,,iv  #aac? ,,congress  #a/ ,session    
,h4 ,,con4 ,,res4 #fi  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,decemb] #d1      
#bjac,ms4 ,spei] 7= h]self1 ,mr4        
,cicill9e1 ,mr4 ,deut*1 ,mr4 ,ellison1  
,mr4 ,grijalva1 ,mr4 ,keat+1 ,mr4       
,moran1 ,ms4 ,tsongas1 ,mr4 ,sean       
,patrick ,maloney ( ,new ,york1 ,ms4    
,s*w>tz1 ,ms4 ,s*ak[sky1 ,mr4           
,mc,govern1 ,ms4 ,mc,collum1 ,mr4       
,pocan1 ,mrs4 ,davis ( ,cali=nia1 & ,mr4
 ,l[5?al7 submitt$ ! foll[+ concurr5t   
resolution2 :i* 0 ref]r$ to ! ,committee
 on ,en]gy & ,comm]ce  ,,concurr5t      
,,resolution  ,express+ ! s5se (        
,congress t ef=ts by m5tal heal?        
practition]s to *ange an individual's   
sexual ori5tation is dang]\s & h>mful & 
%\ld be prohibit$ f be+ practic$ on     
m9ors4  ,:]eas be+ lesbian1 gay1        
bisexual1 transg5d]1 or g5d] noncon=m+  
is n a disord]1 disease1 illness1       
defici5cy1 or %ortcom+2 ,:]eas !        
,am]ican ,psy*ological ,association's   
#bjjh resolution on ,transg5d]1 ,g5d]   

,id5tity1 & ,g5d] ,expression           
,non-discrim9ation /ates t discrim9ation
 & prejudice aga9/ p bas$ on _! actual  
or p]ceiv$ g5d] id5tity or expression   
detrim5tally affects psy*ological1      
physical1 social1 & economic well-be+2  
,:]eas ! developm5t ( all *ildr5 &      
adolesc5ts into heal?y & productive     
adults is a national priority & end+    
prejudice & inju/ice bas$ on sexual     
ori5tation & g5d] noncon=mity is a human
 rights issue2 ,:]eas ! ,am]ican        
,academy ( ,p$iatrics1 ! ,am]ican       
,c\nsel+ ,association1 ! ,am]ican       
,psy*iatric ,association1 ! ,am]ican    
,psy*ological ,association1 ! ,am]ican  
,s*ool ,c\nselor ,association1 !        
,national ,association ( ,s*ool         
,psy*ologi/s1 & ! ,national ,association
 ( ,social ,work]s1 toge!r repres5t+ m  
?an #dhj1jjj heal? & m5tal heal?        
pr(essionals1 h all tak5 ! position t   
homosexuality is n a m5tal disord] & ?us
 is n some?+ t ne$s to be or c be cur$2 
,:]eas ! ,am]ican ,psy*ological         

,association1 ,am]ican ,psy*iatric      
,association1 ,national ,association (  
,social ,work]s1 ,am]ican ,c\nsel+      
,association ,gov]n+ ,c\ncil1 & ,am]ican
 ,psy*oanalytic ,association h n f\nd   
sexual ori5tation *ange ef=ts to be safe
 or effective2 ,:]eas ! ,am]ican        
,psy*ological ,association's #bjji      
resolution on ,appropriate ,affirmative 
,responses to ,sexual ,ori5tation       
,di/ress & ,*ange ,ef=ts concludes !re  
is insuffici5t evid5ce to support ! use 
( psy*ological int]v5tions to *ange     
sexual ori5tation2 ,:]eas ! ,am]ican    
,psy*iatric ,association has oppos$ s9ce
 #bjjj any psy*iatric treatm5t1 su* z   
rep>ative or conv]sion !rapy1 :i* is    
bas$ ^u ! assumption t homosexuality p] 
se is a m5tal disord] or bas$ ^u ! a    
priori assumption t a pati5t %\ld *ange 
8_/h] homosexual ori5tation2 ,:]eas !   
,am]ican ,psy*ological ,association's   
,task ,=ce on ,appropriate ,!rapeutic   
,responses to ,sexual ,ori5tation's     
sy/ematic review ( pe]-review$ j\rnal   

