The plaintiffs argue the law violates their free speech and religious rights by prohibiting them from providing counseling to minor clients who want to address unwanted same-sex attractions and prioritize their religious values over their sexual orientation. They are suffering irreparable harm from being unable to provide this counseling. The motion seeks to enjoin enforcement of the law while the case is pending.
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Motion for Temporary Restraining Order and Preliminary Injunction - 1
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY TRENTON DIVISION
TARA KING, ED.D., individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC),
Plaintiffs, v.
CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity,
Defendants.
Case No. 13-cv-5038
APPLICATION FOR TEMPORARY RESTRAINING ORDER AND/OR PRELIMINARY INJUNCTION
COME NOW Plaintiffs, DR. TARA KING, DR. RONALD NEWMAN, on behalf of themselves and their patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), the AMERICAN ASSOCIATION OF Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 1 of 26 PageID: 61 Motion for Temporary Restraining Order and Preliminary Injunction - 2
CHRISTIAN COUNSELORS (AACC) (collectively Plaintiffs), by and through the undersigned counsel, and pursuant to Rule 65 of the Federal Rules of Civil Procedure and Local Rule 7.1, move this Court to issue a Temporary Restraining Order and/or a Preliminary Injunction and state: 1. Plaintiffs bring this Application for this Court to immediately restrain the enforcement of New Jersey Assembly Bill Number 3371, An Act concerning the protection of minors from attempts to change sexual orientation, (A3371) from violating their respective federal and state constitutional guarantees of Freedom of Speech, Free Exercise of Religion, and the fundamental right to direct the upbringing of ones child. Governor Christie signed this law on August 19, 2013, it went into effect immediately, and thus time is of the essence to obtain judicial relief because Plaintiffs, their clients, and the members of the Plaintiff Associations are currently suffering immediate and irreparable injury to their most cherished constitutional liberties. 2. Plaintiffs Dr. Tara King, Dr. Ronald Newman, and other NARTH and AACC members and Plaintiffs clients are currently suffering irreparable harm that warrants the issuance of an injunction. A3371 prohibits them from engaging in or referring to a licensed professional who engages in counseling with a minor that honors the clients autonomy and right to self- determination to prioritize his or her religious and moral values above unwanted same-sex sexual attractions, behaviors, or identities. A3371 also prohibits SOCE counseling by a licensed professional to a minor client who wants to align his or her values with a counselor who can address these values, even when the minors parents are in complete agreement with the SOCE counseling. In fact, however, such counseling is protected by the First Amendment and New Jersey constitutional rights. Plaintiff counselors have a First Amendment right to engage in Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 2 of 26 PageID: 62 Motion for Temporary Restraining Order and Preliminary Injunction - 3
constitutionally protected speech with their minor clients, and the clients have the right of self- determination and the right to receive the counsel they desire. This counseling is also protected by the First Amendment right to the free exercise of religion, which includes the clients right to receive counsel based on their religious and moral values. In addition, both Plaintiffs and their clients have the right to engage in this counseling without governmentally imposed and unconstitutional viewpoint-based restrictions. 3. Consequently, Plaintiffs seek immediate injunctive relief restraining Defendants from enforcing A3371 because it violates: (1) the rights of Plaintiffs and their clients to freedom of speech and free exercise of religion, guaranteed by the First and Fourteenth Amendments to the United States Constitution, and (2) the rights of Plaintiffs and their patients to liberty of speech and free exercise and enjoyment of religion, guaranteed by Article I, 3, 5, and 6 of the New Jersey Constitution, and (3) the Fourteenth Amendment rights of the parents of Plaintiffs clients to direct the upbringing of their child. 4. Pursuant to Fed. R. Civ. P. 65(b)(1), Plaintiffs have sufficiently alleged that immediate and irreparable injury is currently being imposed on them and their clients by prohibiting the counseling that both the counselor seeks to provide and the clients wish to receive such that immediate injunctive relief is warranted. 5. Plaintiffs have provided Defendants with notice and a copy of all pleadings via email to the Attorney Generals office. GENERAL FACTUAL ALLEGATIONS 6. Contemporaneous with this Motion, Plaintiffs filed a Complaint seeking Declaratory Judgment, Injunctive Relief, and Damages. Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 3 of 26 PageID: 63 Motion for Temporary Restraining Order and Preliminary Injunction - 4
7. Following the New Jersey Legislatures passage of A3371, Defendant Governor Christie signed A3371 on Monday, August 19, 2013, which amended Title 45 of the Revised Statutes of New Jersey, and the law went into effect immediately. (See Compl. Ex. A). 8. Section 2(a) of A3371 states: A person who is licensed to provide professional counseling under Title 45 of the Revised Statutes, including, but not limited to, a psychiatrist, licensed practicing psychologist, certified social worker, licensed clinical social worker, licensed social worker, licensed marriage and family therapist, certified psychoanalyst, or a person who performs counseling as part of the persons professional training for any of these professions, shall not engage in sexual orientation change efforts with a person under 18 years of age.
9. Section 2(b) of A3371 states: [S]exual orientation change efforts means the practice of seeking to change a persons sexual orientation, including, but not limited to, efforts to change behaviors, gender identity, or gender expressions, or to reduce or eliminate sexual or romantic attractions or feelings toward a person of the same gender; except that sexual orientation change efforts shall not include counseling for a person seeking to transition from one gender to another, or counseling that:
(1) provides acceptance, support, and understanding of a person or facilitates a persons coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices; and
(2) does not seek to change sexual orientation.
10. Section 3 of A3371 states that [t]his act shall take effect immediately.
11. A3371 is currently imposing immediate harm on Plaintiffs and their clients who desire to prioritize their religious and moral values and seek counseling consistent with those values by preventing them from providing or seeking counseling to address the conflict and confusion about or questions concerning their unwanted same-sex attractions, behaviors, or identity and to seek to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity. 12. A3371 directly interferes with Plaintiffs clients fundamental right to self-determination. Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 4 of 26 PageID: 64 Motion for Temporary Restraining Order and Preliminary Injunction - 5
13. A3371 mandates licensed mental health professionals to violate a minor clients right to self-determination by forcing him or her to withhold information that a patient reasonably could use to make informed treatment decisions. 14. By mandating that sexual orientation change efforts (SOCE) counseling options not be discussed or engaged in by licensed mental health professionals counseling a minor client, or even make referrals to other licensed professionals who provide SOCE counseling, Plaintiffs minor clients will not be able to make informed decisions, and the counselors will be violating their ethical codes by imposing their own views and value judgments upon their clients. 15. A3371 mandates that licensed mental health professionals violate their ethical duties by prohibiting them from providing beneficial SOCE counseling to those minor clients who willingly consent to and desire such counseling to alleviate their unwanted same-sex sexual attractions, behaviors, or identity, even when their parents are in full agreement with the counseling. 16. A3371 also violates Plaintiffs constitutional rights to provide counseling consistent with the values and goals of their minor clients free from impermissible viewpoint discrimination and content-based restrictions on their speech. 17. A3371 violate Plaintiffs minor clients First Amendment right to receive information. 18. Plaintiff Dr. Tara King is the founder the King of Hearts Counseling Center in Brick, New Jersey, which is a Christian counseling center that focuses on counseling from a Biblical perspective. (Declaration of Tara King 4). A copy of Dr. Kings declaration is attached hereto as Exhibit A and incorporated herein. Dr. Kings clinic offers counseling on numerous issues, including post traumatic stress disorder, depression, anxiety, mental difficulties, substance abuse, Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 5 of 26 PageID: 65 Motion for Temporary Restraining Order and Preliminary Injunction - 6
grief, anger management, eating disorders, co-dependency, sex/love/relationship addictions, and SOCE counseling, which they offer to both minors and adults. (Id.). 19. Dr. King is a former lesbian who went through SOCE counseling herself, and believes her life is proof that SOCE counseling can and does work for individuals struggling with unwanted same-sex attractions, behaviors, and identity. (Id. 5). In Dr. Kings opinion, based on her training, experience, and personal life story, SOCE counseling is an effective method to assist people who struggle with unwanted same-sex attractions, behaviors, or identity and who desire to conform their attractions, behaviors, and identity to their sincerely held religious beliefs. (Id.). Dr. King was sexually abused as a child and experienced tremendous trauma from that abuse and from the dysfunctional family in which she was raised. (Id. 6). In Dr. Kings opinion and experience, this trauma and sexual abuse were the primary causes of her later developing sexual attractions toward other women. (Id.). 20. At the age of 16, Dr. King was already involved in a same-sex relationship. (Id.). She did not really consider herself a homosexual, even though that is what many others told her she was. (Id.). At age 19, she started therapy for some mental health issues that resulted from her traumatic and dysfunctional childhood, and her therapist was adamant that she was a lesbian, that she was born a lesbian, that she would always be a lesbian, and that she should just accept and embrace it because there was nothing that she could do about it. (Id.). 21. From ages 19-24, Dr. King continued to engage in same-sex relationships as though she was a lesbian. (Id. 17). Dr. King simply did not understand her attractions to women, and no one ever told her that change was possible. (Id.). At age 24, the woman who was her girlfriend at the time told Dr. King that she had heard of counseling that could help people change their unwanted same-sex attractions and that she wanted to try it. (Id.). This was the first time in her Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 6 of 26 PageID: 66 Motion for Temporary Restraining Order and Preliminary Injunction - 7
life that Dr. King had ever heard anyone even mention that change was possible and that a person did not have to continue a homosexual lifestyle if she did not want to do so. (Id.). Dr. Kings therapist and many others constantly told her that she was always going to be a lesbian, but after hearing from her former lover, of all people, she knew that change was possible and wanted to see if she could succeed in changing. (Id.). 22. Dr. King attended Harvest USA, which is a Christian organization that seeks to use the truth of Scripture to help individuals who struggle with unwanted same-sex attractions, behaviors, or identity, and also individuals struggling with other sexual issues such as pornography addictions or sexual addictions. (Id. 8). Dr. King read Steps Out of Homosexuality, by Frank Worthen, who was also a former homosexual who had successfully changed. (Id.). Dr. King began speaking with her former girlfriend about it and discussing her desire to leave the homosexual lifestyle, and that she knew change was possible. (Id.). One day, she broke up with her girlfriend and decided that she was going to change. (Id.). For five summers, Dr. King went to programs of Exodus International, which was an organization helping homosexuals to change. (Id.). She also frequently attended Worthy Creations, which is another group in Florida for former homosexuals, and she began to experience the change that God had brought to her life. (Id.). 23. Dr. King has been changed and reformed from that lifestyle for 23 years now. (Id. 9). Because she knew that change was possible for people struggling with unwanted same-sex attractions, behaviors, or identity, and the peace and emotional, mental, and spiritual health that results from successful change, Dr. King wanted to use her skills in education and counseling to begin to help those individuals who were struggling just as she had struggled. (Id.). She founded the King of Hearts Counseling Center to establish a place where she could assist people with Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 7 of 26 PageID: 67 Motion for Temporary Restraining Order and Preliminary Injunction - 8
many different mental health issues, but also to help individuals who struggle with unwanted same-sex attractions, behaviors, and identity, including minors. (Id.). 24. In her professional practice, Dr. King counsels clients for a variety of presented issues. (Id. 10). She has had homosexual clients seeking help for depression, anxiety, distress, and other issues, who never discussed sexual orientation, or a desire to change, so she counseled them on the issues they chose to discuss with her. (Id.). Mental health counseling is inherently and properly client centered, and professional ethics mandate that mental health professionals counsel patients based solely on the clients objectives and goals. It is unethical to attempt to impose any kind of ideology or framework on a client in counseling, so Dr. King does not even raise SOCE discussions unless a client wants to engage in such counseling. (Id.). 25. Because she testified in front of the Legislature concerning the passage of A3371, one of Dr. Kings existing homosexual clients approached her about why she had never informed her that Dr. King could provide SOCE counseling to her or that change was possible if she desired to reduce or eliminate her unwanted same-sex attractions, behaviors, and identity. (Id. 11). The client was struggling with anxiety on other issues and had expressed that her counseling goals were to alleviate those issues, so Dr. King never brought up SOCE counseling during their sessions. (Id.). Dr. King is happy to engage in SOCE counseling with anyone who desires to change, but it must be what the client requests before Dr. King will begin to engage in such counseling. (Id.). 26. Dr. Kings SOCE counseling is talk therapy and is no different than any other form of mental health counseling. (Id. 12). The parade of horribles derived from aversion techniques, such as electroshock treatments, pornographic viewing, nausea-inducing drugs, etc., are unethical methods of treatment that have not been used by any ethical and licensed mental health Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 8 of 26 PageID: 68 Motion for Temporary Restraining Order and Preliminary Injunction - 9
