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: 193 Referring to the AIDS epidemic, the letter, McNeill writes, blamed AIDS on gay rights activists and gay-accepting mental health professionals: "Even when the practice of homosexuality may seriously threaten the lives and well-being of a large number of people, its advocates remain undeterred and refuse to consider the magnitude of the risks involved". The claims that accepting and legalizing homosexual behaviour leads to violence were seen as controversially blaming gay people for homophobic violence and encouraging homophobic violence. Ĭritics have described the document as teaching "that a gay male or lesbian sexual identity is not to be celebrated, nor is it properly seen as a source of pride". : 201 : 223 This alluded to LGBT and LGBT-accepting Catholic groups such as DignityUSA and New Ways Ministry, : 201 and ultimately resulted in the exclusion of Dignity from Church property. The letter also said that accepting homosexual acts as morally equivalent to married heterosexual acts was harmful to the family and society and warned bishops to be on guard against, and not to support, Catholic organizations not upholding the Church's doctrine on homosexuality-groups which the letter said were not really Catholic.
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Instead, it affirmed that every person, gay or straight, "has a fundamental identity: a creature of God, and by grace, his child and heir to eternal life." : 222 However, it added that human beings, being made in the image and likeness of God, could not be reduced to either heterosexuals or homosexuals. The letter condemned physical and verbal violence against gay people, : 193 but asserted that condemnation of violence did not mean that the homosexual orientation was good or neutral or that homosexual sexual acts should be permitted. Furthermore, the letter argues that this natural homosexual orientation is "essentially self-indulgent" since homosexual sexual acts are not procreative and therefore not genuinely loving or selfless. : 221 The letter went on to say that when homosexual activity is the result of deliberate choice, it is not made inculpable by natural sexual orientation. It affirmed the position that while homosexual orientation is not in itself a sin, it is nevertheless a tendency towards the "moral evil" of homosexual activity, and therefore must be considered "an objective disorder". Designed to remove any ambiguity about permissible tolerance of homosexual orientation resulting from the earlier Persona Humana-and prompted by the growing influence of gay-accepting groups and clergy-the letter was particularly aimed at the church in the United States. The letter gave instructions on how the clergy should deal with, and respond to, lesbian, gay, and bisexual people. This was signed by Cardinal Joseph Ratzinger as prefect. This letter, addressed to all the bishops of the Catholic Church, was entitled On the Pastoral Care of Homosexual Persons. Benedict XVI, who as Cardinal Joseph Ratzinger was one of the signatories of the 1986 letter of the Congregation for the Doctrine of the Faith on the Pastoral Care of Homosexuals