Beruflich Dokumente
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Samantha L. Blackburn
Abstract
This paper summarizes the legality of banning conversion therapy, changing someones sexual
orrentaion from gay to straight through therapy, on minors. It goes into studies on conversion
therapy and its affectiveness and the effects it can have on a person, as well as conversion
therapy being fruadulant, states regualtions on it, and specificly Virginia regualtions on
conversion therapy.
HARMFUL MEDICAL PRACTICES 3
Over 700,000 adults have gone through conversion therapy, about half of them as minors
(Fadel, 2019). Statistics show that people who have gone through conversion therapy are eight
times more likely to commit suicide, six times more likely to have depression, and three times
more likely to abuse drugs ("Jonah Conversion," n.d.). So why is it still legal? Conversion or
reparative therapy, as it is now commenly called, is the practice of changing a patient’s sexual or
gender orientation, from homosexual to hetrosexual, through the use of therapy, and is a practice
that most medical associations have deemed ineffective and harmful ("The Lies," n.d.).
According to the article “Gay Conversion Therapy's Disturbing 19th-Century Origins,” in 1899 a
psychiatrist made a claim that he had turned a gay man straight; this led to the creation of
conversion therapy. The practice became popular throughout the 1900’s due to the fact that
during that time period homoseuality was seen as a mental disorder. Like many mental disorders
in the 1900’s it was treated with what is now seen as unethical forms of therapy including
electroshock, lobotomies, aversion therapy, and many other treatments (Blakemore, 2018). In
(Blakemore, 2018). After that, many other health and psychiatric organizations’ position on
conversion therapy changed to match with the APA’s in that it does not work and cause lots of
harm to the patients ("The Lies," n.d.). Conversion therapy is fraudulant and endangers minors
The Substance Abuse and Mental Health Services Administration (SAMHSA) and the
APA in 2007 conducted a study on some conversion therapy cases, and they concluded that
conversion therapy is dangourus and harmful to minors due to the fact that it is built off of
HARMFUL MEDICAL PRACTICES 4
hatered towards people who are LGBTQ. They also concluded that because many psychological
and medical organizations don’t approve of the practice, there aren’t any real guidelines on how
Studies
There have been many studies done on the affects of conversion therapy and if sexuality
could be changed through therapy. David Jenkins and Lon Johnston, coauthors of “Unethical
Treatment of Gay and Lesbian People With Conversion Therapy,” a scholorly jornal that reviews
some of the studies done on sexualitly and conversion therapy, found that most studies done on
the effectiveness of conversion therapy violate the National Assocation of Social Workers
(NASW) code of ethics section 5.02. NASW Code of Ethics (1999) Sections 5.02, Evaluation
and Research, section 5.02n states "Social workers should report evaluation and research
findings accurately. They should not fabricate or falsify results and should take steps to correct
any errors later found in published data using standard publication methods." This means that
research should be reported accurately and without bias. Section 5.02p states that social workers
must "educate themselves, their students, and their colleagues about responsible research
practice.” Jenkins and Johnston found that either the code was violated through sampling flaws,
the measure of change was unreliable, or follow up studies where not being done. Studies done
by Bieber et al. (1962) and Masters and Johnson (1979) both have sampling flaws. In both
studies the participents consisted of both gay and bisexual people. This skewed the data due to
the fact that a percent of the participants found the opposite gender attractive already. Many
studies got their data through self-reporting, which could skew the data if there was a response
bias. As seen in the studies done by Bieber et al. (1962) and Mintz (1966), the participants in
HARMFUL MEDICAL PRACTICES 5
these studies did want to change their sexual orientation, so they were more likely to say that the
therapy worked even if it didn’t. Also most studies never go back to follow up the study, so
there's no way to know if the therapy works long term. This was seen in the studies done by
The APA also did a study analizing other research done on conversion therapy and its
effects. They found that conversion therapy is unlikely to cause a decrease of sexual atttraction