professional in decades. (Id.). Dr. King testified before the Legislature that mental health professionals who engage in such techniques should have their license revoked, but that just because those outdated and unethical treatments should be prohibited does not mean that client- centered SOCE talk therapy should be banned. (Id.). The SOCE counseling that Dr. King practices is simply the traditional psychodynamic process of looking at root causes, childhood issues, developmental factors, and other things that cause a person to present with all types of physical, mental, emotional, or psychological issues that in turn cause them distress. (Id.). Her SOCE counseling is insight-oriented, just like every other modern form of licensed mental health counseling. (Id.). Indeed, the only difference between Dr. Kings type of mental health counseling and the type of counseling provided by mental health professionals like her former therapist (who insisted that Dr. King was and would always be a lesbian) is that Dr. King believes change is possible, and she is living proof that SOCE counseling can and does work for some who want to change. (Id.). 27. Many of Dr. Kings clients who seek SOCE counseling tell her that their unwanted same- sex attractions, behaviors, and identity can be traced to abuse, trauma, neglect, and unfulfilled gender identity needs. (Id. 13). Many of her clients seeking SOCE counseling were sexually molested. (Id.). Dr. King was a victim of sexual abuse, and in her opinion it was one of the root causes of her same-sex attractions and behaviors. (Id.). In Dr. Kings professional opinion, the notion that people are born homosexual is a lie unsupported by science or reality, and change is possible for those who desire to reduce or eliminate their unwanted same-sex attractions, behaviors, and identity. (Id.). Dr. King also has good friends who are also living proof that change is possible for those who seek and desire it, and that SOCE counseling by licensed professionals can be an effective method by which to achieve such a desired result. (Id.). Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 9 of 26 PageID: 69 Motion for Temporary Restraining Order and Preliminary Injunction - 10
28. Many of Dr. Kings clients, both adult and minor, are Christians and request Christian counseling as part of the SOCE counseling that she provides. A3371 will prohibit Dr. King from practicing her profession and her counseling with these minor clients. (Id. 14). Many of Dr. Kings clients who seek SOCE counseling have reported varying degrees of change from homosexuality to heterosexuality as a result of the counseling. (Id.). Dr. King has had clients comment that after SOCE counseling, they understood exactly the underlying root causes of their unwanted same-sex attractions, behaviors, and identity and why they were distressed or anxious because of those attractions. (Id.). These clients and all minors who seek licensed SOCE counseling will be substantially harmed by A3371 because it will force licensed counselors in New Jersey to immediately cease providing counsel to minors seeking to reduce or eliminate unwanted same-sex attractions, behaviors, and identity. 29. A3371 would arguably prohibit licensed professional counselors from even discussing available treatment options that might help alleviate a minor clients unwanted same-sex attractions, behaviors, or identity because a client might subsequently view even a simple discussion of SOCE counseling as an effort to reduce or eliminate his or her unwanted same-sex attractions, behaviors, or identity and subject the licensed counselor to ethical charges and violations. (Id. 15). A3371 will force counselors to violate a fundamental principle of informed consent. (Id.). Section A.2 of the American Counseling Association Code of Ethics (ACA Code) states that all patients need adequate information about the counseling process, and that the client has the freedom to choose the counseling relationship. (Id.). A3371 will force Dr. King to violate this principle because it will prohibit her from even discussing the availability of SOCE counseling with her minor clients. (Id.). Discussing her personal story, the availability of SOCE counseling, or the notion that she believes change is possible with a minor client could be Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 10 of 26 PageID: 70 Motion for Temporary Restraining Order and Preliminary Injunction - 11
considered an effort to change the clients sexual orientation, which would subject Dr. King to professional ethics violations. (Id.). A3371 will therefore silence Dr. King in her counseling sessions with minors and prohibit her from sharing my personal story with her minor clients and helping those who seek the change that she was able to achieve. (Id.). 30. Dr. King does not force any type of therapy on any of her clients because it would be unethical for her to do so. (Id. 16). She shows her clients unconditional, positive regard and makes it a priority to respect what they believe about themselves concerning their sexual identity. (Id.). A3371, however, will force her to commit an ethical violation by imposing a certain ideologyi.e., the governments ideology against SOCE counselingon all her minor patients who seek SOCE treatment because A3371 only permits counselors to affirm same-sex attractions, behaviors, or identity. (Id.). A3371 arguably precludes counselors from even telling minor clients with unwanted same-sex attractions, behaviors, or identity that there is help available. (Id.). A3371s mandate that she impose the governments ideology regarding same-sex attractions, behavior, or identity is a direct violation of Section A.4.b of the ACA Code, which mandates that mental health counselors avoid imposing values that are inconsistent with counseling goals. (Id.). A3371 forces Dr. King to ignore the minor clients values when those values and sincerely held religious beliefs inform the client that change is possible and that SOCE counseling is an effective method to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity. (Id.). 31. A3371 also forces Dr. King to violate Section A.11 of the ACA Code. (Id. 17). Section A.11.a states that [c]ounselors do not abandon or neglect clients in counseling. (Id.). A3371 mandates that Dr. King abandon her minor clients who seek to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity because she will no longer be able to Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 11 of 26 PageID: 71 Motion for Temporary Restraining Order and Preliminary Injunction - 12
provide the counseling that her clients desire. Section A.11.d mandates that when mental health counselors refer a client to a different practitioner for some course of counseling, that the referring professional ensure that appropriate clinical and administrative processes are completed and open communication is maintained with both clients and practitioners. (Id.). A3371 forces Dr. King to violate this provision as well, because she will no longer have any option of referring a minor client to an appropriate licensed mental health professional. (Id.). 32. A3371 improperly prevents minor clients from obtaining the help that they desire and that Dr. King knows, from personal experience, can benefit them. (Id. 18). Clients who want help for unwanted same-sex attractions, behaviors, or identity should be entitled to make that decision and should not be forced by the government to receive only one position concerning a matter of personal religious conviction. (Id.). The only option for minor clients seeking help with their unwanted same-sex attractions, behaviors, or identity is to retain unlicensed counselors, which defeats the whole purpose of licensing mental health professionals in the first place. (Id.). 33. Dr. Ron Newman received a Doctor of Philosophy degree in Psychoeducational Processes from Temple University in 1990, a Master of Arts degree in Counseling Psychology from Trinity Evangelical Divinity School in 1980, a Bachelors Degree in Psychology from West Virginia University in 1976, and an Associates of Arts degree in Practical Theology from Christ for the Nations Institute in 1978. (Declaration of Ron Newman, 3). A copy of Dr. Newmans declaration is attached hereto as Exhibit B and incorporated herein. Dr. Newman has 32 years of experience as a mental health professional and has been a Licensed Psychologist in the State of New Jersey, since 1995. (Id.). He is currently a member of the American Psychological Association (APA), the New Jersey Psychological Association, the Christian Association for Psychological Studies, NARTH, and AACC. (Id. 6). He is also currently the Program Director Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 12 of 26 PageID: 72 Motion for Temporary Restraining Order and Preliminary Injunction - 13
of the International School of Christian Counseling in Lima, Peru, and he has the primary responsibility for developing the program for that school, which is designed to train Christian counselors in Latin America. (Id.). He has done similar work in the past, including nineteen trips to various South American countries in the last twenty years to teach pastors and counselors about effective mental health counseling methods. (Id.). 34. Dr. Newmans practice is located in two offices at Hammonton, New Jersey and Linwood, New Jersey. (Id. 7). Many of his clients come to him because of his Christian identity and their trust that their Christian values and beliefs will be respected in treatment. (Id.). Dr. Newmans practice is comprised of approximately 35-40 clients per week. (Id.). He counsels individuals and families concerning stress, panic and anxiety, depression, post-traumatic stress disorder, grief, couples/marital counseling, and many other mental health issues that cause people distress, including individuals with unwanted same-sex attractions, behaviors, and identity. (Id.). Dr. Newman has a Biblical worldview, and for those clients who seek counseling from a Christian perspective and desire to conform their counseling goals to their sincerely held religious beliefs, he focuses on Biblical integration in the counseling relationship. (Id.). 35. Part of his practice involves SOCE counseling, sometimes with minors. (Id. 8). Dr. Newman currently has minor clients that are struggling with various issues and seeking counseling that would be prohibited under A3371, and the law is mandating that he provide only one viewpoint to those clients. (Id.). For example, Dr. Newman currently has a minor client who has developed confusion about the clients sexual orientation after engaging in some experimental behavior with a member of the same sex and has raised the issue during their counseling sessions about whether this makes the client a homosexual, which is a situation where A3371 would mandate only one type of counseling. As is true with much of his practice, the Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 13 of 26 PageID: 73 Motion for Temporary Restraining Order and Preliminary Injunction - 14
individuals who seek SOCE counseling from Dr. Newman do so because they have a desire to conform their attractions, behavior, and identity to their sincerely held religious beliefs. (Id.). Many of these individuals seek to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity because their religious beliefs inform them that change is possible. (Id.). Dr. Newmans experience and opinion also inform him that change is possible and he has personally counseled individuals who have successfully reduced or eliminated their unwanted same-sex attractions, behaviors, and identity. (Id.). 36. Dr. Newman's first step in the process of counseling for his patients, including those minor clients with unwanted same-sex attractions, behaviors, and identity, is to discover what the patient and the parents are hoping to achieve with the counseling and to establish a clients goals. (Id. 9). Mental health counseling should be client centered, and the clients goals and objectives must control the counseling relationship. (Id.). When a minor patient does not want to engage in SOCE counseling, Dr. Newmans counseling focus often shifts to helping the parents understand the childs thinking, providing psychoeducation about homosexuality among youth, and working within the parents religious beliefs to help them love and support their child. (Id. 10). Helping parents love their child while valuing their own typically conservative religious faith is a key intervention unique to therapists like Dr. Newman who would be subject to A3371. (Id.). 37. When both the minor client and the parents want SOCE counseling, then Dr. Newman explains to them the nature of such counseling. (Id. 11). He also explains to the client that if at any point in the course of the clients therapy the client decides he or she no longer wants to continue counseling for same-sex attractions, behaviors, or identity, then he or she should inform Dr. Newman immediately because the clients counseling should always be based on the goals and objectives of the client. (Id.). Dr. Newman explains that SOCE counseling has been effective Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 14 of 26 PageID: 74 Motion for Temporary Restraining Order and Preliminary Injunction - 15
for some people with unwanted same-sex attractions, behavior, or identity, but that the counseling can sometimes invoke stress or anxiety about past events or root causes. (Id.). Dr. Newman has counseled a number of individuals for whom SOCE has been effective and successful, but he has also counseled individuals who determined that their same-sex attractions, behaviors, or identities were no longer unwanted but still benefitted from the counseling. (Id.). A3371 prohibits Dr. Newmans minor clients and all minors in New Jersey from receiving any counseling concerning unwanted same-sex attractions, behaviors, or identity from licensed professionals and is currently causing Dr. Newman and his minor patients irreparable injury and harm. 38. Complying with A3371 would force Dr. Newman to violate Section 3.10 of the American Psychological Associations Ethics Code (APA Code), which requires that he provide a patient with all information necessary to make an informed decision concerning a particular course of available counseling. (Id. 12). It would also cause Dr. Newman, when counseling minors regarding sexual attraction issues, to violate General Ethical Principle E of the APA Code, which requires that he ensure the patient the freedom to make a self-determined choice concerning his therapy. (Id.). A3371 will cause him to violate those provisions because its prohibits Dr. Newman from providing detailed information to his minor clients about the available forms of counseling, including SOCE, so that the clients decision to choose a particular form of counseling is properly informed. (Id.). A3371 would also prohibit Dr. Newman from making referrals for his minor clients to other licensed counselors who can provide SOCE. (Id.). However, failure to comply with A3371 will subject him to possible disciplinary action. (Id.). 39. Because A3371 forces Dr. Newman to violate one of his current ethical obligations or violate A3371, which would also be an ethical violation, the law is causing him irreparable harm Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 15 of 26 PageID: 75 Motion for Temporary Restraining Order and Preliminary Injunction - 16
by putting his professional license in jeopardy without providing any clear understanding of how to comply with all of the requirements of the counseling profession while still providing the type of counseling that is consistent with his minor patients sincerely held religious beliefs. (Id. 13). 40. A3371 will also cause Dr. Newman to violate Section 3.06 of the APA Code, by causing him to enter into a relationship where his objectivity is called into question, especially since A3371 mandates that only one ideologyi.e., the governments ideology concerning SOCEbe shared in the counselors office regardless of the minor patients sincerely held religious beliefs, desires, or counseling goals. (Id. 14). 41. A3371 improperly interferes with client autonomy. For those minors who desire SOCE counseling for their unwanted same-sex attractions, behaviors, or identity, implementation of A3371 is causing immediate and irreparable harm by precluding them from accessing helpful counseling from a licensed professional that the clients desire and feel is the only assistance available to help them conform their sexual attractions, behaviors, and identity to their sincerely held religious beliefs. (Id. 15). 42. Plaintiff NARTH is a non-profit, professional, scientific organization organized under the laws of the state of Utah. (Declaration of David Pruden 3). A copy of David Prudens declaration is attached hereto as Exhibit C and incorporated herein. Copies of the declarations of Dr. Christopher Rosik and Dr. Joseph Nicolosi, submitted on behalf of NARTHs Board of Directors and Members are attached hereto as Exhibits D and E and incorporated herein. NARTHs organizational mission is to provide hope and information to those individuals who struggle with unwanted same-sex attractions, behaviors, and identity. (Id.). As an organization, NARTH is engaged in scientific research focusing on homosexuality and therapeutic options for those individuals who might wish to eliminate or reduce their same-sex attractions, behaviors, and identity. (Id.). NARTH provides educational information to those individuals seeking treatment options for unwanted Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 16 of 26 PageID: 76 Motion for Temporary Restraining Order and Preliminary Injunction - 17
