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Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, romantic orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have been used to this end include forms of brain surgery, surgical or chemical (hormonal) castration, aversion therapy treatments such as electric shocks, nausea-inducing drugs, hypnosis, counseling, spiritual interventions, visualization, psychoanalysis, and arousal reconditioning. There is a scientific consensus that conversion therapy is ineffective at changing a person's sexual orientation or gender identity and that it frequently causes significant long-term psychological harm. The position of current evidence-based medicine and clinical guidance is that homosexuality, bisexuality, and gender variance are natural and healthy aspects of human sexuality. An increasing number of jurisdictions around the world have passed laws against conversion therapy.
The rights of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Utah have significantly evolved in the 21st century. Protective laws have become increasingly enacted since 2014, despite the state's reputation as socially conservative and highly religious. Utah's anti-sodomy law was invalidated in 2003 by Lawrence v. Texas, and fully repealed by the state legislature in 2019. Same-sex marriage has been legal since the state's ban was ruled unconstitutional by federal courts in 2014. In addition, statewide anti-discrimination laws now cover sexual orientation and gender identity in employment and housing, and the use of conversion therapy on minors is prohibited. In spite of this, there are still a few differences between the treatment of LGBTQ people and the rest of the population, and the rights of transgender youth are restricted.
Kenneth J. Zucker is an American-Canadian psychologist and sexologist known for the living in your own skin model, a form of conversion therapy aimed at preventing pre-pubertal children from growing up transgender by modifying their gender identity and expression.
Stephen Barrett Levine is an American psychiatrist known for his thesis that gender dysphoria and being transgender are often caused by psychological issues that should be treated psycho-analytically as opposed to with gender-affirming care. He co-founded Case Western Reserve University School of Medicine's Gender Identity Clinic in 1974, served as the chair of the World Professional Association for Transgender Health (WPATH) drafting committee for the 5th edition of their Standards of Care (SOC-5) published 1998, and served on the American Psychiatric Association (APA) DSM-IV (1994) Subcommittee on Gender Identity Disorders.
In the United States, the rights of transgender people vary considerably by jurisdiction. In recent decades, there has been an expansion of federal, state, and local laws and rulings to protect transgender Americans; however, many rights remain unprotected, and some rights are being eroded. Since 2020, there has been a national movement by conservative/right-wing politicians and organizations to target transgender rights. There has been a steady increase in the number of anti-transgender bills introduced each year, especially in Republican-led states.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Ohio enjoy most of the same rights as non-LGBTQ people. Same-sex sexual activity has been legal in Ohio since 1974, and same-sex marriage has been legally recognized since June 2015 as a result of Obergefell v. Hodges. Ohio statutes do not address discrimination on account of sexual orientation and gender identity; however, the U.S. Supreme Court's ruling in Bostock v. Clayton County established that employment discrimination against LGBTQ people is illegal in 2020. In addition, a number of Ohio cities have passed anti-discrimination ordinances providing protections in housing and public accommodations. Conversion therapy is also banned in a number of cities. In December 2020, a federal judge invalidated a law banning sex changes on an individual's birth certificate within Ohio.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of West Virginia face legal challenges not faced by non-LGBT persons. Same-sex sexual activity has been legal since 1976, and same-sex marriage has been recognized since October 2014. West Virginia statutes do not address discrimination on account of sexual orientation or gender identity; however, the U.S. Supreme Court's ruling in Bostock v. Clayton County established that employment discrimination against LGBTQ people is illegal.
