The World Psychiatric Association considers same-sex attraction, orientation, and behavior as normal variants of human sexuality and states that there is no sound scientific evidence that innate sexual orientation can be changed.
New York, N.Y. — “Conversion” therapy is a dangerous, torturous practice that targets LGBTQ+ youth and seeks to change their sexual or gender identities.
So-called “conversion therapy,” sometimes known as “reparative therapy,” is a range of dangerous and discredited practices that falsely claim to change a person’s sexual orientation or gender identity or expression.
Such practices have been rejected by every mainstream medical and mental health organization for decades, but due to continuing discrimination and societal bias against LGBTQ+ people, some practitioners continue to conduct conversion therapy. Minors are especially vulnerable, and conversion therapy can lead to depression, anxiety, drug use, homelessness, and suicide.
To date, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, Nevada, New Hampshire, New Jersey, New Mexico, New York, Oregon, Rhode Island, Utah, Virginia, Vermont, Washington, the District of Columbia, and Puerto Rico all have laws or regulations protecting youth from this harmful practice.
Eight of these state laws or regulations were enacted under Republican governors. A growing number of municipalities have also enacted similar protections, including at least 70 cities and counties in Arizona, Colorado, Florida, Georgia, Iowa, Kentucky, Michigan, Minnesota, Missouri, New York, Ohio, Pennsylvania, Washington, and Wisconsin.
Some right-wing religious groups promote the concept that an individual can change their sexual orientation or gender identity, either through prayer or other religious efforts, or through so-called “conversion” therapy. The research on such efforts has disproven their efficacy, and also has indicated that they are affirmatively harmful.
The American Academy of Pediatrics, the American Counseling Association, the American Psychiatric Association, the American Psychological Association, the National Association of School Psychologists, and the National Association of Social Workers, together representing more than 477,000 health and mental health professionals, have all taken the position that homosexuality is not a mental disorder and thus there is no need for a ‘cure.’”
Research on the Impacts of Reparative Therapy, Harms Caused by Societal Prejudice
American Psychological Association
In 2007, a task force of the American Psychological Association undertook a thorough review of the existing research on the efficacy of conversion therapy.
Their report noted that there was very little methodologically sound research on sexual orientation change efforts (SOCEs) and that the “results of scientifically valid research indicate that it is unlikely that individuals will be able to reduce same-sex attractions or increase other-sex sexual attractions through SOCE.” In short, there is clear evidence that conversion therapy does not work, and some significant evidence that it is also harmful to LGBTQ+ people.
American Academy of Child Adolescent Psychiatry
“The American Academy of Child and Adolescent Psychiatry finds no evidence to support the application of any “therapeutic intervention” operating under the premise that a specific sexual orientation, gender identity, and/or gender expression is pathological.
Furthermore, based on the scientific evidence, the AACAP asserts that such “conversion therapies” lack scientific credibility and clinical utility. Additionally, there is evidence that such interventions are harmful. As a result, “conversion therapies” should not be part of any behavioral health treatment of children and adolescents.”
American Academy of Pediatrics
“Confusion about sexual orientation is not unusual during adolescence. Counseling may be helpful for young people who are uncertain about their sexual orientation or for those who are uncertain about how to express their sexuality and might profit from an attempt at clarification through a counseling or psychotherapeutic initiative.
Therapy directed specifically at changing sexual orientation is contraindicated, since it can provoke guilt and anxiety while having little or no potential for achieving changes in orientation.”
American Association for Marriage and Family Therapy
“[T]he association does not consider homosexuality a disorder that requires treatment, and as such, we see no basis for [reparative therapy]. AAMFT expects its members to practice based on the best research and clinical evidence available.”
American College of Physicians
“The College opposes the use of “conversion,” “reorientation,” or “reparative” therapy for the treatment of LGBTQ persons
American Counseling Association
“The belief that same-sex attraction and behavior is abnormal and in need of treatment is in opposition to the position taken by national mental health organizations, including ACA. The ACA Governing Council passed a resolution in 1998 with respect to sexual orientation and mental health.