for the same sex. Not only did the APA conclude that conversion therapy is inaffective but also
that it is dangerous, due to the fact that conversion therapy is based on predjudice towards
homosexuality. In conclusion, the APA deemed conversion therapy as inaffective and harmful
Effects on Minors
Many times people go to therapy to fix something that is wrong, like depression or a
marriage. Conversion therapy is no different, expecpt for the fact that conversion therapy is
based on the hatred towards being gay and the idea that homosexuality is a disorder and needs to
be and can be treated (Drescher & Zucker, n.d.). There is no support in conversion therapy,
unlike other types of therapy (Jenkins & Johnston, 2004). In Jenkins and Johnston jornal they
further found that in conversion therapy the relationship between the client and the therapist is
almost always going to be a negative one. Due to the fact that the therapy focuses on
homosexuality being bad and unnatural. This negative relationship can make the client feel
alone. In many cases of a minor going to conversion therapy, the minor is pressured into going
by their parents or other people in their lives, even if they don't want to change (2004). This in
turn only adds to the feeling of being alone. That feeling of being alone can lead to lowered
HARMFUL MEDICAL PRACTICES 6
self-esteem, lower self-worth, depression, feelings of shame, and even suicidal thoughts in a
client (Drescher & Zucker, n.d.). Many clients struggle with these emotions for years down the
Like in the case of James Guay, at 16 he came out to his parents and was put into
conversion therapy. James went willingly because he wanted the therapy to work. He even went
to ex-gay confferences till he was 20 in the hopes that he would become striaght. In conversion
therapy Guay was told that it was his parents’ fualt that he was gay. That is because his
relationship with his father wasn’t very strong; he was gay. He was told that he needed stronger
same-sex friendships. None of it worked, and during those four years, Guay became depressed
and suicidal, and he began to self harm. Guay came to terms with his sexuality in his 20’s, but he
still suffered from suicidal thoughts, shame, and depression. He finally started seeing a therapist
in his 30’s to help him get over what he went through in conversion therapy (Guay, 2014). A
similar thing happened to Peter Nunn. He was 15 when he came out to his parents and started
conversion therapy. But unlike Guay, he was not going willingly. Nunn reported that on the car
ride to the therapist he felt that everything he knew was being threatened. In the therapy he was
told that he was wrong and was committing a sin. Nunn eventualy tried to commit suicide. After
many years he was able to overcome what was done to him and is now living happily with his
husband (Fadel, 2019). There are thousands of case just like theirs of poeple going to conversion
therapy, etheir willingly or unwillingly, and in the end the person is still attrected to the same
sex, but now has feelings of self loathing, shame, depression, and sometimes even suicidal
There aren’t many regulations, medical or state, that specifically target conversion
therapy and how it should be counducted. But there are laws banning conversion therapy on
minors in some states. In the states California, Colorado, Delaware, Hawaii, Maryland,
Massachusetts, Nevada, North Carolina, Oregon, and Rhode Island conversion therapy is banned
on the grounds that it is harmfull and unaffective (Movement Advancement Project, 2019). In
Delaware’s ban on conversion therapy, SB No.65, Delaware states that it has “a compelling
interest in protecting the physical and psychological well-being of children, including lesbian,
gay, bisexual, and transgender children, and in protecting its children against exposure to serious
harms caused by conversion therapy.” The bill also states that Delaware opposes conversion
therapy due to the fact that there is no sugnificant evidnce proving that it works, and that it has
In the case of Pickup v. Brown (2013), a friend-of-the-court brief was filed to the U.S.
Ninth Circuit Court of Appeals by Lambda Legal, representing 12 national and regional
organizations. The brief pleaded for the judges to uphold SB 1172, which is a California law
outlawing the use of conversion therapy on minors. The courts ruled to uphold the SB 1172 law
(Pickup v. Brown, 2013). In 2017 a challenge to California’s 2012 law banning conversion
therapy, the same law from the Pickup v. Brown case, was brought to the United States Supreme
Court. The plaintiffs claimed that the law was prohibiting their right to practise their religion.
