A Systematic Review of the Nature of Contemporary Sexual Orientation and Gender Identity or Expression Change Efforts, 2000–2024
摘要
This study analyzes literature on sexual orientation and gender identity or expression change efforts (SOGIECE) settings, perpetrators, methods, and timing of exposure to inform and improve the effectiveness of SOGIECE prevention efforts.
Recent FindingsWe identified 41 unique studies conducted in 14 countries during 2000–2024. Primary categories of SOGIECE perpetrators included (1) clinicians/healthcare settings (secular), (2) other public bodies, (3) religious, (4) social circles, and (5) “troubled teen industry.” The most common SOGIECE modalities were gender role enforcement (66%), prayer (59%), group-based practices (53% of studies), individual secular counseling (41%), removing demons (41%), religious/pastoral counseling (38%), sexual abstinence (38%), encouragement of heterosexual relationships (38%), and aversion therapies (34%). Among 6,164 participants, 60% were < 18 when they were first exposed to SOGIECE. On average, participants experienced SOGIECE for 2–5 years, with some attending SOGIECE for 10 + years.
SummaryContemporary SOGIECE are diverse in their approaches and settings, necessitating multifaceted prevention strategies, including educational and regulatory interventions to address SOGIECE not immediately recognizable as such. More resources are required for SGM who may experience prolonged exposure to SOGIECE.