same-sex attractions, behaviors, and identity, but respects the rights and autonomy of all of its patients to choose their own destiny in treatment. (Id.). As such, NARTH supports the rights of individuals to seek treatment options such as SOCE, but it does not impose any method of treatment on its clients. (Id. 5-6). 43. NARTH offers a range of services to those clients with unwanted same-sex attractions, behaviors, and identity. It provides an international referral service of licensed therapists offering SOCE counseling. (Id. 4). NARTH is engaged in extensive research concerning individuals who have successfully reduced or eliminated their unwanted same-sex attractions, behaviors, and identity or that sincerely desire to do so and the psychological factors that are typically associated with the homosexual lifestyle. (Id.). NARTH offers scholarly publications and educational information to the general public, it provides various presentations across the country hosted by mental health professionals who specialize in SOCE counseling, and advocates for an open discussion of all views surrounding this area. (Id.). 44. NARTH has licensed members in New Jersey that offer SOCE counseling, including to minors who have lost the ability to continue receiving the SOCE counseling that they desire to receive from licensed NARTH counselors and who will inevitably regress in their course of treatment to eliminate their unwanted same-sex attractions, behaviors, or identity. (Id. 8). NARTHs clients have the right to self-determination to voluntarily seek licensed counseling to align their values and to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity. (Id. 9). A3371 is causing NARTH, its licensed members, and minor clients of its members to suffer immediate and irreparable injury as it is censoring the speech of licensed NARTH members and depriving minor clients of beneficial psychological counseling from a licensed professional. (Id.). Effective Monday, August 19, 2013, the State of New Jersey Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 17 of 26 PageID: 77 Motion for Temporary Restraining Order and Preliminary Injunction - 18
immediately stepped into the office of all licensed mental health professionals in New Jersey and mandated that they provide only one viewpoint on same-sex attractions, behaviors, or identity to their minor clients. (Id.). 45. The APA Task Force Report on SOCE counseling concluded that [s]ame-sex attractions occur in a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome. (Id. 10). A3371 currently prohibits licensed NARTH members from engaging in any practices with their minor clients that seek to change sexual orientation or that seek to reduce or eliminate same-sex sexual attractions, behaviors, or identity. (Id.). This prohibition is virtually impossible to comply with because it is well understood in the mental health profession and conceded by the APA Task Force Report that sexual orientation is difficult to define and encompasses a number of factors, including behavior, practices, identity, and attractions. (Id.). Given that this prohibition specifically deals with a concept the APA Task Force Report concluded was fluid, many NARTH members will be required to guess what practices would be prohibited under the law. (Id.). 46. A3371 also provides no guidance concerning whether licensed NARTH members can refer a minor client to an unlicensed counselor who can engage in SOCE counseling with them without violating some ethical standard. (Id. 11). In fact, it appears that A3371s prohibitions require NARTHs licensed members to encourage any minor client requesting SOCE counseling to avoid engaging in that course of treatment because it is harmful. (Id.). NARTH members have an ethical duty to monitor the progress of any referral while still counseling the client on other issues during the counselor-client relationship. (Id.). It appears that the bill would require licensed NARTH members to not refer any minor client to a person who could practice SOCE Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 18 of 26 PageID: 78 Motion for Temporary Restraining Order and Preliminary Injunction - 19
counseling because it might be a practice that seeks to reduce or eliminate someones unwanted same-sex sexual attractions, behaviors, or identity. (Id.). This type of referral practice is far from clear in the language of A3371, and the law does not provide any guidance on this issue despite placing the counselors professional license in jeopardy for making the wrong conclusion. (Id.). 47. The Legislature and supporters of A3371 have consistently attempted to tie practices that had been used in the distant past with the practices that NARTH members currently use. (Id. 12). NARTH members do not engage in any of the practices that the supporters of A3371 refer to as aversion practices, including electric shock treatments 1 , nausea and vomiting inducing medicine, or shame aversion. (Id.). These types of techniques have been irrelevant in psychotherapy for decades, and it is illogical to attempt to bring these antiquated practices into the discussion of modern practices of licensed professionals involving SOCE. (Id.). The attempt of supporters of A3371 to lump modern therapeutic techniques with these unethical practices is inaccurate and does not describe the therapy currently engaged in with clients by licensed NARTH members. (Id.). 48. A3371 and its supporters make repeated references to the notion that homosexuality is not a mental illness, that it was removed from the Diagnostic and Statistical Manual of Mental Health Disorders, and that it is not a disease that needs to be changed. Nevertheless, this ignores an important reality of the practice of psychotherapy. (Id. 14). NARTH members and many licensed mental health professionals treat and counsel patients on numerous issues that are neither mental illnesses or diseases, but for which large numbers of people seek treatment and
1 Ironically, the APA and other professional organizations that condemn the talk therapy engaged in by NARTH and Plaintiffs here have recently endorsed the use of electroshock therapy (now known as Electroconvulsive Therapy or ECT) for certain mental conditions. See, e.g., http://www.ect.org/resources/apa.html (last accessed 8/19/13).
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counseling, including grief, marital infidelity, etc. (Id.). Additionally, the question of whether psychotherapy can help individuals does not require that what they seek treatment for be a mental illness, nor does the fact that a client seeks to eliminate stress (same-sex attractions, behavior or identity or otherwise) presume or mean or send the message that the client has a mental illness. (Id.). For many people who seek SOCE counseling, homosexuality is an adaptation that causes distress in their lives that they seek to eliminate or reduce. NARTH members are able to help these clients deal with the distress that their unwanted same-sex sexual attractions, behaviors, or identity can bring to their lives and help them deal with the resulting anxiety or pressure that results. (Id.). The notion that SOCE should be banned because homosexuality is not a mental illness is simply flawed and does not reflect the reality of many psychotherapeutic practices. (Id.). 49. Plaintiff AACC was founded in 1989 and now has nearly 50,000 members throughout the world, including in New Jersey. (Declaration of Eric Scalise 5). A copy of Dr. Scalises declaration is attached hereto as Exhibit F and incorporated herein. The AACCs members represent the entire spectrum of care, from lay/pastoral counselors to licensed mental health professionals. AACCs clinical members include Licensed Professional Counselors, Licensed Mental Health Counselors, Licensed Marriage & Family Therapists, Licensed Clinical Social Workers, Licensed Clinical Psychologists, Licensed Substance Abuse Treatment Providers, Clinical Nurse Specialists, and Psychiatrists. (Id. 6). 50. The AACC seeks to encourage and support Christian counseling worldwide; disseminate information, educational resources, and counseling aids; stimulate interaction and mutual growth between mental health practitioners; advocate for the balanced integration of counseling and psychological principles with theology; inspire and offer the highest levels of training and Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 20 of 26 PageID: 80 Motion for Temporary Restraining Order and Preliminary Injunction - 21
continuing education; and promote ethical practice, integrity, sound research, and excellence in the delivery of professional and pastoral services. (Id. 8). The AACCs members opinions and experiences inform them that the professional research literature and a number of peer-reviewed articles demonstrate positive support for the efficacy of faith, spirituality, and religious values as they pertain to treatment outcomes. (Id. 9). The AACCs members opinions and experiences inform them that the research literature supports the notion that when a client receives care within the confines of his/her basic worldview and foundational value systemof which religious affiliation is a significant marker for mosttreatment outcomes are more positive (Fallot, 2001; Hage et al, 2003; Hodge, 2006; Koenig et al., 2001; Larson, 2003). (Id. 10). 51. AACCs members follow the time-honored and foundational ethical value of client self- determination. (Id. 11). A3371 directly and significantly undermines what is considered as a cornerstone principle in mental health counseling. (Id.). This principle can be found in the language of the ethical codes of notable professional member organizations such as the American Psychological Association (APA), the American Counseling Association (ACA), and the American Association of Marriage and Family Therapists (AAMFT), to name a few. (Id.). AACCs members support the position that every client seeking mental health services has the inherent right to participate in counseling that is in alignment with his/her religious beliefs and faith-based values, and furthermore, to have this right vigorously protected. (Id. 12). A3371 places prospective minor clients in an untenable double bind when receiving SOCE counseling, especially when their religious values may inform and direct their behavior, expressions, and identity in a manner contrary to same-sex attractions, behaviors, or identity. (Id. 16). Furthermore, A3371 may, in fact, represent actual harm to the minor client because it does not Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 21 of 26 PageID: 81 Motion for Temporary Restraining Order and Preliminary Injunction - 22
allow the licensed counselor to address these competing values, leaving the client with no means to process the potential inner conflict. (Id.). 52. While acknowledging the current controversy over the implementation of SOCE, the general lack of conclusive research in this area, and the legitimate need for adolescents to receive competent care when addressing issues pertaining to sexual orientation, AACCs members know that A3371 moves far beyond its original intent to protect minor clients and represents a reckless infringement on the religious liberties of anyone needing counseling in this area. (Id. 17). When a clients faith values may be in conflict with other cultural values, especially as they may pertain to the language found in A3371, that ultimately the clientand in the case of a minor, his/her parent or legal guardianhas the moral and ethical right to participate in and determine the appropriate course of care, including alignment with his/her relevant religious beliefs. (Id. 18). A3371 unfairly and unnecessarily discriminates against the religious liberties of the minor client and represents an intrusive and potentially damaging dynamic regarding the delivery of care. (Id. 19). 53. Many AACC members do not practice SOCE counseling exclusively, or in some cases, at all. (Id. 20). Nevertheless, these counselors will be subject to the same prohibitions that experts in SOCE face. (Id.). The APA Task Force Report revealed that not even the experts in this area universally agree on a definition of sexual orientation. (Id.). The APA Report concluded that [s]ame-sex sexual attractions occur in the context of a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome. (Id.). This places a tremendous burden on licensed AACC members, who though lacking expertise in this field, are still at risk of loss of their professional license when a minor client raises the issue of Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 22 of 26 PageID: 82 Motion for Temporary Restraining Order and Preliminary Injunction - 23
unwanted same-sex attractions, behavior, or identity in a counseling session that was not originally understood to be prohibited counseling. (Id.). These AACC members will be left to speculate, at the risk of losing their license, as to exactly what counsel is prohibited by A3371, as well as the definition of sexual orientation and how to apply A3371 to any number of questions that arise when minor clients clearly choose for their attractions, behaviors, or identity to conform to their religious or moral values despite any unwanted sexual attractions, behaviors, or identity. (Id.). 54. A3371 is not just about discussions of sexual orientation, but also those pertaining to a persons behavior that may be incongruent with his or her religious or moral values. (Id. 21). Mental health professionals need the freedom to explore a clients behavior in a manner that incorporates discussions of the clients religious faith or values. (Id.). AACC members will be forced to speculate as to whether the very discussion of minor clients behavior, even though it may be incongruent with ones beliefs and values, would be considered an effort to reduce or eliminate unwanted same-sex attractions, behaviors, or identity. (Id.). The same is true when minor clients plead with a counselor to help them not to identify with a particular sexual orientation. (Id.). Because AACC members are prohibited from such discussions, then counselors and their minor clients are currently experiencing irreparable harm. (Id.). A3371 restricts a licensed mental health provider from freely engaging with a minor client on this subject, regardless of any emotional or psychological duress the client may be experiencing due to the conflict of values, and therefore creates an unacceptable therapeutic double-bind for the client. (Id.). PRAYER FOR RELIEF WHEREFORE, Plaintiffs pray for judgment as follows: Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 23 of 26 PageID: 83 Motion for Temporary Restraining Order and Preliminary Injunction - 24
That this Court immediately issue an injunction, restraining Defendants, Defendants officers, agents, employees, successors, and all persons in active concert or participation with them, from enforcing A3371 so that the status quo will be maintained during the pendency of this action, and: A. Defendants will not use A3371 in any manner to infringe the constitutional and statutory rights of Plaintiffs or other licensed professionals in the counseling of their minor clients or from offering a viewpoint on an otherwise permissible subject matter; B. Defendants will not use A3371 in any manner to prohibit Plaintiffs or other licensed professionals from engaging in SOCE counseling with those minor clients who seek such treatment; C. Defendants will not use A3371 to prohibit Plaintiffs clients and their parents from seeking or receiving SOCE for unwanted same-sex sexual attractions, behaviors, or identity; and D. Defendants will not use A3371 in any manner to punish Plaintiffs, their clients, or others for engaging, referring to, seeking, or receiving SOCE counseling.
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RULE 65(B) CERTIFICATION In accordance with Fed. R. Civ. P. 65(b), Plaintiffs have given notice to Defendants by sending via facsimile a copy of all pleadings filed in this action to the Attorney General of New Jersey.
Respectfully submitted,
/s/ Demetrios Stratis Demetrios Stratis New Jersey Bar No. 022391991 Mathew D. Staver* Stephen M. Crampton* Daniel J. Schmid* Liberty Counsel Attorneys for Plaintiffs P.O. Box 11108 Lynchburg, VA 24502 Tel. 434-592-7000 Fax: 434-592-7700 court@LC.org
* Application to appear Pro Hac Vice pending
Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 25 of 26 PageID: 85 Motion for Temporary Restraining Order and Preliminary Injunction - 26
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing was filed electronically with the court on August 23, 2013. Service will be effectuated by the Courts electronic notification system upon all counsel of record.
/s/ Demetrios Stratis Demetrios Stratis New Jersey Bar No. 022391991
Case 3:13-cv-05038-FLW-LHG Document 3 Filed 08/23/13 Page 26 of 26 PageID: 86 Declaration of Tara King - 1
UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY CAMDEN DIVISION
TARA KING, ED.D., individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC),
Plaintiffs, v.
CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity,
Defendants.