The Supreme court rejected the challenge, upholding the ban (Chung, 2017).
HARMFUL MEDICAL PRACTICES 8
Fraud
existing fact made by one person to another with knowledge of its falsity and for the purpose of
inducing the other person to act, and upon which the other person relies with resulting injury or
damage.” This means that any intentional act of lying to get someone to do something for your
own gain, or promising someone something even though you have specific knowledge of
There are many different types of fraud: tax fraud, check fraud, insurance fraud, and
many others (Content Team, 2014). In regards to conversion therapy, consumer fraud is what is
being committed. Consumer fraud according to Winston and Strawn LLP is a “deceptive
business practices that cause consumers to suffer financial or other losses.” ("What Is the
Definition," n.d.). Conversion therapy is a practices that has been widely discredited by most
sexual orientation from gay to straight through conversion therapy would be deceiving the
State Laws
Many states have banned conversion therapy due to the fact that it is fraudulant.
Connecticut, Illinois, New Jersey, New Mexico, and Washington all have laws banning
conversion therapy on minors and any medical practices caught offering the practice to minors
will be charged with fruad (Movement Advancement Project, 2019). In Connecticut under the
law HR 6695, conversion therapy was banned. The law states that any medical practice found to
HARMFUL MEDICAL PRACTICES 9
be practicing conversion therapy will be commiting fruad under the the Connecticut Unfair
The Therapeutic Fraud act of 2017 is a federal bill that has yet to be passed or even
voted on by the House or Senate ("Therapeutic Fraud," n.d.). If the bill were to be passed,
Congress would not only be recognizing that being gay, lesbian, bisexual, or transgender are not
mental disorders, but also that conversion therapy is dangerous and not proven to be affective.
The act defines conversion therapy as any practices that claims to be able to change ones sexual
oreiantaion or gender identy, not including practices that provided aid to those going through
gender transition or those that offer support and acceptance of lgbtq. The act states that:
services; (2) to advertise for the provision of conversion therapy and claim in such
toward individuals of the same gender; or (C) that such efforts are harmless or
without risk to individuals receiving such therapy; or (3) to assist or facilitate the
This means that if a practice claims and advertises that the practice can change one’s sexual
orientation or gender identity, or reduce same sex attraction, and or that it can be done safely, is
HARMFUL MEDICAL PRACTICES 10
commiting fruad and will be punished under the section 18(a)(1)(B) of the Federal Trade
Commission Act, or by what the state deems appropriate (Therapeutic Fraud, 2017).
Cases
In the case of Ferguson v. Jonah (2012), five people filed an action against JONAH, Jews
Offering New Alternatives for Healing, claiming that it violated New Jersey Consumer Fraud
Act ("CFA"), N.J.S.A. 56:8-1 to -20. Jonah offered conversion therapy, claiming to be able to
change a person sexual orentation to hetarosexual. The way that this was done was through
one-on-one sessions and group sessions. During one-on-one sessions plaintiffs reported that they
would be told to get naked in front of a mirror, and touch themselves, or to say something
negative about themselves. They where told to blaim their parents for them being gay, and would
even be told to beat up a dummie while imagining it was their parents. In group sessions they
would do reenactments of past abuse; having slurs yelled at them and yelling them themselves.
There would be group cuddling sessions where everyone would strip down and cuddle. The
plaintiffs would be paying for these sessions and yet they weren't working. The courts ruled in
favor of the plaintiffs, agreeing that JONAH was committing consumer fraud (Ferguson v.
Even with the APA and many other major health organizations speaking against
conversion therapy, there are still supporters of the practice. Ex-gay supporters belive that
conversion therapy works and that it is possible to change ones sexual orrentation from
homosexual to hetrosexual. They argue that banning conversion therapy is taking away
HARMFUL MEDICAL PRACTICES 11
therapists’ First Amendment rights of free speech, and taking away the parents’ rights to raise
Consent
Consent is a key factor in the medical field. The scholarly journal Innovations in Clinical
Neuroscience, states that before medical care can be given to a patient, the patient must first give
their consent to the treatment. If the patient is a minor, then a parent or guardian must give their
consent due to the fact that in most cases, children are not able to give consent (McNary, 2014).