Lesbian, gay, bisexual, and transgender (LGBTQ) people in the U.S. state of Florida have federal protections, but many face legal difficulties on the state level that are not experienced by non-LGBT residents. Same-sex sexual activity became legal in the state after the U.S. Supreme Court's decision in Lawrence v. Texas on June 26, 2003, although the state legislature has not repealed its sodomy law. Same-sex marriage has been legal in the state since January 6, 2015. Discrimination on account of sexual orientation and gender identity in employment, housing and public accommodations is outlawed following the U.S. Supreme Court's ruling in Bostock v. Clayton County. In addition, several cities and counties, comprising about 55 percent of Florida's population, have enacted anti-discrimination ordinances. These include Jacksonville, Miami, Tampa, Orlando, St. Petersburg, Tallahassee and West Palm Beach, among others. Conversion therapy is also banned in a number of cities in the state, mainly in the Miami metropolitan area, but has been struck down by the 11th Circuit Court of Appeals. In September 2023, Lake Worth Beach, Florida became an official "LGBT sanctuary city" to protect and defend LGBT rights.
James M. Cantor is an American-Canadian clinical psychologist and sexologist specializing in hypersexuality and paraphilias.
The American College of Pediatricians (ACPeds) is a socially conservative advocacy group of pediatricians and other healthcare professionals in the United States, founded in 2002. The group advocates in favor of abstinence-only sex education and conversion therapy, and advocates against vaccine mandates, abortion rights and rights for LGBT people. As of 2022, its membership has been reported at about 700 physicians.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Maine have the same legal rights as non-LGBTQ people. Same-sex marriage has been recognized in Maine since December 2012, following a referendum in which a majority of voters approved an initiative to legalize same-sex marriage. Discrimination on the basis of sexual orientation and gender identity is prohibited in the areas of employment, housing, credit and public accommodations. In addition, the use of conversion therapy on minors has been outlawed since 2019, and joint adoption is permitted for same-sex couples.
Lesbian, gay, bisexual transgender, and queer (LGBTQ) rights in the U.S. state of Iowa have evolved significantly in the 21st century. Iowa began issuing marriage licenses to same-sex couples on April 27, 2009 following a ruling by the Iowa Supreme Court, making Iowa the fourth U.S. state to legalize same-sex marriage. Same-sex couples may also adopt, and state laws ban discrimination based on sexual orientation or gender identity in employment, housing and public accommodations.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Kentucky still face some legal challenges not experienced by other people. Same-sex sexual activity in Kentucky has been legally permitted since 1992, although the state legislature has not repealed its sodomy statute for same-sex couples. Same-sex marriage is legal in Kentucky under the U.S. Supreme Court ruling in Obergefell v. Hodges. The decision, which struck down Kentucky's statutory and constitutional bans on same-sex marriages and all other same-sex marriage bans elsewhere in the country, was handed down on June 26, 2015.
Transgender rights in Australia have legal protection under federal and state/territory laws, but the requirements for gender recognition vary depending on the jurisdiction. For example, birth certificates, recognised details certificates, and driver licences are regulated by the states and territories, while Medicare and passports are matters for the Commonwealth.
Rapid-onset gender dysphoria (ROGD) is a controversial, scientifically unsupported hypothesis which claims that some adolescents identify as transgender and experience gender dysphoria due to peer influence and social contagion, particularly those assigned female at birth. ROGD is not recognized as a valid mental health diagnosis by any major professional associations. The APA, WPATH and 60 other medical professional organizations have called for its elimination from clinical settings due to a lack of reputable scientific evidence for the concept, major methodological issues in existing research, and its stigmatization of gender-affirming care for transgender youth.
Jack L. Turban is an American psychiatrist, writer, and commentator who researches the mental health of transgender youth. His writing has appeared in The New York Times, The Washington Post, The Los Angeles Times, CNN, Scientific American, and Vox. He is an assistant professor of child and adolescent psychiatry at The University of California San Francisco and affiliate faculty in health policy at The Philip R. Lee Institute for Health Policy Studies.
Genspect is an international group founded in June 2021 by psychotherapist Stella O'Malley that has been described as gender-critical. Genspect opposes gender-affirming care, as well as social and medical transition for transgender people. Genspect opposes allowing transgender people under 25 years old to transition, and opposes laws that would ban conversion therapy on the basis of gender identity. Genspect also endorses the unproven concept of rapid-onset gender dysphoria (ROGD), which proposes a subclass of gender dysphoria caused by peer influence and social contagion. ROGD has been rejected by major medical organisations due to its lack of evidence and likelihood to cause harm by stigmatizing gender-affirming care.