Case No. ________
DECLARATION OF DR. TARA KING I, Dr. Tara King, hereby declare as follows: 1. I am over the age of 18 and am one of the Plaintiffs in this action. The statements in this Declaration are true and correct and if called upon to testify to them I would and could do so competently. 2. I am submitting this Declaration in support of Plaintiffs Motion for a Preliminary Injunction. Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 1 of 7 PageID: 87 Declaration of Tara King - 2
3. I received a Doctor of Education degree in Administration from Nova Southeastern University in 2000. I received a Master of Arts degree in Christian Counseling from Liberty University in 1993, and received another Master of Arts degree in Special Education from New Jersey City University in 2003. In 1987, I received a Bachelor of Arts degree in Counseling from the University of Sioux Falls. In 1999, I became certified as a Licensed Professional Counselor. I am also a specialist in substance abuse related treatment, and have been certified as a Substance Awareness Coordinator and am a Licensed Clinical Alcohol and Drug Counselor. I have extensive experience in helping minors and in being able to meet their needs in both education and counseling. I have served in the education system as both a Special Education Teacher and an Administrator of Schools. That experience gives me a unique perspective and allows me to understand practical approaches to counseling minors and in helping those minors who struggle with unwanted same-sex attractions, behaviors, or identity. My curriculum vitae is attached to this declaration as Attachment A. 4. In 2000, I founded the King of Hearts Counseling Center in Brick, New Jersey, which is a Christian counseling center that focuses on counseling from a Biblical perspective. The mission of King of Hearts Counseling Center is to provide Holistic Health, addressing the emotional, physical, mental, social, and spiritual elements of life and also to integrate the clients sincerely held religious beliefs into the counseling relationship. There are currently two other licensed mental health counselors at King of Hearts. We offer counseling on numerous issues, including post traumatic stress disorder, depression, anxiety, mental difficulties, substance abuse, grief, anger management, eating disorders, co-dependency, sex/love/relationship addictions, and sexual orientation change efforts (SOCE) counseling, which we offer to both minors and adults. 5. I am a former lesbian who went through SOCE counseling, and my life is proof that SOCE counseling can and does work for individuals struggling with unwanted same-sex attractions, behaviors, or identity. In my opinion, based on my training, experience, and personal life story, SOCE counseling is an effective method to assist people who struggle with unwanted same-sex attractions, behaviors, or Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 2 of 7 PageID: 88 Declaration of Tara King - 3
identities and who desire to conform their attractions, behaviors, and identities to their sincerely held religious beliefs. 6. I was sexually abused as a child and experienced tremendous trauma from that abuse and from the dysfunctional family in which I was raised. In my opinion and experience, this trauma and sexual abuse were the primary causes of my later developing sexual attractions towards other women. At the tender age of 16, I was already involved in a same-sex relationship. I did not really consider myself a homosexual and did not define myself as a lesbian, even though that is what many others told me I was. At age 19, I started therapy for some mental health issues that resulted from my traumatic and dysfunctional childhood, and my therapist was adamant that I was a lesbian, that I was born a lesbian, that I would always be a lesbian, and that I should just accept and embrace it because there was nothing that I could do about it. 7. From ages 19-24, I continued to engage in same-sex relationships as though I was a lesbian. I continued with these attractions because no one ever told me that change was possible. When I was 24, the woman who was my girlfriend at the time told me that she had heard of this thing called SOCE counseling and that she wanted to start trying it. This was the first time in my life that I had ever heard anyone even mention that change was possible and that a person did not have to continue a homosexual lifestyle if they did not want to do so. My therapist and many others constantly told me that I was always going to be a lesbian, but after hearing from my former lover, of all people, I knew that change was possible and wanted to see if I could succeed in changing. 8. The ministry I attended is called Harvest USA, which is a Christian organization that seeks to use the truth of Scripture to help individuals who struggle with unwanted same-sex attractions, behaviors, or identity, and also individuals struggling with other sexual issues such as pornography addictions or sexual addictions. It was at this ministry that I began to understand that I could change and that my Christian values could be the priority goal in my life. I began to read Steps Out of Homosexuality by Frank Worthen, who was also a former homosexual who had successfully changed. I began speaking with my girlfriend about it and discussing my desire to leave the homosexual lifestyle, and that I knew change was Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 3 of 7 PageID: 89 Declaration of Tara King - 4
possible. That day, I broke up with my girlfriend and decided that I was going to change. For five summers, I went to programs of Exodus International, which was an organization helping homosexuals to change. I also frequently attended Worthy Creations, which is another group in Florida for former homosexuals, and I began to experience the change that God had brought to my life. 9. I have been changed and reformed from that lifestyle for 23 years now. Because I knew that change was possible for people struggling with unwanted same-sex attractions, behaviors, or identities, and the peace and emotional, mental and spiritual health that results from successful change, I wanted to use my skills in education and counseling to begin to help those individuals who were struggling just as I had struggled. I founded the King of Hearts Counseling Center to establish a place where I could assist people with many different mental health issues, but also to help individuals who struggle with unwanted same-sex attractions, behaviors, or identity. 10. In my professional practice, I counsel clients for a variety of presented issues. I have had homosexual clients seeking help for depression, anxiety, distress, and other issues, that never discussed sexual orientation, or a desire to change, but I counseled them on the issues they chose to discuss with me. Mental health counseling is inherently and properly client centered, and professional ethics mandate that mental health professionals counsel patients based solely on the clients objectives and goals. It is unethical to attempt to impose any kind of ideology or framework on a client in counseling, so I do not even raise SOCE discussions unless a client wants to engage in such counseling. 11. Because I had testified in front of the legislature concerning the passage of A3371, one of my existing homosexual clients approached me about why I had never informed her that I could provide SOCE counseling to her or that change was possible if she desired to reduce or eliminate her unwanted same-sex sexual attractions, behaviors, or identity. She was struggling with anxiety on other issues and had expressed that her counseling goals were to alleviate those issues, so I never brought up SOCE counseling during our sessions. I am happy to engage in SOCE counseling with anyone who desires to change, but I do not force such counseling on anyone. It must be what the client requests before I will begin to engage in such counseling. Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 4 of 7 PageID: 90 Declaration of Tara King - 5
12. SOCE counseling is talk therapy. It is no different than any other form of mental health counseling. The parade of horribles of aversion techniques, such as electroshock treatments, pornographic viewing, nausea-inducing drugs, etc. are unethical methods of treatment that have not been used by any ethical and licensed mental health professional in decades. Mental health professionals who engage in such techniques should have their licenses revoked. Nevertheless, just because those outdated and unethical treatments should be prohibited does not mean that client centered SOCE talk therapy should be banned. The SOCE counseling that I practice is simply the traditional psychodynamic process of looking at root causes, childhood issues, developmental factors, and other things that cause a person to present with all types of physical, mental, emotional, or psychological issues that in turn cause them distress. This type of SOCE counseling is insight-oriented, just like every other modern form of mental health counseling, and it should not be banned simply because some people disagree with the fact that change is possible. Indeed, the only difference between my type of mental health counseling and the type of counseling provided by mental health professionals like my former therapist (who insisted that I was and would always be a lesbian) is that I believe change is possible, and I am living proof that SOCE counseling can and does work for some who want to change. 13. Many of my clients who seek SOCE counseling tell me that their unwanted same-sex attractions, behavior, or identity can be traced to abuse, trauma, neglect, and unfulfilled gender identity needs. Many of my clients seeking SOCE counseling were sexually molested. I was a victim of sexual abuse, and in my opinion it was one of the root causes of my same-sex attractions. In my professional opinion, the notion that people are born homosexual is a lie unsupported by science or reality, and change is possible for those who desire to reduce or eliminate their unwanted same-sex attractions, behavior, or identity. I have good friends who are also living proof that change is possible for those who seek and desire it, and that SOCE counseling can be an effective method by which to achieve such a desired result. 14. Many of my clients, both adult and minor, are Christians and request Christian counseling as part of the SOCE counseling that I provide. A3371 will prohibit me from practicing my profession and my counseling with these clients according to the sincerely held religious beliefs that both my clients and I Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 5 of 7 PageID: 91 Declaration of Tara King - 6
have. Many of my clients who seek SOCE counseling have reported varying degrees of change from homosexuality to heterosexuality as a result of the counseling. I have had clients comment that after SOCE counseling, they understood exactly the underlying root causes of their unwanted same-sex attractions, behavior, or identity and why they were distressed or anxious because of it. 15. A3371 would prohibit professional counselors from even discussing available treatment options that might help alleviate a clients unwanted same-sex attractions, behaviors, or identity because a client might subsequently view even a simple discussion of SOCE counseling as an effort to reduce or eliminate his or her unwanted same-sex attractions, behaviors, or identity and subject the counselor to ethical charges and violations. A3371 will force counselors to violate a fundamental principle of informed consent. Section A.2 of the American Counseling Association Code of Ethics (ACA Code) states that all patients need adequate information about the counseling process, and that the client has the freedom to choose the counseling relationship. A3371 will force me to violate this principle because it will prohibit me from even discussing the availability of SOCE counseling. Discussing my personal story, the availability of SOCE counseling, or the notion that I believe change is possible could be considered an effort to change a clients sexual orientation, which would subject me to professional ethics violations. A3371 will therefore silence me in my counseling sessions and prohibit me from sharing my personal story with my clients and helping those who seek the change that I was able to achieve. 16. I do not force any type of therapy on any of my clients because it would be unethical for me to do so. I show my clients unconditional, positive regard and make it a priority to respect what they believe about themselves concerning their sexual identity. A3371, however, will force me to commit an ethical violation by imposing a certain ideologyi.e., the governments ideology against SOCE counselingon all my patients who seek SOCE treatment because A3371 only permits counselors to affirm same-sex attractions. It arguably precludes counselors from even telling clients with unwanted same-sex attractions that there is help available. A3371s mandate that I impose the governments ideology regarding same- sex attractions is a direct violation of Section A.4.b of the ACA Code, which mandates that mental health counselors avoid imposing values that are inconsistent with counseling goals. A3371 forces me to Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 6 of 7 PageID: 92 Declaration of Tara King - 7
ignore the clients values when those values and sincerely held religious beliefs inform the client that change is possible and that SOCE counseling is an effective method to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity. 17. A3371 also forces me to violate Section A.11 of the ACA Code. Section A.11.a states that [c]ounselors do not abandon or neglect clients in counseling. A3371 mandates that I abandon my clients who seek to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity because I will no longer be able to provide the counseling that my clients desire. Section A.11.d mandates that when mental health counselors refer a client to a different practitioner for some course of counseling, that the referring professional ensure that appropriate clinical and administrative processes are completed and open communication is maintained with both clients and practitioners. A3371 forces me to violate this provision as well, because I will no longer have any option of referring a client to an appropriate licensed mental health professional. 18. A3371 improperly prevents clients from obtaining the help that they desire and that I know, from personal experience, can benefit them. Clients who want help for unwanted same-sex attractions, behaviors, or identity should be entitled to make that decision and should not be forced by the government to receive only one position concerning a matter of personal religious conviction. The only option for clients seeking help with their unwanted same-sex attractions, behaviors, or identity is to retain unlicensed counselors, which defeats the whole purpose of licensing mental health professionals in the first place. I declare under penalty of perjury of the laws of the United States and New Jersey that the foregoing statements are true and accurate. Executed this ___20th__ day of August, 2013.
Case 3:13-cv-05038-FLW-LHG Document 3-1 Filed 08/23/13 Page 7 of 7 PageID: 93 Declaration of Ron Newman, Ph.D. - 1
UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY CAMDEN DIVISION
TARA KING, ED.D, individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC), Plaintiffs,
v.
CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity, Defendants.
