encourage students to "come out as gay" and affirm them as such may lead the students into "harmful homosexual behaviors that they otherwise would not pursue." The ACPeds letter to the superintendents also stated that gender dysphoria will typically disappear by puberty "if the behavior is not reinforced" and similarly alleged that "most students (over 85 percent) with same-sex attractions will ultimately adopt a heterosexual orientation if not otherwise encouraged." Reception Some scientists have voiced concerns that ACPeds mischaracterized or misused their work to advance its political agenda. Gary Remafedi, a pediatrician at the University of Minnesota, wrote ACPeds a public letter accusing them of fundamentally mischaracterizing his research in their publications to argue that schools should deny support to gay teenagers. Francis Collins, a geneticist and director of the U.S. National Institutes of Health (NIH), issued a statement through the NIH accusing the ACPeds of misleading children and parents on its Facts About Youth website. Warren Throckmorton, a therapist who specializes in sexual orientation issues, similarly stated that his research had been misused, saying of ACPeds: "They say they're impartial and not motivated by political or religious concerns, but if you look at who they're affiliated with and how they're using the research, that's just obviously not true." In an amicus brief regarding the removal of a child from the foster home of a same-sex couple (Kutil and Hess v West Virginia) the National Association of Social Workers (NASW) described ACPeds as a "small and marginal group" which was "out of step with the research-based position of the AAP and other medical and child welfare authorities". The LGBT advocacy organization PFLAG categorizes the ACPeds as an anti-equality organization, describing the group as a "small splinter group of medical professionals who do not support the mainstream view of the American Academy of Pediatricians (AAP) that homosexuality is a normal aspect of human diversity". The American College of Pediatricians has been described by the Southern Poverty Law Center as a "hate group", and a "fringe group" which closely collaborates with the National Association for Research & Therapy of Homosexuality (NARTH) with "a history of propagating damaging falsehoods about LGBT people, including linking homosexuality to pedophilia". In response to an ACPeds brief, the American Civil Liberties Union (ACLU) wrote that ACPeds is a fringe group that has acted to promote "unscientific and harmful 'reparative therapies' for LGBTQ students". Surgical oncologist David Gorski