The Society For Evidence-Based Gender Medicine (SEGM) is a non-profit organization that is known for its opposition to gender-affirming care for transgender youth and for engaging in political lobbying. The group routinely cites the unproven concept of rapid-onset gender dysphoria and mistakenly claimed that conversion therapy techniques are only practiced on the basis of sexual orientation rather than gender identity. SEGM is often cited in anti-transgender legislation and court cases, sometimes filing court briefs.
Quentin L. Van Meter is a pediatric endocrinologist and president of the American College of Pediatricians, a socially conservative advocacy group which is known for opposing gay marriage, gender reassignment surgery, and abortion. He has advocated and referred his clients to conversion therapy and is known for rejecting the medical consensus on the efficacy and safety of transgender health care.
False and misleading claims about gender diversity, gender dysphoria, and gender-affirming healthcare have been used to legislatively restrict transgender people's healthcare. The claims have primarily relied on manufactured uncertainty generated by various conservative religious organisations pseudoscientific or discredited researchers, and anti-trans activists.
References
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- 1 2 Cornwell, Steve (2019-08-27). "Mississauga-Streetsville candidate posted links to anti-LGBTQ+ content on now defunct personal website". Mississauga.com . Retrieved 2024-04-16.
- 1 2 3 Young, Matt (1 May 2013). "Australian gay rights advocate Alex Greenwich compared to Stalin". news.com.au.
- ↑ Bailey, J. Michael; Vasey, Paul L.; Diamond, Lisa M.; Breedlove, S. Marc; Vilain, Eric; Epprecht, Marc (2016). "Sexual Orientation, Controversy, and Science". Psychological Science in the Public Interest. 17 (2). The Association for Psychological Science: 86. doi: 10.1177/1529100616637616 . ISSN 1529-1006.
- 1 2 3 4 Alstott, Anne; Olgun, Melisa; Robinson, Henry; McNamara, Meredithe (2024). ""Demons and Imps": Misinformation and Religious Pseudoscience in State Anti-Transgender Laws". Yale Journal of Law and Feminism .
- 1 2 Wiggins, Christopher (15 June 2023). "Republican Dan Crenshaw Says Gender-Affirming Care Is 'The Hill We Will Die On'". Advocate. Retrieved 2024-06-13.
- ↑ "Group dynamics and division of labor within the anti-LGBTQ+ pseudoscience network". Southern Poverty Law Center. Retrieved 2024-04-16.
- ↑ Zhou, Steven (2019-08-02). "A Leaked Report Links This Conservative Candidate to a Homophobic Past". Vice. Retrieved 2024-04-16.
- ↑ Pauly, Madison; Carnell, Henry. "First they tried to "cure" gayness. Now they're fixated on "healing" trans people". Mother Jones . Retrieved 2024-06-05.
- 1 2 Wuest, Joanna; Last, Briana S. (2024). "Agents of scientific uncertainty: Conflicts over evidence and expertise in gender-affirming care bans for minors" . Social Science & Medicine. 344: 116533. doi:10.1016/j.socscimed.2023.116533. ISSN 0277-9536. PMID 38401237.
- 1 2 Tapaleao, Vaimoana (2013). "Sex report slams Kiwi lessons". NZ Herald. Retrieved 2024-04-16.
- ↑ Knefel, John (2022-09-23). "Mainstream coverage is obscuring American Principles Project's hateful, anti-trans agenda". Media Matters for America . Retrieved 2024-06-05.
- ↑ "Media Scan / Sexual Health / Betrayal on Campus". Washington Post . 2007.
- ↑ Throckmorton, Warren (December 6, 2006). "Unprotected". National Review .