Case No. ________
DECLARATION OF DR. RONALD NEWMAN I, Dr. Ron Newman, hereby declare as follows: Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 1 of 7 PageID: 94 Declaration of Ron Newman, Ph.D. - 2
1. I am over the age of 18 and am one of the Plaintiffs in this action. The statements in this Declaration are true and correct and if called upon to testify to them I would and could do so competently. 2. I am submitting this Declaration in support of Plaintiffs Motion for a Temporary Restraining Order and Preliminary Injunction. 3. I received a Doctor of Philosophy degree in Psychoeducational Processes from Temple University in 1990. I received a Master of Arts degree in Counseling Psychology from Trinity Evangelical Divinity School in 1980, a Bachelors Degree in Psychology from West Virginia University in 1976, and an Associates of Arts degree in Practical Theology from Christ for the Nations Institute in 1978. I have over 33 years of experience as a mental health professional and have been a Licensed Psychologist (NJ Lic. # 03257) in the State of New Jersey, since 1995. I am a Board Certified Professional Christian Counselor through the American Association of Christian Counselors. My Resume is attached to this declaration as Attachment A. 4. I am the Founder of the Christian Counseling Consortium of South Jersey (CCC), which is an active group of approximately 50 licensed and unlicensed mental health professionals, counselors, and pastors committed to engaging in counseling from a Christian perspective founded on the truths inherent in Scripture and with approximately 200 people who have expressed an interest and are on our mailing list. I founded the CCC in 1998 to provide a forum for mental health professionals and counselors to come together to focus on and discuss contemporary issues of concern and to provide mutual support to church counselors, Christian mental health professionals, and pastors. The CCC offers Christ-centered training for licensed mental health professionals and others involved in Christian counseling, mental health, and spiritual formation. Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 2 of 7 PageID: 95 Declaration of Ron Newman, Ph.D. - 3
5. The CCCs mission is to encourage and support one another in our service to Jesus Christ through the ministry and/or vocation of Christian counseling, as well as cooperate in serving the body of Christ and the community at large. This mission is derived from Galatians 6:9-10, which states let us not grow weary in well doing; for in due season we shall reap, if we faint not. As we have therefore opportunity, let us do good unto all men, especially unto them who are of the household of faith. The CCC purpose is to carry this Scriptural command into the field of mental health counseling. This is accomplished purpose through prayer, fellowship, sharing resources, mutual case-consultations, jointly sponsoring educational and training events, and other creative responses to the needs of the community and the individuals who seek mental health counseling in accordance with their sincerely held religious beliefs. Those who participate in the CCC seek to help people in need of counseling consistent with their religious beliefs, which also includes individuals seeking assistance with unwanted same-sex attractions, behaviors, or identitysome of whom are minors. 6. I am currently a member of the American Psychological Association (APA), the New Jersey Psychological Association (NJPA), the Christian Association for Psychological Studies (CAPS), the National Association for Research and Therapy of Homosexuality (NARTH), and the American Association of Christian Counselors (AACC). I have made nineteen trips to various South American countries in the last twenty years to teach pastors and counselors about effective mental health counseling methods. In the past year, I became the Program Director of the new International School of Christian Counseling in Lima, Peru, and have the primary responsibility for developing this program which is designed to train Christian counselors in Latin America. Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 3 of 7 PageID: 96 Declaration of Ron Newman, Ph.D. - 4
7. My practice is located at two offices in Hammonton, New Jersey and Linwood, New Jersey. Many of my clients come to me because of my Christian identity and their trust that their Christian values and beliefs will be respected in treatment. My practice is comprised of approximately 35 - 40 clients per week. I counsel individuals and families concerning stress, panic and anxiety, depression, post-traumatic stress disorder, grief, couples/marital counseling, and many other mental health issues that cause people distress, including individuals with unwanted same-sex attractions. I have a Biblical worldview, and for those clients who seek counseling from a Christian perspective and desire to conform their counseling goals with their sincerely held religious beliefs, I focus on Biblical integration in the counseling relationships which I form with them. 8. Part of my practice involves what is often called sexual orientation change efforts (SOCE) counseling, sometimes with minors. I currently have clients who are struggling with issues that would fall under the prohibitions outlined in A3371, and the law is mandating that I provide only one viewpoint in my counseling with those minor clients. For example, I currently have a minor client who has developed confusion about the clients sexual orientation after engaging in some experimental behavior with a member of the same sex and has raised the issue during our counseling sessions about whether this makes the client a homosexual, which is a situation where A3371 would mandate only one type of counseling. As is true with much of my practice, the individuals who seek SOCE counseling from me do so because they have a desire to conform their attractions, behavior, and identity to their sincerely held religious beliefs. Many of these individuals seek to reduce or eliminate their unwanted same-sex attractions because their religious beliefs inform them that change is possible. I also believe that change is possible and Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 4 of 7 PageID: 97 Declaration of Ron Newman, Ph.D. - 5
have personally counseled individuals who have successfully reduced or eliminated their unwanted same-sex attractions, behaviors, or identity. 9. My first step in the process of counseling for my patients, including those minor clients with unwanted same-sex attractions, behaviors, or identity is to discover what the patient and the parents are hoping to achieve with the counseling and to establish a clients goals. Mental health counseling should be client centered, and the clients goals and objectives must control the counseling relationship. 10. When a minor patient does not want to engage in SOCE counseling, my counseling focus often shifts to helping the parents understand the childs thinking, providing psychoeducation about homosexuality among youth, and working within the parents religious beliefs to help them love and support their child. Helping parents love their child while valuing their own typically conservative religious faith is key intervention I believe unique to therapists like me who would be subject to A3371. 11. When both the minor client and the parents want SOCE counseling, then I explain to them the nature of such counseling. I also explain to the client that if at any point in the course of the clients therapy the client decides he no longer wants to continue counseling for same-sex attractions, behaviors, or identity, then he should inform me immediately because the clients counseling should always be based on the goals and objectives of the client. I explain that SOCE counseling has been effective for some people with unwanted same-sex attractions, behavior, or identity, but that the counseling can sometimes invoke stress or anxiety about past events or root causes. I have counseled a number of individuals for whom SOCE has been effective and successful, but I have also counseled individuals who determined that their same-sex attractions, Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 5 of 7 PageID: 98 Declaration of Ron Newman, Ph.D. - 6
behaviors, or identities were no longer unwanted. Many of the individuals I counseled that decided to stop the SOCE counseling still benefited from the counseling sessions. 12. Complying with A3371 would cause me to violate Section 3.10 of the American Psychological Associations Ethics Code (APA Code), which requires that I provide a patient with all information necessary to make an informed decision concerning a particular course of available counseling. It would also cause me to infringe General Ethical Principle E of the APA Code requiring that I ensure the patient the freedom to make a self-determined choice concerning his therapy. A3371 will cause me to violate those provisions because its prohibits me from providing detailed information to my clients about the available forms of counseling, including SOCE, so that the clients decision to choose a particular form of counseling is properly informed. A3371 would also prohibit me from making referrals to other licensed counselors who can provide SOCE. However, failure to comply with A3371 will subject me to possible disciplinary action. 13. Because A3371 forces me to violate one of my current ethical obligations or violate A3371, which would also be an ethical violation, the law is certain to cause irreparable harm to my practice by putting my professional license in jeopardy without providing any clear understanding of how to comply with all of the requirements of the counseling profession while still providing the type of counseling that is consistent with my minor patients sincerely held religious beliefs. 14. A3371 will also cause me to violate Section 3.06 of the APA Code by causing me to enter into a relationship where my objectivity is called into question, especially since A3371 mandates that only one ideologyi.e., the governments ideology concerning SOCEbe shared Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 6 of 7 PageID: 99 Declaration of Ron Newman, Ph.D. - 7
in the counselors office regardless of the patients sincerely held religious beliefs, desires, or counseling goals. 15. A3371 improperly interferes with client autonomy. For those minors who desire SOCE counseling for their unwanted same-sex attractions, behaviors, or identity, implementation of A3371 will cause immediate and irreparable harm by precluding them from accessing helpful counseling from a licensed professional that the client desires and feels is the only assistance available to help them conform their sexual attractions, behaviors, and identity to their sincerely held religious beliefs. I declare under penalty of perjury under the laws of the United States and the State of New Jersey that the foregoing statements are true and accurate.
Executed this _20th__ day of August, 2013.
Case 3:13-cv-05038-FLW-LHG Document 3-2 Filed 08/23/13 Page 7 of 7 PageID: 100 UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY CAMDEN DIVISION TARA KING, ED.D., individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC), Plaintiffs, v. CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity, Defendants. CaseNo. __ _ DECLARA TION OF DAVID PRUDEN I, David Pruden, hereby declare as follows: Declaration of David Pruden - 1 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 1 of 6 PageID: 101 1. I am over the age of 18 and am submitting this Declaration on behalf of NARTH, one of the Plaintiffs in this action. The statements in this Declaration are true and correct and if called upon to testify to them I would and could do so competently. 2. I am submitting this Declaration in support of Plaintiffs' Motion for a Temporary Restraining Order and a Preliminary Injunction. 3. I am the Vice President of Operations for the National Association for Research and Therapy of Homosexuality (NARTH). NARTH has hundreds of affiliated counselors, psychologists, and psychotherapists, and seventeen of those members practice in New Jersey. NARTH is a professional, scientific organization that offers hope to those who struggle with unwanted same-sex attractions, behavior, or identity. As an organization, NARTH disseminates educational information, conducts and collects scientific research, promotes effective therapeutic counseling, and provides international referrals to those who seek its assistance. 4. NARTH is engaged in extensive research concerning individuals who have successfully reduced or eliminated their unwanted same-sex attractions, behavior, or identity and the psychological factors that are typically associated with a homosexual lifestyle. NARTH offers scholarly publications and educational information to the general public. NARTH provides various presentations across the country hosted by mental health professionals who specialize in what is referred to in A3371 as sexual orientation change efforts ("SOCE") counseling. 5. NARTH advocates for an open discussion of all viewpoints concerning SOCE counseling and its potential benefits or harms to patients. NARTH supports the rights of individuals with unwanted same-sex attractions, behavior, or identity, including minors, to receive effective psychological care, including SOCE counseling, and the rights of professionals to offer that care. Declaration of David Pruden - 2 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 2 of 6 PageID: 102 6. NARTH does not advocate for or support imposing its ideology on any patient and seeks to offer the course of counseling desired by the patient in accordance with the patient's right to self-determination. 7. A3371 prohibits mental health providers from engaging in SOCE counseling, defined as "the practice of seeking to change a person's sexual orientation, including, but not limited to, efforts to change behaviors, gender identity, or gender expressions, or to reduce or eliminate sexual or romantic attractions or feelings toward a person of the same gender." NARTH's dissemination of educational information regarding same-sex attractions, behavior, or identity and promotion of effective therapeutic counseling for those with unwanted same-sex attractions, behavior, or identity appears to fall within the category of conduct A3371 prohibits. Disseminating information about, and providing referrals for, SOCE counseling would place its licensed professional members at risk of being found in violation of their respective professional codes of conduct. 8. NARTH members currently have clients who receive SOCE counseling in New Jersey. Some of the clients of NARTH members are minors who would lose all ability to continue receiving the SOCE counseling that they desire. These minor clients would suffer regression in their course of counseling as a result of their counselors being prohibited from continuing to offer the counseling desired by the client. Even though A3371 has become law, NARTH members will continue to have minor clients approach them concerning a desire to reduce or eliminate unwanted same-sex attractions, behavior, or identity. In fact, some NARTH members report that five to ten percent of their practices involve SOCE counseling and that nearly half of those seeking such counseling are minors. Declaration of David Pruden - 3 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 3 of 6 PageID: 103 9. NARTH's clients have the right to self-determination to voluntarily seek counseling to align their values and to reduce or eliminate their unwanted same-sex attractions, behaviors, or identity. A3371 is causing NARTH, its members, and clients of its members to suffer immediate and irreparable injury as it will censor the speech of NARTH members and deprive minor clients of beneficial psychological counseling from a licensed professional. Effective Monday, August 19, 2013, the State of New Jersey immediately stepped into the office of all licensed mental health professionals in New Jersey and mandated that they provide only one viewpoint on same- sex attractions, behaviors, or identity. 10. The APA Task Force Report on SOCE counseling concluded that "[s]ame-sex attractions occur in a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome." A3371 currently prohibits NARTH members from engaging in any practices that seek to change sexual orientation or that seek to reduce or eliminate same-sex sexual attractions, behaviors, or identity. This prohibition is virtually impossible to comply with because it is well understood in the mental health profession and conceded by the APA Task Force Report, that sexual orientation is difficult to define and encompasses a number of factors, including behavior, practices, identity, and attractions. Given that this prohibition specifically deals with a concept the APA Task Force Report concluded was "fluid," many NARTH members will be required to guess at what practices would be prohibited under the law. 11. A3371 also provides no guidance concerning whether NARTH members can refer a client to an unlicensed counselor who can engage in SOCE counseling with them without violating some ethical standard. In fact, it appears that A3371 's prohibitions would require our members to encourage any client requesting SOCE counseling to avoid engaging in that course Declaration of David Pruden - 4 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 4 of 6 PageID: 104 of treatment because it is harmful. NARTH members have an ethical duty to monitor the progress of any referral while still counseling the client on other issues during the counselor- client relationship. It appears that the bill would require NARTH members to not refer any client to a person who could practice SOCE counseling because it might be a practice that seeks to reduce or eliminate someone's unwanted same-sex sexual attractions, behaviors, or identity. This type of referral practice is far from clear in the language of A3371 and does not provide me any guidance on this issue despite placing my professional license in jeopardy for making the wrong conclusion. 12. The Legislature and supporters of A3371 have consistently attempted to tie practices that had been used in the distant past with the practices that NARTH members currently use. NARTH members do not engage in any of the practices that the supporters of A3371 refer to as "aversion practices," including electric shock treatments, nausea and vomiting inducing medicine, or shame aversion. These types of techniques have been irrelevant in psychotherapy for decades, and it is illogical to attempt to bring these antiquated practices into the discussion of modem practices involving SOCE. The attempt of supporters of A3371 to lump modem therapeutic techniques with these unethical practices is inaccurate and does not describe the therapy currently engaged in with clients by NARTH members. 13. A3371 and its supporters make repeated references the notion that homosexuality is not a mental illness, that it was removed from the Diagnostic and Statistical Manual of Mental Health Disorders, and that it is not a disease that needs to be changed. Nevertheless, this ignores an important reality of the practice of psychotherapy. NARTH members and many of mental health professionals treat and counsel patients on numerous things that are neither mental illnesses or diseases. Some examples of things NARTH members and other professionals counsel clients Declaration of David Pruden - 5 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 5 of 6 PageID: 105 concerning are pornography addictions, marital infidelity, masturbation obsessions, and promiscuous lifestyles such as "swinging." None of these are mental illnesses, yet large numbers of people seek treatment and counseling for them. Additionally, the question of whether psychotherapy can help an individual does not require that what they seek treatment for be a mental illness, nor does the fact a client seeks to eliminate stress (same-sex attractions, behavior or identity or otherwise), presume or mean or send the message that the client has a mental illness. For many people who seek SOCE, homosexuality is an adaptation that causes distress in their lives and that they seek to eliminate or reduce. NARTH members are able to help these clients deal with the distress that their unwanted same-sex sexual attractions, behaviors, or identity can bring to their lives and help them deal with the resulting anxiety or pressure that results. The notion that SOCE should be banned because homosexuality is not a mental illness is simply flawed and does not reflect the reality of many psychotherapeutic practices I declare under penalty of perjury of the laws of the United States and New Jersey that the foregoing statements are true and accurate. Executed this "to day of August, 2013. David Pruden Declaration of David Pruden - 6 Case 3:13-cv-05038-FLW-LHG Document 3-3 Filed 08/23/13 Page 6 of 6 PageID: 106 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 1 of 44 PageID: 107 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 2 of 44 PageID: 108 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 3 of 44 PageID: 109 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 4 of 44 PageID: 110 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 5 of 44 PageID: 111 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 6 of 44 PageID: 112 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 7 of 44 PageID: 113 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 8 of 44 PageID: 114 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 9 of 44 PageID: 115 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 10 of 44 PageID: 116 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 11 of 44 PageID: 117 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 12 of 44 PageID: 118 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 13 of 44 PageID: 119 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 14 of 44 PageID: 120 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 15 of 44 PageID: 121 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 16 of 44 PageID: 122 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 17 of 44 PageID: 123 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 18 of 44 PageID: 124 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 19 of 44 PageID: 125 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 20 of 44 PageID: 126 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 21 of 44 PageID: 127 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 22 of 44 PageID: 128 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 23 of 44 PageID: 129 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 24 of 44 PageID: 130 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 25 of 44 PageID: 131 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 26 of 44 PageID: 132 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 27 of 44 PageID: 133 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 28 of 44 PageID: 134 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 29 of 44 PageID: 135 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 30 of 44 PageID: 136 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 31 of 44 PageID: 137 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 32 of 44 PageID: 138 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 33 of 44 PageID: 139 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 34 of 44 PageID: 140 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 35 of 44 PageID: 141 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 36 of 44 PageID: 142 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 37 of 44 PageID: 143 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 38 of 44 PageID: 144 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 39 of 44 PageID: 145 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 40 of 44 PageID: 146 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 41 of 44 PageID: 147 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 42 of 44 PageID: 148 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 43 of 44 PageID: 149 Case 3:13-cv-05038-FLW-LHG Document 3-4 Filed 08/23/13 Page 44 of 44 PageID: 150 Declaration of Dr. Joseph Nicolosi - 1
UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY CAMDEN DIVISION
TARA KING, ED.D., individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC),
Plaintiffs, v.
CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity,
Proponents of A3371s.
Case No. ________
DECLARATION OF DR. JOSEPH NICOLOSI I, Joseph Nicolosi, hereby declare as follows: Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 1 of 18 PageID: 151 Declaration of Dr. Joseph Nicolosi - 2
1. I am over the age of 18 and am submitting this Declaration as expert testimony on behalf of NARTH members and the NARTH Board of Directors. The statements in this Declaration are true and correct and if called upon to testify to them I would and could do so competently. 2. I am submitting this Declaration in support of Plaintiffs Motion for a Temporary Restraining Order and a Preliminary Injunction. BACKGROUND 3. I have been a licensed psychologist in California since 1980. I have a Bachelor of Arts Degree in Psychology from Long Island University. I received my Masters of Arts degree in Psychology from the New School for Social Research and my Doctor of Philosophy in Clinical Psychology from the California School of Professional Psychology. I am the Founder and Clinical Director of Thomas Aquinas Psychological Clinic in Encino, California, which is a clinic providing mental health counseling currently to 135 clients. Ninety percent of those clients are individuals struggling with unwanted same-sex attractions, behaviors, and identity, and sixty percent are teenagers. While the Clinic specializes in helping people with unwanted same-sex attractions, behaviors, and identity, the four mental health professionals providing service at the clinic do counsel on any issue for which the client is seeking help. 4. I am one of the three founding members and a former president of the NARTH, which is a professional, scientific organization that offers hope to those who struggle with same sex attractions by providing information, counseling, research, and referrals. I have published numerous books, articles, and other scholarly works on the topic of homosexuality and the course of treatment for those individuals who seek to reduce or eliminate their unwanted same- sex attractions. In my practice, I specialize in the treatment and counseling of males who struggle with unwanted same-sex attractions. Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 2 of 18 PageID: 152 Declaration of Dr. Joseph Nicolosi - 3
5. In addition to the numerous books and scholarly articles that I have written and the extensive education I have received in the United States, I have also participated in numerous international training seminars occurring all over the world in places including Germany, Italy, England, Mexico, and Poland. 6. My background and experience in the field of clinical psychology and a list of my published articles, books, and book chapters are described in my curriculum vitae, which is attached to this Declaration as Exhibit A. DESCRIPTION OF PRACTICE AND INFORMED CONSENT 7. Prior to engaging in SOCE counseling with patients, I and most NARTH members provide clients with a consent form that outlines the nature of the treatment, the potential benefits and risks, including the fact that some psychotherapists believe that sexual orientation cannot or should not be changed, and informs the client that success in any method of psychotherapy is not guaranteed and could potentially be harmful. In my consent form, I explicitly state that I do not, nor does anyone at my clinic, provide gay-affirming treatment and that clients should seek an alternative therapist to help them if that is their stated objective. 8. I and most NARTH members also explain that if at any point in the course of the clients therapy, the client decides that he no longer wants therapy for unwanted same-sex attractions, behaviors, or identity, then he should inform the counselor immediately because a clients course of treatment should always be based on his objectives. Related to this, I explain that if the client decides during the course of SOCE counseling that he wants therapy that affirms his same-sex attractions, behaviors, or identity, then it would be best for the client to seek an alternative therapist. Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 3 of 18 PageID: 153 Declaration of Dr. Joseph Nicolosi - 4
9. I and most NARTH members explain to our clients that the nature of SOCE counseling is such that many people report benefits from the counseling, but that it can invoke initial feelings of stress and anxiety; that many experience a reduction in same-sex attractions, behaviors, or identity; and that often a person will continue to experience some level same-sex attractions, behaviors, or identity even after therapy. I explain that as with other issues people face in their lives, many people report that their recognition of their heterosexual potential and identity is a lifelong process that continues with them after therapy. 10. My SOCE counseling consists of discussions with the client concerning the nature and cause of their unwanted same-sex sexual attractions, behaviors, or identity; the extent of these attractions, behaviors, or identity; assistance in understanding traditional, gender-appropriate behaviors and characteristics; and assistance in fostering and developing those gender- appropriate behaviors and characteristics. 11. Most of the patients with unwanted same-sex sexual attractions, behaviors, or identity who seek SOCE do so to develop and foster healthy, heterosexual relationships and seek the elimination or reduction of their unwanted same-sex sexual attractions, behaviors, or identity. I have had many clients who, through SOCE counseling, have been able to succeed in reducing their unwanted same-sex attractions, behaviors, or identity and have reported a marked increase in their recognition of their heterosexual potential. 12. I have also had clients who decided that they wanted to remain in the homosexual lifestyle, but report that SOCE counseling helped them to understand the nature of their homosexual identity and, as a result, were able to better cope with that identity after SOCE counseling. These same clients who decide to remain in the homosexual lifestyle have reported that they experienced no harm as a result of SOCE counseling. Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 4 of 18 PageID: 154 Declaration of Dr. Joseph Nicolosi - 5
THE A3371 SOCE BAN IS NOT SUPPORTED BY THE REPORT OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION TASK FORCE ON APPROPRIATE THERAPEUTIC RESPONSES TO SEXUAL ORIENTATION
13. The underlying foundation for a ban on SOCE as set forth in A3371 is the unfounded reliance by A3371 proponents upon the Report of the American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (the APA Report). 14. The APA Report, however, has countless methodological flaws and reaches erroneous conclusions because of the ideological persuasion of the Task Force members who drafted it. The first evidence of the flaws in the methodology behind the APA Report is that it included no practitioners of sexual orientation change efforts (SOCE) counseling. In fact, the APA rejected every practitioner of SOCE counseling that applied for membership on the Task Force. Many of the applicants that the APA rejected were prominent scholars in the field of same-sex attractions, behaviors, and identity, and SOCE counseling, including A. Dean Byrd, Ph.D., George Rekers, Ph.D., Stanton Jones, Ph.D., Mark Yarhouse, Ph.D., and me. 15. The APA violated long-established scientific principles by intentionally rejecting all practitioners of SOCE and prohibiting the participation of individuals with differing views, values, and practice. The scientific methodology used by the Task Force is flawed because the only voices included in the APA Report are well known for their disapproval of any efforts by homosexual individuals to seek change, even when those individuals seek such change in order to live in accordance with their sincerely-held religious or moral beliefs. Even the proponents of anti-SOCE legislation like A3371 attest to the need for objective and unbiased opinion when conducting a study of this nature. 16. The scientific bias of the APA Report is evidenced by four specific factors. First, the APA Report failed to review the well-documented psychological and medical health risks Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 5 of 18 PageID: 155 Declaration of Dr. Joseph Nicolosi - 6
associated with homosexual and bisexual behavior. Neil E. Whitehead, Homosexuality and Co- Morbidity: Research and Therapeutic Implications, The Journal of Human Sexuality II, 156 (2010) (recent studies have found essentially the same suicide rates for same-sex attracted people in the US as other countries with decades of acceptance of people with same-sex attractions, behaviors, or identity) (A copy of this Article is attached as Exhibit B). Second, the APA Report failed to consider the factors associated with the development of homosexual attractions and merely assumed that homosexuality is as developmentally normal as heterosexuality. Yet, the APA Report would concede that the causes of homosexuality are unknown. Third, the APA Report did not study individuals who reported success from SOCE counseling, apparently because it considered change unnecessary and undesirable. Fourth, the APA Report elevated the standard for success in treatment for unwanted same-sex attractions, behaviors, or identity, and this standard is far higher than the standard for success applicable to any other course of psychological treatment. Many other courses of treatment also have notorious reputations for resistance to success, specifically courses of treatment for narcissism, borderline personality disorder, and alcohol and drug abuse, but there is no debate about the usefulness of these courses of treatment. The Task Force also criticized SOCE studies on the grounds that the studies had high dropout rates. However, many treatment cohorts have high dropout rates; take, for example, a drug and alcohol treatment program (Polich, Armor, & Baker, 1981). James E. Phelan, et al., A Critical Evaluation of the Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation, Resolutions, and Press Release, The Journal of Human Sexuality IV, 46 (2012) (A copy of this article is attached as Exhibit C). Nevertheless, the APA Report ignored any potential comparison to these treatment options and also ignored the fact that psychologists continue to engage in these courses of treatment despite Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 6 of 18 PageID: 156 Declaration of Dr. Joseph Nicolosi - 7
their uncertain outcomes. Additionally, these courses of treatment all continue with the blessing of the APA and all of the other professional organizations that criticize SOCE counseling. 17. Proponents of A3371 seek to increase the burden on SOCE counselors by defining success in any course of treatment as requiring that it must achieve its intended goals all or most of the time. If this standard applied to other forms of psychological treatment, then many widely- used and noncontroversial courses of treatment would not qualify as effective. As mentioned in the previous paragraph, there are a number of courses of treatment that have reputations for resistance to success, and no one seeks to apply this heightened standard of near perfection to these courses of treatment. That the APA Report singled out SOCE alone for this absurd standard is itself strong evidence of the bias of its members. Indeed, there would be no effective psychological courses of treatment if all courses of therapy were subjected to the standard espoused by the APA Report. 18. The APA Report flatly contradicts many points that specifically refute the assertions made by proponents of A3371. On page two, the APA Report states that none of the recent research, which are all studies from 1999-2007, meet the methodological standards for determining the efficacy, safety, or dangers of SOCE counseling. This undermines the assertions of proponents of A3371 that SOCE counseling is harmful to minors. Just as the research allegedly fails to prove SOCEs efficacy, the APA Report concedes it fails to prove any concrete harm. See Ex. C, Journal of Human Sexuality IV at 57-58. Furthermore, on page 25, the APA Report concedes that there needs to be more research and analysis of the potential benefits or dangers of SOCE counseling. In fact, on page 42, the APA Report specifically found that there was a dearth of information based on sound scientific research concerning the safety of SOCE counseling. The dearth of scientific study prevents blanket assertions by proponents of A3371 Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 7 of 18 PageID: 157 Declaration of Dr. Joseph Nicolosi - 8
that SOCE counseling is in fact harmful to minors and should therefore be prohibited. This is reinforced on page 44 of the APA Report, which states that [b]ecause of the lack of empirical research in this area, the conclusions must be viewed as tentative. Indeed, on page 11, the APA Report admitted that recent research cannot provide conclusions regarding efficacy or safety. 19. On page 18, the APA Report implies that by striving to live a life consistent with their religious values, people with same-sex attractions, behaviors, or identity must deny their true sexual selves. This further implies that individuals with sincerely-held religious beliefs that lead them to seek a reduction or elimination of their unwanted same-sex attractions, behaviors, or identity will not experience organismic wholeness, self-awareness, and mature development of their personal identity. Those religious individuals who seek to live in conformity to their religious values are assumed to experience a constriction of their true selves because of a religiously imposed behavioral control. This false distinction, created by the APA Report, ignores the desire of many clients to live in congruence with the fundamental tenets of their sincerely-held religious and moral beliefs. For these individuals, the values they hold because of their religious beliefs are viewed as guideposts and sources of inspiration that help guide them on their pursuit of wholeness, and wholeness for these people can only be achieved by living in congruence with their religious beliefs. 20. The APA Report seeks to diminish the beliefs of these individuals by suggesting that religious beliefs should be reconstructed to align with their unwanted same-sex attractions, behaviors, or identity rather than working to conform their sexual attractions, behaviors, or identity to their religious beliefs. On pages 72-73, the APA Report recognizes that many clients seek SOCE counseling because of their religious beliefs. On page 58, the APA Report then states that therapy is a process of uncovering and deconstructing dominant worldviews and Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 8 of 18 PageID: 158 Declaration of Dr. Joseph Nicolosi - 9
assumptions with conflicted clients that enable them to redefine their attitudes toward their spirituality and sexuality. The APA Report ignores the fact that many people desire to elevate their religious beliefs above any unwanted same-sex attractions, behaviors, or identity and that they seek counseling to assist them with this goal. The APA Report states that counseling for individuals in this category should focus on refram[ing] the religious beliefs to focus on aspects of faith that encourage love and acceptance of their child rather than on a religions prohibitions. 21. The APA Reports position is based on the unproven assumption that homosexuality is inborn and immutable. See Ex. C, Journal of Human Sexuality IV at 57 (noting that the APA Report based its conclusions on an a priori assumption that homosexuality is inborn and therefore immutable which is unsupported by the APAs own statements). The APAs position dates back to the 1970s when on the basis of emerging scientific evidence and encouraged by the social movement for ending sexual orientation discrimination, the American Psychological Association and other professional organizations affirmed that homosexuality per se is not a mental disorder. See APA Report at 11. This undermines the basis for A3371 and the APA Reports conclusions because it reveals that the APAs change in position and its assumptions that homosexuality is immutable were based on political and social pressure, not concrete scientific evidence. 22. On page 30, the APA Report defines sexual orientation as an individuals patterns of sexual, romantic, and affectional arousal and desire for other persons based on those persons gender and sexual characteristics. The APA Report does not define sexual orientation as enduring, which reveals that these definitions are not based on any universally recognized or consistently applied scientific standard. Additionally, on page two, the APA Report recognized Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 9 of 18 PageID: 159 Declaration of Dr. Joseph Nicolosi - 10
