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Reparative therapy: the adolescent, the psych nurse, and the issues
Laura C Hein1, Alicia K Matthews
1University of South Carolina Columbia, Columbia, SC 29208, USA. Hein@sc.edu
Summary
Reparative therapy, aimed at changing sexual orientation, poses risks, especially for youth. Psychiatric nurses must consider the ethical implications and potential harm associated with these practices.
Area of Science:
- Psychiatry
- Ethics in Medicine
- Adolescent Health
Background:
- Reparative therapy seeks to alter lesbian, gay, and bisexual (LGB) individuals' sexual orientation towards heterosexuality.
- Despite widespread condemnation by professional bodies due to potential harm, these therapies persist.
- Adolescents are identified as a particularly vulnerable population to the adverse effects of reparative therapy.
Purpose of the Study:
- To examine reparative therapies and their associated risks for LGB youth.
- To explore clinical and practice challenges for psychiatric nurses.
- To address the ethical considerations regarding psychiatric nurse participation in reparative therapy.
Main Methods:
- Literature review on reparative therapy.
- Analysis of potential psychological and social harms.
- Ethical framework application to clinical practice.
Main Results:
- Reparative therapy is associated with significant potential harm to LGB youth.
- Clinical practice issues for psychiatric nurses include navigating patient autonomy and professional standards.
- Ethical dilemmas arise concerning the validity and morality of attempting to change sexual orientation.
Conclusions:
- Reparative therapy for adolescents presents complex clinical and ethical challenges for psychiatric nursing.
- Further dialogue and research are essential to guide psychiatric nurses' involvement in or response to reparative therapy practices.
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