Monday, September 24, 2012
California may become first state to limit "reparative therapy"
Senate Bill 1172 would stop licensed therapists from providing reparative therapy to minors. It awaits Governor Brown's signature or veto. Updated 9/30/12 - Governor Brown signed the bill into law. It takes effect January 1, 2013.Senate Bill 1172, a proposed California law that would prevent licensed therapists from offering so-called "reparative therapy" to minors, has passed the state Assembly and Senate and is currently on Governor Jerry Brown's desk. The Governor has until the end of this month -- less than a week away -- to sign or veto the bill. If he signs it, California would be the first state in the US to take such action. Other states are eyeing the California bill closely, with some planning to propose similar bills. Gay rights organizations are also paying close attention to the bill, and have been pushing the Governor to sign it. "Reparative therapy," also sometimes known as "conversion therapy" and referred to in the bill as "sexual orientation change efforts," is a form of therapy that aims to help people distressed by same-sex attraction change those attractions and ultimately become more heterosexual. The therapy was pioneered by Dr. Joseph Nicolosi, who suggests in his original book on the topic that same-sex attractions are unhealthy. All the major professional associations in mental health have issued statements discouraging their members from using reparative therapy, though none has gone so far as to declare the practice inherently unethical. (See statements from the AAMFT, ACA, APA, CAMFT, and NASW; there's a nice history of associations' stances on the topic here.) These statements typically cite the lack of research support for any therapy succeeding in altering sexual orientation, and the serious risk of harm that comes to gay and lesbian clients when a therapist tells them that their sexuality is wrong or unhealthy. However, the therapy remains practiced by a number of mental health professionals, who offer anecdotal reports of clients who say they were helped by the approach. While professional associations are usually loath to accept government intrusion into clinical practice, it is noteworthy that all of the major professional associations in mental health in California are now either neutral on the bill or actively supporting it. All were initially opposed, but as the language of the bill has been amended, all have dropped their opposition. Here is where the major mental health professional associations currently stand: AAMFT-CA: Support The American Association for Marriage and Family Therapy, California Division was (with NASW-CA) one of the first associations to move from opposition to support. (Full disclosure: I'm the current Legislative and Advocacy Committee Chair for AAMFT-CA, and I've worked a great deal on this bill.) NASW-CA: Support The National Association of Social Workers, California Division was (with AAMFT-CA) one of the first associations to move from opposition to support. CPA (Psychologists): Support The The California Psychological Association had initially joined three other organizations (Psychiatrists, CAMFT, and CALPCC) in jointly oposing the bill. While all four organizations have since dropped their opposition, CPA appears to be the only one of the four to move to a position of support. CALPCC: Neutral The California Association of Licensed Professional Clinical Counselors has dropped its opposition, though the bill is not currently mentioned anywhere on the group's web site. CAMFT: Neutral The California Association of Marriage and Family Therapists has dropped its opposition to the bill. The CAMFT web site includes a relatively soft caution to its members about the use of reparative therapy (referred to here as "sexual orientation change efforts") but otherwise does not address the bill. CPA (Psychiatrists): Neutral The California Psychiatric Association has officially withdrawn its opposition to the bill, citing a 1998 statement of the American Psychiatric Association which reads in part, "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." Whatever your stance on the bill, both sides are suggesting you contact Governor Brown's office directly to let him know. The Governor's office can be reached by phone at 916-445-2841, by email here, or on Twitter at @JerryBrownGov. # # # Your comments are welcome. You may post them in the comments section below, via email to ben [at] bencaldwell [dot] com, or to my Twitter feed.