that [s]ame-sex sexual attractions and behavior occur in the context of a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome. Given the mental health professions inability to provide a concrete definition of sexual orientation, there is potentially no limit to what could fall into its definition. The vagueness in the understanding itself of what is encompassed by sexual orientation results in a variety of understandings of its meaning, and includes pederasty, which is a homosexual relationship between a young man and a pubescent boy outside his immediate family, or pedophilia, or a host of other paraphilias or fetishes. This presents a difficult problem for a licensed counselor tasked with complying with A3371 when the definition of sexual orientation is fluid and vague. In any event, A3371 provides no definition of sexual orientation, leaving counselors to guess as to the meaning intended by the statute. 23. Focusing on reframing an individuals religious beliefs is beyond the purview of psychological counseling, and it ignores the most fundamental principle of the profession namely, that the client has the right to self-determination. A3371 explicitly states that it is relying on the conclusions of the APA Report and the proponents and drafters of A3371 focus solely on the conclusions of it and other studies that are methodologically flawed. This reveals the flaws of A3371 and specifically shows that it is aimed at reframing an individuals religious perspectives deemed antiquated or discriminatory and imposing an ideology on those individuals that do not wish to live in conformity with the view espoused by A3371 and the APA. The APA Report also states on page 19 that prejudices directed at individuals because of their religious beliefs and prejudice derived or justified by religion are harmful to individuals, society, and international relations. (emphasis added). This further reveals that the APA Report and A3371 Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 10 of 18 PageID: 160 Declaration of Dr. Joseph Nicolosi - 11
attempt to elevate sexual orientation above a persons sincere religious beliefs, and shows that A3371 specifically targets those individuals that have religious beliefs opposed to homosexuality. 24. The assertions of A3371 proponents are based on the unsubstantiated belief that same-sex attractions, behaviors, or identity are the result of biology. The general position of A3371 proponents that sexual orientation is tied to physiological drives and biological systems that are beyond the conscious choice contradicts the APAs own public-disseminated information regarding sexual orientation and etiology, which says: There is no consensus among scientists about the exact reasons that an individual develops a heterosexual, bisexual, gay or lesbian orientation. Although much research has examined the possible genetic, hormonal, developmental, social, and cultural influences on sexual orientation, no findings have emerged that permit scientists to conclude that sexual orientation is determined by any particular factor or factors. Many think that nature and nurture both play complex roles. (APA, 2008b, p.2)
IMMEDIATE AND IRREPARABLE HARM CAUSED BY A3371 25. A3371 will cause immediate and irreparable harm to New Jersey licensed counselors and clinics that focus on SOCE counseling, in that A3371 will prohibit them from continuing beneficial and successful courses of treatment with minor clients and force licensed counselors to stop speaking about SOCE treatment or risk losing their licenses. This law will immediately and directly harm the counselors right to speak to and counsel clients in accordance with not only the counselors religious and moral values, but with the clients religious and moral values. The law will also immediately and directly infringe upon their clients right to receive information. 26. Moreover, A3371s operative commencement will be a shocking disturbance to minor clients who are now in counseling. This counseling, which runs afoul of the prohibitions contained in A3371, consists solely of verbal discussion between the counselors and the clients Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 11 of 18 PageID: 161 Declaration of Dr. Joseph Nicolosi - 12
as individuals, exploring the clients feelings and helping them align their feelings with their religious and moral beliefs. After August 19, 2013, a minor client must be informed that all that has been attempted is now illegal and unethical. There can be no further discussion regarding the clients own therapeutic goals and the therapeutic relationship upon which those goals were based to reduce or eliminate same-sex sexual attractions, behavior, or identity. The therapeutic alliance between the clients and counselors - established at the cost of great time, monetary expense, and trust - will be destroyed. 27. When New Jersey licensed counselors are forced to terminate their SOCE counseling with minor patients, many of the minors will regress and will suffer adverse health consequences stemming from an inability to address their goal of recognizing their heterosexual potential. 28. Some clients and their parents will have to seek out counselors who are not licensed and therefore not subject to the dictates of A3371. They might continue to receive the SOCE counseling they desire, but it will be administered by unlicensed professionals. 29. As a clinical psychologist, my experience and opinion inform me that it is important for SOCE counseling to be engaged in by those therapists who have studied it and understand the benefits and potential risks. 30. The practice of giving detailed information to minor clients and their parents satisfies the ethical requirements that a counselor provide all of the information that is reasonable for the client to make an informed decision concerning their individual course of treatment and that facilitates the autonomous client decision-making process. A3371 will cause New Jersey counselors to violate Section 3.10 of the American Psychological Associations Ethics Code (APA Code) because they will be prohibited from even discussing a course of treatment, SOCE, that is part of the information that they are ethically required to provide to their clients. Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 12 of 18 PageID: 162 Declaration of Dr. Joseph Nicolosi - 13
Counselors would also be prohibited from even referring a client who wants to discuss SOCE therapy to a professional who can provide it. 31. Compliance with A3371 will force New Jersey counselors to violate the informed consent mandates of Section 3.10 of the APA Code and probably also infringe ethical requirement outlined in General Principle E of the APA Code that a counselor allow the patient complete freedom to make a self-determined choice concerning his therapy. However, providing clients with unwanted same-sex attractions, behaviors, or identity with the treatment they desire automatically constitutes and ethical violation under A3371. 32. Because of this impossible Catch-22, A3371 is certain to cause irreparable harm to the practice of New Jersey counselors by putting their professional license in jeopardy no matter how they proceed, and with no guidelines on how to resolve the conflict between A3371 and the ethical codes. 33. A3371 will also cause New Jersey counselors to violate Section 3.06 of the APA Code by causing them to enter into a relationship where their objectivity is called into question because A3371 mandates that only one ideologyi.e., the States ideology condemning SOCEbe shared in the counselors office. 34. A3371 also presents a significant problem for another element of SOCE practice and provides no guidance on whether it prohibitions apply to it. Specifically, regarding any YouTube and other videos on a counselors website and on other websites that specifically address the issue of SOCE counseling. These videos have the potential to reach every minor in New Jersey. A3371s language prohibits all efforts that seek to reduce or eliminate same-sex attractions, behaviors, and identity, and it would seem that having videos on the Internet that advocate for SOCE counseling and provide information about where an individual can receive it might be Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 13 of 18 PageID: 163 Declaration of Dr. Joseph Nicolosi - 14
perceived as an effort that seeks to reduce or eliminate same-sex attractions, behaviors, or identity. Counselors do not know whether A3371 requires them to remove all of these videos from their websites, and request that they be removed from others. Also, it is virtually impossible to ensure that all such videos are removed, so if A3371 is found to apply to them, then a counselor could inadvertently be subject to disciplinary proceedings because of the viewing of a video that he or she thought had been removed from the Internet. Pamphlets and informative brochures on the websites would likewise pose the same problems. 35. Additionally, it is completely uncertain about whether a simple referral would constitute an effort seeking to reduce or eliminate same-sex attractions, behaviors, or identity that would violate A3371. Informing someone that such SOCE counseling is available at another location by another individual not subject to A3371 seems like it could be a violation, but A3371 provides no guidance on this matter, so a counselor is again faced with a dilemma of how to exercise his or her professional judgment. In short, A3371 provides no guidance on the seemingly innumerable applications of its prohibitions, which places counselors at constant risk of unknowingly being subject to losing their professional licenses. Their clients will suffer as well, since the counselors will not be able to confidentially counsel them on available options for their undesired same-sex attractions, behaviors, or identity. VAGUENESS OF A3371 AND ERRONEOUS ASSUMPTIONS OF PROPONENTS 33. The APA Report concluded that [s]ame-sex sexual attractions occur in the context of a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome. A3371 prohibits anyone from under any circumstances engaging in any practice that seeks to reduce or eliminate same-sex sexual attractions, behaviors, or identity or Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 14 of 18 PageID: 164 Declaration of Dr. Joseph Nicolosi - 15
attempts to change sexual orientation. This prohibition is virtually impossible to comply with because it is well understood in the mental health profession, and conceded by the APA Report, that sexual orientation is difficult to define and encompasses a number of factors, including behavior, practices, identity, and attractions. Given that this prohibition specifically deals with a concept the APA Report concluded was fluid, counselors will ultimately be required to guess at what practices would be prohibited under this bill. Since sexual orientation includes pederasty and pedophilia, for example, a counselor counseling a client who has unwanted same- sex sexual attractions toward other younger minors or acts on such attractions (behavior), will be prohibited from a course of counseling designed to reduce or eliminate such attractions, behavior, or identity. Furthermore, a counselor may not counsel a minor victim of an adult pederast or pedophile that it is wrong to engage in sexual behavior with an adult of the same-sex. 34. There are multiple meanings of sexual orientation among licensed mental health professionals. But how is one to define the gay adolescent? We might reasonably assume that the best way to determine if a teen is gay is by what the teen says about himself. Proponents of A3371 would agree that if a teen says he is gay, he is gay. But are we to believe him? What is the credibility of a teenager who, according to the new law, cannot be believed if he says his homosexual feelings do not represent his deepest sense of self, and he wants to change? How are we to define a teenager who has same-sex attractions, behaviors, or identity but does not believe his sexual behavior makes him gay? He believes that deep down he is a heterosexual, but has same-sex attractions, behaviors, or identity. Is it behavior or identity that defines his gayness? Counselors look more deeply into the teenagers motivations and recognize that any self-label may represent a variety of motivations that do not necessarily define his true sexual identity. A3371 would prohibit this inquiry, if the counselors intent is to effect change in sexual Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 15 of 18 PageID: 165 Declaration of Dr. Joseph Nicolosi - 16
orientation, whatever that may be. Moreover, same-sex sexual attractions, behaviors, and identity among minors often diminish or disappear spontaneously. It would be unethical for a licensed counselor to tell the client who is experiencing temporary unwanted same-sex sexual attractions, behaviors, or identity that such attractions, behavior, or identity is something the client should embrace. In not helping the client eliminate or reduce such attractions, behavior, or identity, the counselor might be pushing the client toward homosexuality, when in fact the client is heterosexual and merely experiencing a temporary period of homosexual attractions. 35. Furthermore, A3371 permits education and information on SOCE but not the practice of SOCE. When does education and information on SOCE not become the practice of it? For example, a therapist may spend six months educating and informing the client of SOCE and how it might apply to the client. Session after session the therapist may give examples of how the clients behavior and feelings are explained by SOCE. What the client says about himself may prompt the counselor to respond: Well, SOCE would explain your behavior as, but ultimately, the counselor will have to guess as to whether the State of New Jersey would consider such counsel a violation of A3371. At any rate, no matter what the counselor says, the matter will be determined by how the client perceives what the counselor says. A counselor educating about SOCE could likely be perceived as counseling to reduce or eliminate same-sex sexual attractions, behaviors, or identity and thus be in violation of A3371. 36. Despite this lack of clarity in the law itself, proponents of A3371 have previously attempted to establish an arbitrary and unrealistic distinction between practices of SOCE, versus a counselors speech. In actual practice of psychotherapy, it is impossible to distinguish practice of SOCE from speech. Psychotherapy is speech. The therapeutic relationship is talking and communication; verbal and non-verbal communication is the essential element of the Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 16 of 18 PageID: 166 Declaration of Dr. Joseph Nicolosi - 17
therapeutic process. Thus, licensed counselors will ultimately be required to guess at whether practice or speech would be prohibited under this law. 37. A3371 is not just about discussions of sexual orientation, but also about discussions about a persons behavior that is incongruent with a persons religious or moral values. Licensed counselors need the freedom to talk about a clients behavior in a manner that incorporates discussions of the clients religious faith or values. Counselors will be forced to guess at whether a discussion of behavior incongruent with ones beliefs and values is an effort to reduce or eliminate unwanted same-sex attractions, behaviors, or identity, which could include mannerisms or speech under A3371. If a female client wanted to display more assertive male behavior or speech inconsistent with her gender, counselors would be prohibited from encouraging such behavior. The same is true when clients plead with a counselor to help them not to identify with a particular sexual orientation. If counselors are prohibited from such discussions, then their clients will face irreparable harm. OTHER ERRONEOUS FACTUAL ASSUMPTIONS BY PROPONENTS OF A3371 38. Proponents of A3371 continually repeat the shibboleth that the mental health associations no longer consider homosexuality a mental illness or disorder. That fact is irrelevant since it is the clients distress with same-sex attractions, behaviors, or identity and their right to seek treatment to reduce that distress which is the issue. Counseling does not depend on the client having a mental illness. Much of counseling involves stress that is not related to a mental illness. Counseling a client does not send a message or presume that a client has a mental illness. 39. Proponents of A3371 assert that minors face family rejection based on their sexual orientation, thereby creating especially serious health risks. Family rejection is not a necessary Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 17 of 18 PageID: 167 Declaration of Dr. Joseph Nicolosi - 18
outcome of SOCE. Rather, I and my colleagues who practice SOCE attempt to have parents accept their teen irrespective of their sexual orientation outcome. 40. Proponents of A3371 have made assertions to the effect that there exists no empirical evidence that providing any type of therapy in childhood can alter adult same-sex orientation. This is irrelevant and not true. A treatment consisting solely of verbal counseling cannot be outlawed because there is no evidence that it is effective. I declare under penalty of perjury of the laws of the United States and New Jersey that the foregoing statements are true and correct. Executed this ____ day of August, 2013