For this reason, many supporters of conversion therapy say that the government is taking away
their right to raise their child how they see fit (Wardle, 2015).
The fight between parents rights to raise their child as they see fit and the government's
interest in the welfare of minors has been going on for years. Not just in the realm of conversion
therapy. In a report done by the American Psychological Association (APA), the many cases of
the government getting involved in the medical welfare of minors are reviewed. In the
1950s-1980s, a movement began where people of religious or faith based communities would
refuse many medical treatments, due to their faith. It got so bad that the hospitals and social
workers would file actions to be appointed temporary medical guardian of the minor just so that
they could get the treatment needed. The government also has put laws into place banning
parents from performing highly controversial medical treatments to their children. In most of
these cases the government only got involved once the right of the parents or guardians to
choose, put the minor at risk of harm (Wardle, 2015). The supporters of conversion therapy fight
that it is in their right to choose to put their child in conversion therapy or not, and that it does
not cause harm to the child, which is not true. The government has the right to get invovled due
HARMFUL MEDICAL PRACTICES 12
to the fact that most major health orginiazations have denoced conversion therapy due to it being
harmful.
There are many cases of supporters going to court to fight the bans on conversion
therapy. In an NBC news article it states that a lawsuit was brought to court by a health therapist
under the grounds that the ban violated the First Amendment. The plaintiff’s lawyer argued that
the ban “treats the speech of professionals like Mr. Doyle differently from other constitutionally
protected speech.” The plaintiff also argued that the ban violates the patients’ First Amendment
rights to be informed of all information, and that the law does not distinguish between willing
and unwilling conversion therapy. The judge through out the case stating that the ban was put
into place to protect minors from the harms of conversion therapy, that therapist are not aloud to
practice conversion therapy, and that it only bans speech done on the grounds of changing one’s
sexual orientation. The judge also stated that children under the age of 16 can’t legally consent to
In September of 2019, an advocacy group brought the city of Tampa, Florida, to federal
court, challenging the city’s 2017 ban on conversion therapy on minors. The advocacy group
argued that while the city was in its right to ban therapies that harm a minor even verbally, the
bill was too broad and vague. The city argued that “the ban is aimed at cases where therapists
have a predetermined goal of converting children into being heterosexual or to the gender
identity assigned to them at birth.” The court is supposed to make a decision later this year
(O'Donnell, 2019).
HARMFUL MEDICAL PRACTICES 13
There are two options that Virginia can persue to ban conversion therapy on minors.
Virginia could ban conversion therapy on the grounds that it is harmfull and inaffective, like
Califronia and Delaware, or Virginia could ban conversion therapy on the grounds that it is
Virginia has tried to ban conversion therapy on the grounds that it is harmful and
inaffective before, but each time the ban was thrown out by legislators on the grounds that it
would be abstrocting peoples freedom of religon. A Washington Blade news article reported that
earlierer this year a bill was introduced to the Senate that would ban physical conversion therapy
practices on minors, meaning electroshock and adversion therapies, on the grounds that it is
harmful to minors, but would not ban talk therapy. The bill was passed, but the following day the
Senate relooked at the bill, and in the end the bill was not passed (Wellemeyer, 2019). Mechelle
Hankerson, a reproter for the Virginia Mecury, reported that in January of this year the board of
conversion therapy on minors in all regards, be it through physical or verbal therapy. In October
of this year Virginia Beach requested for a state wide ban on conversion therapy to the genral
assembly. This would ban conversion therapy on the grounds “that any psychological practice be