lit]ature on sexual ori5tation *ange    
ef=ts conclud$ t attempts to *ange      
sexual ori5tation may cause or exac]bate
 di/ress & poor m5tal heal? 9 "s        
individuals1 includ+ depression &       
suicidal ?\ghts2 ,:]eas ! ,am]ican      
,psy*ological ,association issu$ a      
resolution on ,appropriate ,affirmative 
,responses to ,sexual ,ori5tation       
,di/ress & ,*ange ,ef=ts 9 #bjji advis+ 
p>5ts1 gu>dians1 "y p1 & _! families to 
avoid sexual ori5tation *ange ef=ts t   
portray homosexuality z a m5tal illness 
or developm5tal disord] & to seek       
psy*o!rapy1 social support1 &           
educational s]vices t provide accurate  
in=mation on sexual ori5tation &        
sexuality1 increase family & s*ool      
support1 & r$uce rejection ( sexual     
m9ority y\?2 ,:]eas ! ,am]ican ,academy 
( ,*ild & ,adolesc5t ,psy*iatry publi%$ 
a practice pr9ciples 9 #bjab 9 ! ,j\rnal
 ( ! ,am]ican ,academy ( ,*ild &        
,adolesc5t ,psy*iatry /at+ ,pr9ciple #f3
 ,cl9icians %\ld be aw>e t !re is no    

evid5ce t sexual ori5tation c be alt]$  
?r\gh !rapy1 & t attempts to d s may be 
h>mful1 & f9d+ t ,!re is no empirical   
evid5ce adult homosexuality c be prev5t$
 if g5d] noncon=m+ *ildr5 are influ5c$  
to be m g5d] con=m+4 ,inde$1 !re is no  
m$ically valid basis = attempt+ to      
prev5t homosexuality1 :i* is n an       
illness4 ,on ! contr>y1 su* ef=ts may   
enc\rage family rejection & und]m9e     
self-e/eem1 connect$ness & c>+1         
important protective factors aga9/      
suicidal ideation & attempts4 ''' ,giv5 
t !re is no evid5ce t ef=ts to alt]     
sexual ori5tation are effective1        
b5eficial or necess>y1 & ! possibility t
 !y c>ry ! risk ( significant h>m1 su*  
int]v5tions are contra9dicat$42 ,:]eas !
 ,national ,association ( ,social       
,work]s prep>$ a #aiig policy /atem5t 9 
:i* x /at$ ,social /igmatization (      
lesbian1 gay & bisexual p is widespread 
& is a prim>y motivat+ factor 9 lead+ "s
 p to seek sexual ori5tation *anges4    
,sexual ori5tation conv]sion !rapies    

assume t homosexual ori5tation is bo?   
pa?ological & freely *os54 ,no data     
demon/rates t rep>ative or conv]sion    
!rapies are effective1 &1 9 fact1 !y may
 be h>mful42 ,:]eas ! ,am]ican ,c\nsel+ 
,association ,gov]n+ ,c\ncil issu$ a    
position /atem5t 9 ,april ( #aiii 9 :i* 
x /at$ ,we oppose ! promotion (         
rep>ative !rapy z a cure = individuals  
:o are homosexual42 ,:]eas ! ,am]ican   
,psy*oanalytic ,association updat$ its  
position /atem5t 9 ,june #bjab1 on      
attempts to *ange sexual ori5tation1    
g5d]1 id5tity1 or g5d] expression1 & 9 !
 /atem5t ! association /ates ,z ) any   
societal prejudice1 bias aga9/          
individuals bas$ on actual or p]ceiv$   
sexual ori5tation1 g5d] id5tity or g5d] 
expression negatively affects m5tal     
heal?1 contribut+ to an endur+ s5se (   
/igma & p]vasive self-criticism ?r\gh ! 
int]nalization ( su* prejudice4         
,psy*oanalytic te*nique does n encompass
 purposeful attempts to conv]t1 repair1 
& *ange or %ift an individual's sexual  