_____________________________ Joseph Nicolosi, Ph.D.
Case 3:13-cv-05038-FLW-LHG Document 3-5 Filed 08/23/13 Page 18 of 18 PageID: 168 UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY CAMDEN DIVISION TARA KING, ED.D., individually and on behalf of her patients, RONALD NEWMAN, PH.D., individually and on behalf of his patients, NATIONAL ASSOCIATION FOR RESEARCH AND THERAPY OF HOMOSEXUALITY (NARTH), AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS (AACC), Plaintiffs, v. CHRISTOPHER J. CHRISTIE, Governor of the State of New Jersey, in his official capacity, ERIC T. KANEFSKY, Director of the New Jersey Department of Law and Public Safety: Division of Consumer Affairs, in his official capacity, MILAGROS COLLAZO, Executive Director of the New Jersey Board of Marriage and Family Therapy Examiners, in her official capacity, J. MICHAEL WALKER, Executive Director of the New Jersey Board of Psychological Examiners, in his official capacity; PAUL JORDAN, President of the New Jersey State Board of Medical Examiners, in his official capacity, Defendants. Case No. - -- DECLARATION OF DR. ERIC T. SCALISE I, Dr. Eric T. Scalise, hereby declare as follows : 1. I am over the age of 18 and am the Vice President for Professional Development for the American Association of Christian Counselors ("AACC"), one of the Plaintiffs in this action. Declaration of Eric T. Scalise - 1 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 1 of 8 PageID: 169 The statements in this Declaration are true and correct and if called upon to testify to them I would and could do so competently. 2. I am submitting this Declaration In support of Plaintiffs' Motion for a Temporary Restraining Order and Preliminary Injunction. 3. I am a Licensed Marriage & Family Therapist and Licensed Professional Counselor in the Commonwealth of Virginia and was a Licensed Marriage and Family Counselor in the State of California for 23 years. I have a Ph.D. in Organizational Leadership from Regent University, an Educational Specialist degree in Advanced Psychotherapy from The College of William and Mary, a Master's of Education in Marriage and Family Counseling from The College of William and Mary, and a Bachelor of Arts degree in Psychology from The College of William and Mary. My curriculum vitae is attached to this declaration as Attachment A. 4. I am a clinical member of the American Association for Marriage and Family Therapy (AAMFT), and past clinical member of the American Counseling Association (ACA) and the Virginia Counseling Association, as well as a charter clinical member of the AACC. I have authored over 20 articles, as well as over 100 video workshops and other presentations. 5. The AACC was founded in 1989 and now has nearly 50,000 members throughout the world, including in New Jersey. 6. The AACC's members represent the entire spectrum of care, from lay/pastoral counselors to licensed mental health professionals. AACC's clinical members include Licensed Professional Counselors, Licensed Mental Health Counselors, Licensed Marriage & Family Therapists, Licensed Clinical Social Workers, Licensed Clinical Psychologists, Licensed Substance Abuse Treatment Providers, Clinical Nurse Specialists, and Psychiatrists. Declaration of Eric T. Scalise - 2 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 2 of 8 PageID: 170 7. The Mission of the AACC is to equip this continuum of care with distinctively Christian and clinically sound psycho-educational resources and services that address the whole person and which help individuals move toward personal wholeness, interpersonal competence, mental stability, and spiritual maturity. 8. The AACC seeks to encourage and support Christian counseling worldwide; disseminate information, educational resources, and counseling aids; stimulate interaction and mutual growth between mental health practitioners; advocate for the balanced integration of counseling and psychological principles with theology; inspire and offer the highest levels of training and continuing education; and promote ethical practice, integrity, sound research, and excellence in the delivery of professional and pastoral services. 9. The AACC's members' opinions and experience inform them that the professional research literature and a number of peer-reviewed articles demonstrate positive support for the efficacy of faith, spirituality, and religious values as they pertain to treatment outcomes. For example, prominent researcher, Dr. Harold Koenig, Director of the Center for Spirituality, Theology and Health at Duke University (2001), completed a systematic review of nearly 1,600 published health-related studies and concluded that the integration of a spiritual paradigm not only demonstrates increased levels of self-esteem, social support, and life satisfaction, but simultaneously reduces levels of anxiety, depression, loneliness, and suicide (Koenig, King, & Carson, 2012, Handbook of Religion and Health, 2nd ed.). 10. The AACC's members' opinions and experience inform them that the research literature supports the notion that when a client receives care within the confines of hislher basic worldview and foundational value system-of which religious affiliation is a significant marker Declaration of Eric T. Scalise - 3 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 3 of 8 PageID: 171 for most-treatment outcomes are more positive (Fallot, 2001; Hage et aI, 2003; Hodge, 2006; Koenig et aI., 2001; Larson, 2003). 11. The AACC's members follow the time-honored and foundational ethical value of client self-determination. A3371 directly and significantly undermines what is considered as a cornerstone principle in mental health counseling. This principle can be found in the language of the ethical codes of notable professional member organizations such as the American Psychological Association (AP A), the American Counseling Association (ACA), and the American Association of Marriage and Family Therapists (AAMFT), to name a few. 12. The AACC's members support the position that every client seeking mental health services has the inherent right to participate in counseling that is in alignment with hislher religious beliefs and faith-based values, and furthermore, to have this right vigorously protected. 13. One of the ACA's divisions, the Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVIC), has developed written spiritual competencies to be incorporated into treatment protocols. In reviewing the proceedings at the 2007 ACA national conference in Detroit, Michigan, ASERVIC hosted a panel discussion of educators and clinicians. These individuals were intentionally identified as being nationally recognized for their expertise in teaching and research in the area of spirituality in counseling. The following are eight of the competencies that have particular relevance to the discussion of the effects of A3 3 71 : Competency #2 - The professional counselor recognizes that the client's beliefs (or absence of beliefs) about spirituality and/or religion are central to his or her worldview and can influence psychosocial functioning. Competency #5 - The professional counselor can identify the limits of his or her understanding of the client's spiritual andlor religious perspective and is acquainted with religious and spiritual resources, including leaders, who can be avenues for consultation and to whom the counselor can refer. Declaration of Eric T. Scalise - 4 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 4 of 8 PageID: 172 Competency #6 - The professional counselor can identify limits of herlhis understanding of a client's religious or spiritual expression, and demonstrate appropriate referral skills and generate possible referral sources. Competency #7 - The professional counselor responds to client communications about spirituality and/or religion with acceptance and sensitivity. Competency #8 - The professional counselor uses spiritual and/or religious concepts that are consistent with the client's spiritual and/or religious perspectives and that are acceptable to the client. Competency #9 - The professional counselor can recognize spiritual and/or religious themes in client communication and is able to address these with the client when they are therapeutically relevant. Competency #12 - The professional counselor sets goals with the client that are consistent with the client's spiritual and/or religious perspectives. Competency #13 - The professional counselor is able to a) modify therapeutic techniques to include a client's spiritual and/or religious perspectives, and b) utilize spiritual and/or religious practices as techniques when appropriate and acceptable to a client's viewpoint. 14. The AACC's members' opinions and experience inform them-as evidenced in the language of the above listed Competencies, especially #8 and #12-that a client's spiritual and religious values are indeed valid and reasonable determinants for the focus and direction of counseling. 15. Many AACC members do not routinely offer SOCE counseling or rarely do, because they do not consider themselves to be competent by virtue of education, training, and experience regarding these related issues. Nevertheless, they will still likely encounter clients, including minor clients, within their other areas of specialty who are facing unwanted same-sex sexual attraction, behavior, or identity. These members are not inherently versed in the research literature or SOCE as are other professionals who may regularly counsel in this area. Nevertheless, as counselors trained to work in accordance with a client's values, beliefs, and right to self-determination, they may consequently address "sexual orientation" as defined herein, Declaration of Eric T. Scalise - 5 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 5 of 8 PageID: 173 but will not necessarily understand the definition or tenns or reach of A3371. When these members engage a client regarding either attraction, behavior, identity or any area of gender expression (including mannerisms or speech), they wi11likely violate the law and be disciplined under A3371. 16. A3371 places prospective clients in an untenable double bind when receiving sexual orientation change efforts ("SOCE") counseling, especially when their religious values may infonn and direct their behavior, expressions, and identity in a manner contrary to same-sex attractions. Furthennore, A3371 may, in fact, represent actual hann to the client because it does not allow the licensed treating practitioner to address these competing value systems, leaving the client with no means to process the potential inner conflict. 17. While acknowledging the current controversy over the implementation of SOCE, the general lack of conclusive research in this area, and the legitimate need for adolescents to receive competent care when addressing issues pertaining to sexual orientation, AACC's members' know that A3371 moves far beyond its original intent to protect minor clients and represents a reckless infringement on the religious liberties of anyone needing counseling in this area. 18. When a client's faith values may be in conflict with other cultural values, especially as they may pertain to the language found in A3371, that ultimately the client-and in the case of a minor, his/her parent or legal guardian-has the moral and ethical right to participate in and detennine the appropriate course of care, including alignment with hislher relevant religious beliefs. 19. A3371 unfairly and unnecessarily discriminates against the religious liberties of the client and represents an intrusive and potentially damaging dynamic regarding the delivery of care. Declaration of Eric T. Scalise - 6 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 6 of 8 PageID: 174 20. Many AACC members do not practice SOCE counseling exclusively, or in some cases, at all. Nevertheless, these counselors will be subject to the same prohibitions that experts in sexual orientation counseling face. The AP A Task Force Report revealed that not even the experts in this area universally agree on a definition of sexual orientation. The Task Force Report concluded that "[s]ame-sex sexual attractions occur in the context of a variety of sexual orientations and sexual orientation identities, and for some, sexual orientation identity (i.e., individual or group membership and affiliation, self-labeling) is fluid or has an indefinite outcome." This places a tremendous burden on AACC members, who though lacking expertise in this field, are still at risk of loss of their professional license when a minor client raises the issue of unwanted same-sex attractions, behavior or identity in a counseling session that was not originally understood to be prohibited counseling. These AACC members will be left to speculate as to exactly what counsel is prohibited by A3371, as well as the definition of sexual orientation and how to apply A3371 to any number of questions that arise when minor clients clearly choose for their attractions, behaviors, or identity to conform to their religious or moral values despite any unwanted sexual attractions, behaviors, or identity. 21. A3 3 71 is not just about discussions of sexual orientation, but also those pertaining to a person's behavior that may be incongruent with his or her religious or moral values. Mental health professionals need the freedom to explore a client's behavior in a manner that incorporates discussions of the client's religious faith or values. AACC members will be forced to speculate as to whether the very discussion of client behavior, even though it may be incongruent with one's beliefs and values, would be considered an effort to reduce or eliminate unwanted same- sex attractions, behaviors, or identity. The same is true when minor clients plead with a counselor to help them not to identify with a particular sexual orientation. If AACC members are Declaration of Eric T. Scalise - 7 Case 3:13-cv-05038-FLW-LHG Document 3-6 Filed 08/23/13 Page 7 of 8 PageID: 175 prohibited from such discussions, then counselors and their minor clients will face irreparable hann. A3.3.71 restricts. a mental health provider. from freely. .engaging with a minor .client on this. subject, regardless of any emotional or psychological duress the client may be experiencing due to the conflict of values, and therefore creates an unacceptable therapeutic double-bind for the client. I declare 1J.!lder pep.a1ty 9f of Qf the foregoing statements are true and accurate. Executed thisao..\y of August, 2013.