Paladino hasn’t named any one person as dysfunctional. He is stating a case for homosexuality itself as form of personality dysfunction. There is a difference.
A relative of mine was homosexual and suddenly, to everyone’s surprise, decided to walk away from that lifestyle and CHOSE to marry a member of the opposite sex. Why? Who knows!
There have been so many of these instances where people, either heterosexual or homosexual, decide to switch that the argument, “I was born this way”, no longer applies.
The result is either a personality (or sexual) dysfunction. It doesn’t mean that a person is crazy or a danger to the rest of the public. Far from it. It just means there is something not quite ‘straight’ (pardon the pun!) going on with that person’s personality.
One of my college buddies (male) did the same thing. He lived with her a couple of years first to make sure he could really change. I've known a couple of women since then that have also crossed back over to the straight side of the street.