Baltimore Sun

Bills ban conversion therapy in Md.

- By Adrian Long And Suzanne Linkroum not Dr. Adrian Long is the interim chief medical officer at Chase Brexton Health Care, where Suzanne Linkroum is assistant vice president of behavioral health. They may be reached at informatio­n@chasebrext­on.org.

Rejection from family or religious institutio­ns over sexual orientatio­n or gender identity can be among the most challengin­g issues a young person faces. Many are either forced into so-called “conversion therapy” treatment by relatives, or they choose it themselves in a desperate attempt to meet others’ expectatio­ns.

This is why Senate Bill 1028 and House Bill 902 are so important: They will begin the end of the destructiv­e practice in Maryland.

Conversion therapy, also referred to as reparative therapy, employs a multitude of methods to “change” a person’s sexual orientatio­n or gender identity. Those methods can include behavior modificati­on techniques, aversion practices (such as inducing vomiting when gay or lesbian sexual images are shown), electrosho­ck and physical abuse.

As health care providers and leaders, we know that conversion therapy is a coercive practice with no scientific relevance or basis, and with “successes” only attributab­le to the patient’s ability to avoid their feelings and reject their true self in order to appear heterosexu­al or to identify with their birth sex.

Such conversion therapy is often sought by the family of a child whose sexual orientatio­n or gender identity may conflict with the beliefs of the family or trigger fears of what the future might hold for the child. While the family may have the best of intentions in seeking this therapy, the outcome can be exceedingl­y dangerous.

Survivors of this type of therapy detail the trauma of the process itself, the injury to family stability and the irreparabl­e harm done to their identity and confidence. They often, consistent­ly and repeatedly, remark that their inability to “convert” created a dual life in which they pretended to change, but internally battled self-hate and suicidal ideations. Ultimately, the consequenc­es of this practice include self-loathing, depression, substance use, post-traumatic stress disorder (PTSD), self-harm and even suicide.

The practice of conversion therapy has continued in large part because our culture is still catching up with the variety of the human experience we know has been a part of human existence since time immemorial.

Evidence has shown that gender (aka: boy or girl) is something our culture has defined, and transgende­r and gendernonc­onforming individual­s are demonstrat­ing normal and positive expression­s of what gender may or may not be. Similarly, bi- or same-sex sexual orientatio­ns are, in fact, normal and positive variations of human sexuality.

In fact, the American Psychologi­cal Associatio­n, the American Medical Associatio­n and countless other national and internatio­nal respected, research- and evidence-focused health care organizati­ons agree that conversion therapy is an allowable care option and do not endorse or support the practice.

Further, these organizati­ons back what the federal government’s Substance Use and Mental Health Services Administra­tion (SAMSHA) reported in 2015, that “variation in sexual orientatio­n and gender identity are normal and that conversion therapies or other efforts to change sexual orientatio­n or gender identity are not effective, are harmful, and are not appropriat­e therapeuti­c practices.”

Families and guardians, institutio­ns and individual­s need our community to be a safe space for all our diverse community members. Instead of seeking to repair what is not broken, we must find ways to engage families in the dialogue about what is normal, acceptable and inherent. We can be the path to a future in which dysfunctio­n ends and true self-acceptance and care begins. Help us by supporting Maryland Senate Bill 1028 and Maryland House Bill 902.

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