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Jeff, the man interviewed for this report who has fought his homosexual urges, has attended group sessions with 11 other men run by a church-based lay counselor, Betty Kalbes, who calls her organization Way Out Ministries.

During the two-hour gatherings in Kalbes’ home in Struthers, Ohio, they open with a prayer, listen to spiritual songs and work through a book called “Pursuing Sexual Wholeness,” which offers strategies for realigning desires. The meeting ends with a prayer and socializing.

Kalbes, 67, who has a lesbian daughter, said that while the men can socialize, they aren’t allowed to exchange e-mail addresses or phone numbers “because if they get in touch and stumble in their walk in their recovery, that’s not what we’re about.”