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Conversion Practices in Eating Disorder Treatment: A Lived Experience Narrative.

Cody Spadaccini1, Kai Schweizer2,3

  • 1Independent Researcher and Lived Experience Advocate, Western Australia, Australia.

Journal of Psychiatric and Mental Health Nursing
|June 23, 2026
PubMed
Summary
This summary is machine-generated.

Gender identity conversion practices in eating disorder treatment cause significant psychological harm. Safeguarding against these harmful practices is crucial for gender-affirming care in mental health settings.

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Published on: February 16, 2011

Area of Science:

  • Psychology
  • Gender Studies
  • Healthcare Ethics

Background:

  • Conversion practices aim to alter sexual orientation or gender identity.
  • These practices, often in faith-based settings, also occur in secular healthcare.
  • Conversion practices are linked to severe psychological distress.

Purpose of the Study:

  • To provide a lived experience account of gender identity conversion practices.
  • To examine these practices within inpatient eating disorder (ED) treatment.
  • To map the experience to definitions of conversion practices and their impact.

Main Methods:

  • A narrative account of a young trans man's inpatient ED treatment.
  • Analysis of the experience against established definitions of conversion practices.

Main Results:

  • Inpatient ED treatment pathologized gender diversity.
  • Coercion and institutional power enforced cisnormative outcomes.
  • Gender-affirming care was withheld, delayed, or problematized.
  • Enduring psychological harm and treatment disengagement resulted.

Conclusions:

  • Urgent need to protect against conversion practices in mental health settings.
  • Ensuring eating disorder treatment is gender-affirming is essential.
  • Lived experiences highlight critical areas for safeguarding vulnerable individuals.