done within professional standards, and there are none for conversion therapy as it is a
denounced practice” states Michael Berlucchi, a Virgina Beach council member. The ban has yet
While Virginia has had no luck banning conversion therapy on the grounds that it is
harmful and inaffective, Virginia could still ban conversion therapy due to it being fraudulent. In
2015 Illinois revised their Youth Mental Health Protection Act. In the revision, conversion
therapy is banned on the grounds that it is fraudulent. The revision states that any person or
practices that offers conversion therapy “in a manner that represents homosexuality as a mental
disease, disorder, or illness, with intent that others rely upon the concealment, suppression, or
omission of such material fact” would be commiting fraud under the Consumer Fraud and
Deceptive Business Practices Act (Youth Mental, 2015). Using Illinois’s bill as a precedent,
Virginia could make conversion therapy illegal under the Virginia Consumer Protection Act
(VCPA). The VCPA protects consumers not just from fraud but also “any other deception,
(Berlik, 2014). Which would encompase conversion therapy due to there being no suggnifigent
practice offering conversion therapy promising to change a person’s sexual orrentaion from gay
Conclusion
Conversion therapy has long been a denounced practice by most major health and
psychological orginizations due to the fact that it was harmful and inaffective. As seen in Jenkins
and Johnston study, there is no substantial proof that conversion therapy can succsefuly change
someone’s sexual orentation from homosexual to heterosexual (2004). And in the APA’s study
research showed that the effects of conversion therapy are rarely positive; in most cases it causes
depresion, suicidle thoughts, feelings of shame and self hatered ("The Lies," n.d.). This idea that
conversion therapy should be banned is has now spread into legislation. Some states have banned
conversion therapy on minors on the grounds that it is harmful and inaffective just like many
health orginizations had, but other states banned conversion therapy on the grounds that it is
fraudulant (Movement Advancement Project, 2019). As of 2019, 16 states including the District
of Columbia and Puerto Rico have banned conversion therapy on minors, and more states are to
References
An Act Concerning the Protection of Youth From Conversion Therapy, H.R. 6695, 2017 Gen.
https://www.cga.ct.gov/2017/FC/2017HB-06695-R000719-FC.htm
An Act to Amend Tittles 24 and 29 of the Delaware Code Relating to Conversion Therapy, S.
Report of the American Psychological Association task force on: Appropriate therapeutic
https://www.apa.org/pi/lgbt/resources/therapeutic-response.pdf
The Associated Press. (2019, September 24). Judge tosses lawsuit challenging Maryland
https://www.nbcnews.com/feature/nbc-out/judge-tosses-lawsuit-challenging-maryland-co
nversion-therapy-ban-n1058056
Berlik, L. E. (2014, November 10). Virginia Consumer Protection Act not limited to fraud.
https://www.virginiabusinesslitigationlawyer.com/virginia-consumer-protection-a-1/
Blakemore, E. (2018, June 22). Gay conversion therapy's disturbing 19th-Century origins.
https://www.history.com/news/gay-conversion-therapy-origins-19th-century
Chung, A. (2017, May 1). U.S. top court rejects 'gay conversion' therapy ban challenge (W.
https://www.reuters.com/article/us-usa-court-gayconversion/u-s-top-court-rejects-gay-co
nversion-therapy-ban-challenge-idUSKBN17X1SJ
Clucas, R. (2017). Sexual orientation change efforts, conservative christianity and resistance to
Content Team. (2014, December 1). Fraud. Retrieved December 9, 2019, from Legal Dictionary
website: https://legaldictionary.net/fraud/
Corvino, J. (Ed.). (1997). Same sex debating the ethics, science, and culture of homosexuality.
Cramer, R. J., Golom, F. D., LoPresto, C. T., & Kirkley, S. M. (2008). Weighing the evidence:
Empirical assessment and ethical implications of conversion therapy. Ethics & Behavior,
https://doi-org.eztcc.vccs.edu:2443/10.1080/10508420701713014
Drescher, J., & Zucker, K. J. (Eds.). (n.d.). Ex-Gay research analyzing the spitzer study and its
Fadel, L. (2019, April 26). Activist and suicide prevention groups seek ban on conversion
https://www.npr.org/2019/04/26/716416764/activists-and-suicide-prevention-groups-seek
-bans-on-conversion-therapy-for-mino
Guay, J. (2014, July 15). My hellish youth in gay conversion therapy and how I got out. Time.