This resolution specifically notes that ACA opposes portrayals of lesbian, gay and bisexual individuals as mentally ill due to their sexual orientation… In 1999, the Governing Council adopted a statement ‘opposing the promotion of reparative therapy as a cure for individuals who are homosexual.’ …
American Medical Association
“Our AMA… opposes, the use of ‘reparative’ or ‘conversion’ therapy that is based upon the assumption that homosexuality per se is a mental disorder or based upon the a priori assumption that the patient should change his/her homosexual orientation.”
American Psychiatric Association
“The potential risks of “reparative therapy” are great and include depression, anxiety, and self-destructive behavior, since therapist alignment with societal prejudices against homosexuality may reinforce self-hatred already experienced by the patient.
Many patients who have undergone “reparative therapy” relate that they were inaccurately told that homosexuals are lonely, unhappy individuals who never achieve acceptance or satisfaction.
The possibility that the person might achieve happiness and satisfying interpersonal relationships as a gay man or lesbian are not presented, nor are alternative approaches to dealing with the effects of societal stigmatization discussed…
Therefore, the APA opposes any psychiatric treatment, such as “reparative” or “conversion” therapy, that is based on the assumption that homosexuality per se is a mental disorder or is based on the a priori assumption that the patient should change his or her homosexual orientation.
American Psychoanalytic Association
“As with any societal prejudice, bias against individuals based on actual or perceived sexual orientation, gender identity or gender expression negatively affects mental health, contributing to an enduring sense of stigma and pervasive self-criticism through the internalization of such prejudice.
Psychoanalytic technique does not encompass purposeful attempts to ‘convert,’ “repair,” change or shift an individual’s sexual orientation, gender identity or gender expression. Such directed efforts are against fundamental principles of psychoanalytic treatment and often result in substantial psychological pain by reinforcing damaging internalized attitudes.”
American Psychological Association
“The American Psychological Association affirms that same-sex sexual and romantic attractions, feelings, and behaviors are normal and positive variations of human sexuality regardless of sexual orientation identity;
That homosexuality per se is not a mental disorder and opposes portrayals of sexual minority youths and adults as mentally ill due to their sexual orientation;
That the American Psychological Association concludes that there is insufficient evidence to support the use of psychological interventions to change sexual orientation; and
That the American Psychological Association encourages mental health professionals to avoid misrepresenting the efficacy of sexual orientation change efforts by promoting or promising change in sexual orientation when providing assistance to individuals distressed by their own or others’ sexual orientation…”
American School Counselor Association
“Lesbian, gay, bisexual, transgendered and questioning (LGBTQ) youth often begin to experience self-identification during their pre-adolescent or adolescent years, as do heterosexual youth. These developmental processes are essential cognitive, emotional and social activities, and although they may have an impact on student development and achievement, they are not a sign of illness, mental disorder or emotional problems nor do they necessarily signify sexual activity.
The professional school counselor works with all students through the stages of identity development and understands this development may be more difficult for LGBTQ youth. It is not the role of the professional school counselor to attempt to change a student’s sexual orientation/gender identity but instead to provide support to LGBTQ students to promote student achievement and personal well-being.“
National Association of Social Workers
“People seek mental health services for many reasons. Accordingly, it is fair to assert that lesbians and gay men seek therapy for the same reasons that heterosexual people do.
However, the increase in media campaigns, often coupled with coercive messages from family and community members, has created an environment in which lesbians and gay men often are pressured to seek reparative or conversion therapies, which cannot and will not change sexual orientation. Aligned with the American Psychological Association’s (1997) position, (we) believe that such treatment potentially can lead to severe emotional damage.
Specifically, transformational ministries are fueled by stigmatization of lesbians and gay men, which in turn produces the social climate that pressures some people to seek change in sexual orientation. No data demonstrate that reparative or conversion therapies are effective, and in fact they may be harmful.”
