Markâs Gay and Thatâs It: A response to Mark-Ameen Johnsonâs article about HOCD
If you are an HOCD sufferer, youâve almost certainly read an article called âIâm Gay and Youâre Not: Understanding Homosexuality Fearsâ by Mark-Ameen Johnson, a gay man with a history of OCD. The purpose of the present article is to explain why that article is both misguided and potentially harmful to HOCD sufferers, and to offer more accurate information about HOCD.
But first, one quick disclaimer and one trigger warning:
Disclaimer: I am going to argue that Markâs old article is very wrong about HOCD. This is not an ad hominem attack. Mark spent time and energy trying to help people suffering from HOCD, and that is laudable. In fact, Mark and I have been in touch since I originally posted this article, and heâs told me that he has learned more since writing his article, and now agrees with the critiques below. Mark has told me that he wrote his article back in 2005, in an effort to address the questions that people with HOCD were asking him. Heâs asked me to publicize that if he were writing his article now, it would be quite different.
Trigger warning: People with HOCD often read articles and forum posts for reassurance. Their logic is basically that if people with HOCD describe similar experiences to them, then it must be the case that they also have HOCD, and arenât really gay (a false dichotomy); so the posts and articles are not only validating, but also reassuring. This article will not be reassuring. It will not make you feel better or more certain of your sexual orientation. It may therefore cause a sharp increase in your anxiety.
Markâs premise
Although he didnât use these terms, Markâs basic argument was that if sexual feelings are ego-dystonic â meaning they donât feel like you â they are not real and do not define your sexual orientation.
He opened with the assertion that âIf you say you are heterosexual, then you are. Period.â He then proceeded to explain that based on his experience, anything OCD says is automatically false. Specifically, he said, âHOCD obsessing over being gay = straight in reality.â
He thus immediately reassured readers that he agreed they werenât gay, based on the fact that they had HOCD.
The problem with Markâs premise
There are a few problems with Markâs premise:
Itâs not true: It is not at all true that having HOCD indicates youâre not gay. To be clear, it also doesnât indicate you are gay! Having HOCD doesnât tell you anything about your sexual orientation whatsoever. All it tells you is that you have OCD about your sexual orientation, which you already knew.
Itâs not helpful: Reassurances like this are useless. If an HOCD sufferer could just say to herself, âIf I think itâs true it must not be true!â and then continue about her day, she wouldnât have HOCD. Reassurances like this leave sufferers feeling better for a minute or a day, only to fall victim to another spike.
Itâs harmful: Markâs article is full of (false) reassurance. Reassurance is compulsion and compulsion maintains OCD.
Delving further into Markâs arguments
Mark gave the following examples of the distinct thought processes of a straight HOCD sufferer and a gay person:
HOCD sufferer: âI know that I am gay, but I have only ever gotten hard with girls. This must be because I am in the closet, and I know that Iâll suddenly get hard with guys once I come out. But the thought of being with another guy makes me sick. Damn, gay stuff is so disgusting! Iâd never want some naked guy to touch me that way. But my mind tells me that this is what I want, and that Iâll be O.K. with it once I come out because I am gay. But Iâm not gay! But my mind tells me I am. Dammit, why wonât my mind shut up? I do all this checking by looking at gay porn, and I still donât know what I am. But I just want to look at hot women instead. I have never been attracted to guys, but I know I am a gay guy. This anxiety is killing me. I canât even hear the word gay without becoming anxious.â
Gay person: âI know that I am gay, and I have only ever gotten hard with guys. I am in the closet because I am afraid people will reject me, yet I have always wanted with everything in me to fall in love with another man who loves me back. That would be so beautiful. I was taught that gay stuff was disgusting, but when I think of being held by a man I get butterflies in my stomach. When I see a guy I like, it just feels right. The only anxiety I feel is over what others think of gays and how I think Iâll be treated by straight people in power if they find out about me. I donât feel any anxiety when I think about how lucky gay guys who are out of the closet must be, and I wish I could be like them.â
He was basically saying you could tell the difference between HOCD sufferers and gay people based on three things:
1) a clear pattern of sexual arousal
2) a clear sense of what is desirable and what is disgusting
3) a clear distinction between anxiety based on other peopleâs homophobic beliefs and anxiety based on oneâs own internalized homophobic beliefs
If you have HOCD you wish that these distinctions were clear, but you know theyâre not. Hereâs why:
1) Sexual arousal patterns arenât always clear. Sometimes you get aroused by things that donât usually arouse you. Sometimes you prevent yourself from getting aroused. Sometimes you feel something in your genitals and donât know if itâs arousal at all. Sometimes you canât tell the difference between sexual arousal and anxious arousal. Sometimes anxious arousal blocks sexual arousal, both when youâd like to be aroused but arenât, and when you donât want to be aroused and anxiety prevents it from happening.
2) When you have OCD you canât always tell whatâs desirable and whatâs disgusting. You may think about something that youâre afraid will arouse you, and then immediately undo it by thinking about how disgusting it is. You may have obsessive thoughts that tell you that you like things you actually do find disgusting. You may reassure yourself that youâre straight because specific sexual acts seem disgusting. You may be so anxious about all of these thoughts and feelings, that you donât know which way is up. You may find certain things aversive because they threaten your sense of self, even if they are also sexually arousing, or would be sexually arousing if they werenât so threatening.
3) Internalized homophobia is very real. Lots of people with HOCD say they have no problem with gay people or being gay themselves, as a way of reassuring themselves that if they were really gay they would readily accept it. Unfortunately, living in a homophobic society (and our society is still homophobic even though itâs relatively less homophobic than other places or any other time in history) still leaves all of us with some negative feelings about homosexuality. Therefore, the distinction between worrying about what others will think and worrying about what you yourself think is not always so clear.
The article claimed that âOn a primal level ⌠gay people always know that they are gay no matter what tricks society employs. Straight people always know that they are straight no matter what tricks HOCD employs.â
If youâre an HOCD sufferer I donât have to tell you what the problem with this is: âHow do you know if you know? What does it mean to know? I think I know but what if itâs denial? I worry itâs denial but what if itâs OCD?â
Sitting in front of your computer and trying to figure out if youâre gay is the very process thatâs keeping you stuck. But that doesnât mean thereâs no hope. Cognitive-Behavioral Therapy for OCD (AKA Exposure with Response Prevention AKA ERP AKA ExRP) can help you to get unstuck and gain greater clarity about your sexual orientation. An article that reassures you youâre straight will not help you.