Halgin, R. P. (2009). Taking sides: Taking sides. clashing views in abnormal psychology (5th
Hankerson, M. (2019, October 16). Virginia Beach will ask the General Assembly to ban
https://www.virginiamercury.com/blog-va/virginia-beach-will-ask-the-general-assembly-
to-ban-conversion-therapy/
Jenkins, D., & Johnston, L. B. (2004). Unethical treatment of gay and lesbian people with
Jonah conversion therapy case. (n.d.). Retrieved from Southern Poverty Law Center website:
https://www.splcenter.org/seeking-justice/case-docket/michael-ferguson-et-al-v-jonah-et-
al
King, K. A., & Vidourek, R. A. (2012). Teen depression and suicide: Effective prevention and
intervention strategies. The Prevention Researcher, 19( 4). Retrieved from Gale Academic
OneFile database.
The lies and dangers of "conversion therapy". (n.d.). Retrieved September 23, 2019, from Human
https://www.hrc.org/resources/the-lies-and-dangers-of-reparative-therapy
Michael Ferguson, ET AL., v. Jonah, ET AL. (n.d.). Retrieved from Southern Poverty Law
Center website:
HARMFUL MEDICAL PRACTICES 19
https://www.splcenter.org/seeking-justice/case-docket/michael-ferguson-et-al-v-jonah-et-
al
Movement Advancement Project. (2019, August 5). Conversion therapy laws [Fact sheet].
https://www.lgbtmap.org/img/maps/citations-conversion-therapy.pdf
New study shows teenage depression rates rising. (2018, May 15). Retrieved from Newport
Academy website:
https://www.newportacademy.com/resources/mental-health/teen-depression-study/
O'Donnell, C. (2019, September 24). Tampa's ban on 'conversion therapy' has its day in court.
https://www.tampabay.com/news/tampa/2019/09/24/tampas-ban-on-conversion-therapy-
has-its-day-in-court/
https://www.lambdalegal.org/in-court/cases/pickup-v-brown-and-welch-v-brown
Rodgers, B. (2019, September 5). Utah's proposed 'conversion therapy' ban slated for public
hearing later this month. The Salt Lake Tribune. Retrieved from
https://www.sltrib.com/news/politics/2019/09/05/utahs-proposed-conversion/
Sibley, C. (2015, October 20). Opinion: gay conversion therapy is mental torture for LGBT
youth opinion: gay conversion therapy is mental torture for LGBT youth. The Daily
https://search.proquest.com/docview/1724053307/66BD07A2F84045F9PQ/1?accountid=
3785
HARMFUL MEDICAL PRACTICES 20
Therapeutic Fraud Act of 2017, H.R. 2119 (as introduced, Apr. 24, 2017).
Therapeutic fraud prevention act of 2017. (n.d.). Retrieved September 25, 2019, from Countable
website:
https://www.countable.us/bills/hr2119-115-therapeutic-fraud-prevention-act-of-2017
USLegal. (n.d.). Fraud law and legal definition. Retrieved December 9, 2019, from USLegal
website: https://definitions.uslegal.com/f/fraud/
Wardle, L. D. (2015). Controversial medical treatments for children: The roles of parents and of
the state. Family Law Quarterly, 509-533. Retrieved from ProQuest 5000 database.
Wellemeyer, J. (2019, February 7). Bill to ban physical conversion therapy treatments for minors
killed in Va. Senate. Retrieved December 9, 2019, from Washington Blade website:
https://www.washingtonblade.com/2019/02/07/bill-to-ban-physical-conversion-therapy-tr
eatments-for-minors-killed-in-va-senate/
What is the definition of consumer fraud? (n.d.). Retrieved December 9, 2019, from Winston &
Youth Mental Health Protection Act., H.R. HB0217, 2015 Gen. Assem. (Ill. Aug. 20, 2015).