Metro Weekly

Supreme Court Seems Willing to End Conversion Therapy Bans

High court's conservative majority appears ready to side with a therapist claiming Colorado's ban violates free speech.

Kaley Chiles – Photo: Facebook, Supreme Court – Photo: Todd Franson

A majority of the Supreme Court appeared poised to overturn Colorado’s ban on licensed counselors attempting to change the sexual orientation or gender identity of minors, after 90 minutes of oral arguments on October 7. The decision could upend similar conversion therapy bans in 23 states and the District of Columbia.

Conversion therapy attempts to change a person’s same-sex attraction or gender dysphoria by teaching patients to suppress their impulses or modify behavior to fit traditional notions of gender and sexuality. The practice is often wrongly described as “curing” a person of same-sex attraction or gender dysphoria — when even many practitioners admit they cannot eliminate such feelings, only offer ways to manage or resist them.

While extreme forms of conversion therapy have included physical pain, psychological abuse, aversion techniques, induced vomiting, or even electroshock treatments, most practitioners now focus on so-called “talk therapy,” in which therapists try to guide patients toward a specific goal, such as reducing same-sex attraction.

No state currently bans adults from seeking conversion therapy, but nearly two dozen have enacted laws prohibiting licensed therapists from practicing it on minors. Four other states have issued executive orders or adopted regulatory guidelines restricting the practice for minors — who are often placed in therapy at their parents’ insistence rather than by their own choice.

Social conservatives who oppose homosexuality or reject the concept of gender identity argue that parents should have the right to send their children to therapists who help them align their lives and behavior with their preferred religious beliefs.

Kaley Chiles, a licensed Colorado counselor, is challenging the state’s conversion therapy ban, arguing that it violates her right to practice what she calls “faith-informed counseling” to help clients who “have a goal to become comfortable and at peace” with their body, reports The Washington Post.

Chiles contends that the minors and parents who seek her help are religious and want to “live a life consistent with their faith,” as guided by the Bible. She says she limits her work with minors to “talk therapy” and argues that Colorado’s ban violates her free speech rights and prevents her from offering guidance to youth struggling with unwanted same-sex attraction or gender dysphoria.

“This one topic was now being separated and treated differently than literally every other topic in counseling,” Chiles told the Post, lamenting that most mainstream medical associations favor more “affirming” approaches to LGBTQ identity. “It’s not the way we would operate with addictions and eating disorders and with depression.”

In March, the U.S. Supreme Court agreed to hear Chiles’ challenge after lower courts upheld Colorado’s ban, ruling that it regulates professional conduct rather than speech. The decision marked a shift for the high court, which previously declined to hear similar challenges to bans in Washington State, California, and New Jersey.

Lawyers for Colorado argue that the Supreme Court has long recognized states’ authority to regulate the practice of medicine to protect patients from substandard care — even when those regulations may limit a therapist’s personal speech.

In an amicus brief filed with the court, 21 state attorneys general argued that conversion therapy bans should stand because the practice is unsafe, ineffective, and fails to meet accepted standards of mental health care. They contend that the therapy increases the risk of suicide and depression among LGBTQ youth and therefore does not merit First Amendment protection.

The attorneys also warn that overturning conversion therapy bans could undermine states’ authority to regulate professional practices within their own borders.

Most major medical and mental health organizations reject conversion therapy as unscientific and warn that those subjected to it can suffer lasting psychological harm.

A 2013 survey of conversion therapy survivors found that 84% said their experiences continue to haunt them, causing lasting harm ranging from “nervous breakdowns” to shame, depression, self-loathing, and suicidal thoughts.

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