American Psychiatric Association Rebukes Reparative Therapy

December 14, 1998

Denver, CO - A position statement opposing any psychiatric treatment such as "reparative" or "conversion" therapy designed to change a person's sexual orientation from homosexual to heterosexual was adopted by unanimous vote at the December 11-12 meeting of the American Psychiatric Association Board of Trustees.

The APA removed homosexuality as a mental disorder from the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1973 after reviewing evidence that revealed it did not fit necessary criterion to be categorized as a mental illness.

"It is fitting that this position opposing reparative therapy is adopted on the 25th anniversary of the removal of homosexuality as a mental disorder from the DSM," said Rodrigo Munoz, M.D., APA President. "There is no scientific evidence that reparative or conversion therapy is effective in changing a person's sexual orientation. There is, however, evidence that this type of therapy can be destructive."

The position states that reparative therapy runs the risk of harming patients by causing depression, anxiety, and self-destructive behavior. The APA joins the American Psychological Association, the American Association of Social Workers, and the American Academy of Pediatrics in making a policy against reparative therapy.

Other policies adopted by the APA this week include approval or adoption of:
The American Psychiatric Association is a national medical specialty society, founded in 1844, whose 42,000 physician members specialize in the diagnosis and treatment of mental and emotional illnesses and substance use disorders.
-end-
Position Statement on Psychiatric Treatment and Sexual Orientation
Adopted by the American Psychiatric Association
Board of Trustees
December 11, 1998

The Board of Trustees of the American Psychiatric Association removed homosexuality from the DSM in 1973 after reviewing evidence that it was not a mental disorder. In 1987, ego-dystonic homosexuality was not included in the DSM-IIIR after a similar review.

The American Psychiatric Association does not currently have a formal position statement on treatments that attempt to change a person's sexual orientation, also known as "reparative or conversion therapy." There is an APA 1997 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, including 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 is not presented, nor are alternative approaches to dealing with the effects of societal stigmatization discussed. Therefore, the American Psychiatric Association opposes any psychiatric treatment, such as "reparative" or "conversion" therapy which is based upon the assumption that homosexuality per se is a mental disorder or based upon a prior assumption that the patient should change his/her homosexual orientation. The American Psychiatric Association recognizes that in the course of ongoing psychiatric treatment, there may be appropriate clinical indications for attempting to change sexual behaviors.

Several major professional organizations including the American Psychological Association, the National Association of Social Workers, and the American Academy of Pediatrics have all made statements against "reparative therapy" because of concerns for the harm caused to patients. The American Psychiatric Association has already taken clear stands against discrimination, prejudice and unethical treatment on a variety of issues including discrimination the basis of sexual orientation.
-end-


American Psychiatric Association

Related Mental Disorder Articles from Brightsurf:

Order in the disorder:
For the first time, a team at HZB has identified the atomic substructure of amorphous silicon with a resolution of 0.8 nanometres using X-ray and neutron scattering at BESSY II and BER II.

World Mental Health Day -- CACTUS releases report of largest researcher mental health survey
On the occasion of 'World Mental Health Day' 2020, CACTUS, a global scientific communications company, has released a global survey on mental health, wellbeing and fulfilment in academia.

Mental illness, mental health care use among police officers
A survey study of Texas police officers examines how common mental illness and mental health care use are in a large urban department.

Changes in hospitalizations for alcohol use disorder in US
Changes over nearly two decades in the rate of hospitalizations and in-hospital deaths from alcohol use disorder in the US were examined in this study.

Unexpected mental illnesses found in a spectrum of a rare genetic disorder
UC Davis MIND Institute researchers found an unexpected spectrum of mental illnesses in patients with a rare gene mutation.

Mental disorders in the family affects the treatment of people with bipolar disorder
Patients with bipolar disorder who have multiple family members with severe mental disorders, are more difficult to treat and require more medicine.

Does estrogen influence alcohol use disorder?
A new study from researchers at the University of Illinois at Chicago shows that high estrogen levels may make alcohol more rewarding to female mice.

New brain disorder discovery
A study has uncovered a new neurodegenerative disorder in which children experience developmental regression and severe epilepsy.

Deciphering disorder
Researchers have combined experimental and theoretical techniques to measure atomic positions of all the atoms in a 2D material and calculate how the arrangement impacts the electronic properties of various regions of the system.

Skills training opens 'DOORS' to digital mental health for patients with serious mental illness
Digital technologies, especially smartphone apps, have great promise for increasing access to care for patients with serious mental illness such as schizophrenia.

Read More: Mental Disorder News and Mental Disorder Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.