several United Nations bodies. Additionally, the Pan American Health Organization recommended that such malpractices be denounced and subject to sanctions and penalties under national legislation, as they constitute a violation of the ethical principles of health care and violate human rights that are protected by international and regional agreements. The National Association for Research & Therapy of Homosexuality (NARTH), which described itself as a "professional, scientific organization that offers hope to those who struggle with unwanted homosexuality," disagreed with the mainstream mental health community's position on conversion therapy, both on its effectiveness and by describing sexual orientation not as a binary immutable quality, or as a disease, but as a continuum of intensities of sexual attractions and emotional affect. The American Psychological Association and the Royal College of Psychiatrists expressed concerns that the positions espoused by NARTH are not supported by the science and create an environment in which prejudice and discrimination can flourish. Assessment and measurement Varying definitions and strong social norms about sexuality can make sexual orientation difficult to quantify. Early classification schemes One of the earliest sexual orientation classification schemes was proposed in the 1860s by Karl Heinrich Ulrichs in a series of pamphlets he published privately. The classification scheme, which was meant only to describe males, separated them into three basic categories: dionings, urnings and uranodionings. An urning can be further categorized by degree of effeminacy. These categories directly correspond with the categories of sexual orientation used today: heterosexual, homosexual, and bisexual. In the series of pamphlets, Ulrichs outlined a set of questions to determine if a man was an urning. The definitions of each category of Ulrichs' classification scheme are as follows: Dioning – Comparable to the modern term "heterosexual" Urning – Comparable to the modern term "homosexual" Mannling – A manly urning Weibling – An effeminate urning Zwischen – A somewhat manly and somewhat effeminate urning Virilised – An urning that sexually behaves like a dioning Urano-Dioning – Comparable to the modern term "bisexual" From at least the late nineteenth century in Europe, there was speculation that the range of human sexual response looked more like a continuum than two or three discrete categories. Berlin sexologist Magnus Hirschfeld published a scheme in 1896 that measured the strength of an individual's sexual desire on two independent 10-point scales, A (homosexual) and B (heterosexual). A heterosexual individual may be A0, B5; a homosexual individual may be