History and Iatrogenic Effects of Conversion Therapy.

IF 17.8 1区 心理学 Q1 PSYCHOLOGY
Gerald C Davison, Kyla-Rose Walden
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引用次数: 0

Abstract

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."

转换疗法的历史和先天影响。
研究表明,改变性取向的努力(SOCEs)并不有效,而且通常会导致抑郁、焦虑甚至自杀等先天性后果。对同性恋的负面态度源于大多数正规宗教,并体现在支持和鼓励改变性取向的医学和心理学理论中。对性少数群体的压迫使得患者不太可能自愿提出改变要求。最近,这一领域发生了巨大的变化,从补偿性方法转向了肯定性方法。在此,我们回顾了 SOCEs 的历史、其后果、当前的平权疗法以及该领域未来的发展方向,因为它们与同性恋群体的福祉息息相关。从机构社区心理学的角度来看,我们认为,即使有可能实现真正的转化,这种努力也是不道德的,即使有人提出要求,也不应该去做。正如所有心理/精神干预措施一样,问题不在于 "能否",而在于 "是否应该"。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
31.50
自引率
0.50%
发文量
24
期刊介绍: The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.
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