Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
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Guidance Document Change: Consistent with the established position of the NASW, the Board considers “conversion therapy” or “sexual orientation change efforts” to be services that have the potential to be a danger to clients, especially minors. Thus, under regulations governing practitioners licensed or registered by the Board, practicing conversion therapy/sexual orientation change efforts with minors could result in a finding of misconduct and disciplinary action against the licensee or registrant.
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5/8/19  9:51 am
Commenter: Stephanie Malady

Ban the erroneously named abuse known as Conversion Therapy
 

Conversion therapy is unconscionable. And with regard to it's practice on minors, it should rightfully be called what it is: child abuse. 

Therapists that engage in the attempt to brainwash or reverse any childs gender identity are seriously unethical and legislation is needed to end such practices immediately.  

Transgender youth have one of the highest suicide rates in the nation.  We must not allow therapists to increase those rates with therapy methodologies that have been demonstrated in harming trasngender youth. Nearly every major association of mental health professionals have released a statement condemning the practice. Therapy must be evidence-based and empirically verified in order to be a best practice. Conversion therapy is neither.

Over a decade ago, 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 addition, the task force found that "there are no methodologically sound studies of recent SOCE that would enable the task force to make a definitive statement about whether or not recent SOCE is safe or harmful and for whom." In short, there is clear evidence that conversion therapy does not work, and some significant evidence that it is also harmful to LGBTQ people.

And then there are these statements from the professionals:

"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” (or other interventions imposed with the intent of promoting a particular sexual orientation and/or gender as a preferred outcome) 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."
The AACAP Policy on “Conversion Therapies”.

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."
Homosexuality and Adolescence, Pediatrics.

American College of Physicians: "The College opposes the use of “conversion,” “reorientation,” or “reparative” therapy for the treatment of LGBTQ persons."
Lesbian, Gay, Bisexual, and Transgender Health Disparities: Executive Summary of a Policy Position Paper From the American College of Physicians 

American Psychiatric Association

... In 1997 APA produced a fact sheet on homosexual and bisexual issues, which states that “there is no published scientific evidence supporting the efficacy of “reparative therapy” as a treatment to change one’s sexual orientation.” 

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. 

American Psychological Association

"THEREFORE, BE IT RESOLVED, That 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;

BE IT FURTHER RESOLVED, That the American Psychological Association reaffirms its position 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;

BE IT FURTHER RESOLVED, That the American Psychological Association concludes that there is insufficient evidence to support the use of psychological interventions to change sexual orientation;

BE IT FURTHER RESOLVED, 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…"
Resolution on Appropriate Affirmative Responses to Sexual Orientation Distress and Change Efforts.

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.

 

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