Research indicates that sexual orientation change efforts (SOCEs) are not effective and furthermore commonly lead to iatrogenic effects such as depression, anxiety, and even suicide. Negative attitudes toward homosexuality derive from most formal religions and are incarnated in medical and psychological theories that support and encourage SOCEs. Oppression of sexual minorities makes it unlikely that change requests by patients are voluntary. Recently there has been a dramatic change as the field moves from reparative to affirmative approaches. Here, we review the history of SOCEs, their consequences, current affirmative treatments, and future directions in the field as they pertain to the well-being of the queer community. From an institutional community psychology perspective, we argue that even if true conversion were possible, such efforts are unethical and should not be pursued even if requested. As is the case with all psychological/psychiatric interventions, the issue is not “can” but “ought.”

中文翻译：

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转换疗法的历史和医源性影响


研究表明，性取向改变努力 （SOCE） 无效，而且通常会导致医源性影响，例如抑郁、焦虑甚至自杀。对同性恋的消极态度源于大多数正式宗教，并体现在支持和鼓励 SOCE 的医学和心理学理论中。对性少数群体的压迫使得患者的改变请求不太可能是自愿的。最近，随着该领域从修复方法转向平权方法，发生了巨大变化。在这里，我们回顾了 SOCE 的历史、它们的后果、当前的平权处理以及该领域与酷儿社区福祉相关的未来方向。从机构社区心理学的角度来看，我们认为，即使真正的皈依是可能的，这种努力也是不道德的，即使有要求也不应该进行。与所有心理/精神病学干预一样，问题不在于 “可以” ，而 “应该”。