Practitioner Development

<scp>LGBTQ</scp>+ conversion therapy and applied behavior analysis: A call to action

Conine et al. (2022) · Journal of Applied Behavior Analysis 2022
★ The Verdict

ABA must own its past role in conversion therapy and update ethics, consent forms, and research to protect LGBTQ+ clients.

✓ Read this if BCBAs writing behavior plans or intake forms for any client old enough to express identity.
✗ Skip if RBTs who only run rote protocols and never touch assessment or consent paperwork.

01Research in Context

01

What this study did

Conine and colleagues wrote a position paper. They looked at ABA’s past use in LGBTQ+ conversion therapy.

The authors did not run a new experiment. They reviewed history and ethics codes. They asked the field to fix past harm.

02

What they found

The paper shows ABA once helped try to change sexual orientation. This history still hurts LGBTQ+ clients today.

The authors say the BACB ethics code is too quiet on this issue. They want clear statements and new affirming research.

03

How this fits with other research

Graber et al. (2024) extend the call. They map U.S. court cases on informed consent. Together the papers say: update both ethics and legal consent forms before working with LGBTQ+ clients.

Cox (2024) also extends the idea. He shows payers are moving to value-based care. Cox argues affirming LGBTQ+ outcomes can be written into the new quality metrics.

Smith (2008) is topically related. He proves restraint has no therapeutic benefit. Both papers urge ABA to drop harmful tools of the past—restraint then, conversion therapy now.

04

Why it matters

You may never use conversion therapy, but clients still fear the field. Add an LGBTQ+ consent paragraph to your intake packet this week. Join the BACB ethics draft surveys when they open. Small moves show clients you have read the history and chosen the affirming side.

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Add one line to your consent form: ‘We do not provide nor support conversion therapy; ask us if you have concerns.’

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

The term conversion therapy refers to any practices intended to alter a person's sexual orientation, gender expression, gender identity, or any combination thereof. The present-day scientific consensus is that such practices are not only ineffective, but highly harmful and fundamentally unethical. However, historical connections exist between applied behavior analysis and the design and dissemination of conversion therapy practices. The purpose of this paper is to highlight these connections and to call for further attention and action from contemporary behavior analysts on this matter. Specifically, we call for continued discussion and review of previously published conversion therapy papers according to present-day guidelines for ethical research, position statements from professional organizations, additional ethics guidelines for behavior-analytic practice, and future behavior-analytic research and practice efforts that support LGBTQ+ people.

Journal of Applied Behavior Analysis, 2022 · doi:10.1002/jaba.876