Blackwell Christopher W
College of Nursing, University of Central Florida, Orlando, Florida 32816-2210, USA.
Issues Ment Health Nurs. 2008 Jun;29(6):651-65. doi: 10.1080/01612840802048915.
Conversion therapies, also know as reparative therapies, emphasize homosexual orientations as psychopathology in gay, lesbian, bisexual, and transgender (GLBT) clients and claim these individuals can reverse their sexual orientation through psychiatric counseling and treatment. Although professional medical and nursing organizations have branded psychiatric interventions designed to change an individual's sexual orientation as unethical, an international movement fueled largely by religious organizations promote such therapies for GLBT persons. This article explores the historical perceptions of homosexuality as psychiatric pathology, efficacy of conversion-based therapies in the changing of clients' homosexual orientations to heterosexual, positions of professional medical and nursing organizations regarding the use of conversion therapies, and ethical considerations these types of therapies pose for psychiatric and mental health nurses.
转化疗法,也被称为修复疗法,将同性恋取向视为男同性恋、女同性恋、双性恋和跨性别者(GLBT)的精神病理学问题,并声称这些人可以通过心理咨询和治疗来扭转其性取向。尽管专业医学和护理组织已将旨在改变个人性取向的精神科干预措施标记为不道德,但一场主要由宗教组织推动的国际运动却在推广针对GLBT人群的此类疗法。本文探讨了将同性恋视为精神病理学问题的历史观念、基于转化的疗法在将服务对象的同性恋取向转变为异性恋方面的疗效、专业医学和护理组织对使用转化疗法的立场,以及此类疗法给精神科和心理健康护士带来的伦理考量。