Just the Facts Coalition
Just the Facts Coalition (American Academy of Pediatrics, American Association of School Administrators, American Counseling Association, American Federation of Teachers, American Psychological Association, American School Counselor Association, American School Health Association, Interfaith Alliance Foundation, National Association of School Psychologists, National Association of Secondary School Principals, National Association of Social Workers, national Education Association, School Social Work Association of America)
“The most important fact about ‘reparative therapy,’ also sometimes known as ‘conversion’ therapy, is that it is based on an understanding of homosexuality that has been rejected by all the major health and mental health professions.
The American Academy of Pediatrics, the American Counseling Association, the American Psychiatric Association, the American Psychological Association, the National Association of School Psychologists, and the National Association of Social Workers, together representing more than 477,000 health and mental health professionals, have all taken the position that homosexuality is not a mental disorder and thus there is no need for a ‘cure.’”
World Psychiatric Association
“There is no sound scientific evidence that innate sexual orientation can be changed. Furthermore, so-called treatments of homosexuality can create a setting in which prejudice and discrimination flourish, and they can be potentially harmful (Rao and Jacob 2012). The provision of any intervention purporting to “treat” something that is not a disorder is wholly unethical…
WPA considers same-sex attraction, orientation, and behavior as normal variants of human sexuality. It recognizes the multi-factorial causation of human sexuality, orientation, behavior, and lifestyle. It acknowledges the lack of scientific efficacy of treatments that attempt to change sexual orientation and highlights the harm and adverse effects of such “therapies.”
Government Positions on Conversion Therapy
Substance Abuse and Mental Health Services Administration
“Specifically, conversion therapy—efforts to change an individual’s sexual orientation, gender identity, or gender expression —is a practice that is not supported by credible evidence and has been disavowed by behavioral health experts and associations.
Conversion therapy perpetuates outdated views of gender roles and identities as well as the negative stereotype that being a sexual or gender minority or identifying as LGBTQ is an abnormal aspect of human development. Most importantly, it may put young people at risk of serious harm”
Valerie Jarrett, Senior Advisor to the President of the United States
“The overwhelming scientific evidence demonstrates that conversion therapy, especially when it is practiced on young people, is neither medically nor ethically appropriate and can cause substantial harm.
As part of our dedication to protecting America’s youth, this Administration supports efforts to ban the use of conversion therapy for minors… This Administration believes that young people should be valued for who they are, no matter what they look like, where they’re from, the gender with which they identify, or who they love.”
Andrew Cuomo, Former Governor of New York
“Conversion therapy is a hateful and fundamentally flawed practice that is counter to everything this state stands for. New York has been at the forefront of acceptance and equality for the LGBTQ community for decades – and today we are continuing that legacy and leading by example. We will not allow the misguided and the intolerant to punish LGBTQ young people for simply being who they are.”
Chris Christie, Former Governor of New Jersey
“…on issues of medical treatment for children we must look to experts in the field to determine the relative risks and rewards. The American Psychological Association has found that efforts to change sexual orientation can pose critical health risks including, but not limited to, depression, substance abuse, social withdrawal, decreased self-esteem and suicidal thoughts. I believe that exposing children to these health risks without clear evidence of benefits that outweigh these serious risks is not appropriate.”
Kate Brown, Governor of Oregon
“There are many things that young people need, but breaking them down based on their sexual or gender identity is not one of them — and in fact, it’s inexcusable. Our young people deserve acceptance, support, and love. To the young people who question their identities, suffer from bullying, or struggle with what it means to come out, today is your day. Your voices have been heard.”
Jerry Brown, Former Governor of California
“These practices have no basis in science or medicine and they will now be relegated to the dustbin of quackery.”
“Conversion” Therapy is a Dangerous Practice Targeting LGBTQ+ Youth (Aug. 1, 2024)
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