ori5tation1 g5d] id5tity or g5d]        
expression4 ,su* direct$ ef=ts are aga9/
 fundam5tal pr9ciples ( psy*oanalytic   
treatm5t & (t5 result 9 sub/antial      
psy*ological pa9 by re9=c+ damag+       
int]naliz$ attitudes42 ,:]eas 9 #bjaj1 !
 ,_w ,pr(essional ,association =        
,transg5d] ,heal? releas$ a /atem5t urg+
 ! de-pa?ologization ( g5d] v>iance 9   
:i* x /ates ,! expression ( g5d]        
*>act]i/ics1 includ+ id5tities1 t are n 
/]eotypically associat$ ) "o's assign$  
sex at bir? is a common & culturally    
div]se human ph5om5on :i* %\ld n be     
judg$ z inh]5tly pa?ological or         
negative42 ,:]eas rese>* by ,caitlyn    
,ryan et al4 entitl$ ,family ,rejection 
z a ,pr$ictor ( ,negative ,heal?        
,outcomes 9 ,:ite & ,lat9o ,lesbian1    
,gay1 & ,bisexual ,adults publi%$ 9     
#bjji1 f\nd t c]ta9 "y p exp]i5c$ sexual
 ori5tation *ange ef=ts z a =m (        
rejection1 & t m9ors :o exp]i5ce family 
rejection bas$ on _! sexual ori5tation  
face especially s]i\s heal? risks & t   

su* y\? 7 #h4d times m likely to report 
hav+ attempt$ suicide1 #e4i times m     
likely to report high levels (          
depression1 & #c4d times m likely to use
 illegal drugs comp>$ ) pe]s f families 
t report$ no or l[ levels ( family      
rejection2 & ,:]eas sev]al ,/ates h     
enact$ or are consid]+ legislation & o!r
 measures to prohibit sexual ori5tation 
*ange ef=ts 9 *ildr5 & adolesc5ts3 ,n[1 
!re=e1 be x #a4 ,%ort title ,?is        
resolution may be cit$ z ! ,/op ,h>m+   
,our ,kids ,resolution ( #bjac4  #b4    
,s5se ( ,congress reg>d+ sexual         
ori5tation *ange ef=ts direct$ at m9ors 
7a7 ,9 g5]al ,x is ! s5se ( ,congress t 
sexual ori5tation *ange ef=ts direct$ at
 m9ors are discr$it$ & ineffective1 h no
 legitimate !rapeutic purpose1 & are    
dang]\s & h>mful4  7b7 ,/ate enc\ragem5t
 ,congress enc\rages ea* ,/ate to take  
/eps to protect m9ors f ef=ts t promote 
or promise to *ange sexual ori5tation or
 g5d] id5tity or expression bas$ on !   
premise t be+ lesbian1 gay1 bisexual1   

transg5d]1 or g5d] noncon=m+ is a m5tal 
illness or developm5tal disord] t c or  
%\ld be cur$4  7c7 ,sexual ori5tation   
*ange ef=ts def9$ ,9 ?is resolution1 !  
t]m sexual ori5tation *ange ef=ts means 
any practice by a lic5s$ m5tal heal?    
provid]1 heal? c>e provid]1 or c\nselor 
t seeks or purports to impose *ange ( an
 individual's sexual ori5tation or g5d] 
id5tity or expression1 includ+ r$uc+ or 
elim9at+ sexual or romantic attractions 
or feel+s t[>d a p]son ( ! same g5d] &  
ef=ts to *ange behaviors1 g5d] id5tity1 
or g5d] expression4 ,su* t]m does n     
include c\nsel+ t-- 7#a7 7,a7 provides  
acceptance1 support1 & und]/&+ ( a      
p]son2  7,b7 facilitates a p]son's cop+1
 social support1 & id5tity exploration &
 developm5t2  7,c7 provides             
developm5tally appropriate c\nsel+ = a  
p]son seek+ to transition f "o g5d] to  
ano!r2 or  7,d7 provides sexual         
ori5tation- & g5d] id5tity-neutral      
int]v5tions to prev5t or address        
unlawful conduct or unsafe sexual       

practices2 &  7#b7 does n seek to *ange 
sexual ori5tation or g5d] id5tity or    
expression4