RANZCP homepage
Contact
Log in Log in
  • Become a psychiatrist
    • Psychiatry training
      • About the Fellowship Program
      • Entry requirements
      • How to apply
      • Time, fees and costs
    • Assessment of international specialists
      • Specialist assessment
      • Area of Need
      • Vocational registration (New Zealand)
      • Specialist specified training
      • Get to know the Australian healthcare system
    • The Psychiatry Interest Forum (PIF)
      • Join PIF
      • Opportunities for PIF members
      • Aboriginal and Torres Strait Islander PIF members
      • Māori and Pasifika PIF members
      • Posters, printables and videos
    • What a psychiatrist does
      • Specialist areas in psychiatry
      • A day in the life
      • Information for high school students
  • Training, exams & assessments
    • Fellowship Program
      • Program overview
      • Stage 1
      • Stage 2
      • Stage 3
      • Formal education courses
      • Reading list
      • Fellowship competencies
      • Training programs and zones
    • Advanced Training
      • About Advanced Training
      • Addiction psychiatry
      • Adult psychiatry
      • Child & adolescent psychiatry
      • Consultation–liaison psychiatry
      • Forensic psychiatry
      • Psychiatry of old age
      • Psychotherapies
      • See all Advanced training
    • SIMG placements
      • Partial comparability
      • Substantial comparability
      • Extensions, breaks and reviews of comparability
      • Fees for SIMG
    • Exams & assessments
      • Results
      • Timetables
      • Applying for exams and assessments
      • Exams
      • Psychotherapy Written Case
      • Scholarly Project
      • Self-paced online learning
      • Rotation assessments
      • List of EPAs
    • Fees
    • For assessors and supervisors
    • Certificate of Psychiatry
    • Help centre & support
    • Go to InTrain
  • Clinical guidelines & publications
    • Journals
      • Australian and NZ Journal of Psychiatry
      • Australasian Psychiatry
      • MEDLINE Ultimate
      • British Journal of Psychiatry
      • DynaMed
      • Explore all journals
    • Publication library
      • Clinical guidelines
      • Codes of ethics & conduct
      • Position statements
      • Reports
      • Submissions
      • Explore all documents
    • Explore by topic
      • ADHD
      • Electroconvulsive therapy
      • Ketamine
      • LGBTIQ+
      • Psychedelics
      • See all topics
  • CPD program & membership
    • CPD program
      • CPD overview
      • Program guide and requirements
      • Key dates
      • Templates and CPD activities
      • Peer review groups
      • Practice Peer Review
      • Join the CPD program
      • CPD policies
    • MyCPD
    • Support, breaks & deferrals
      • Leave and return to practice
      • Deferral or exemption of CPD
      • CPD while living and working overseas
      • Reinstatement of membership
      • Retirement
      • Refresher and remediation
      • Mentoring
      • Wellbeing support
    • Types of membership
      • Fellowship
      • Affiliate membership
      • Associate (trainee) membership
      • CPD only membership
      • International Corresponding Membership
      • Honorary Fellowship
      • Membership for junior doctors and med students
    • Membership services & benefits
      • Member benefits
      • Discounts and partner programs
      • Fees and payments
      • Expense reimbursements
  • Events & learning
    • Upcoming events
      • Conferences
      • Webinars
      • Courses
      • See all upcoming events
    • Catch up & learning
      • Past conference talks
      • Webinar recordings
      • Podcasts
      • Explore all catch-up
    • Series
      • rTMS courses
      • ECT courses
      • Psych Matters podcast
    • Go to Learnit
    • Congress 2025
  • Grants, awards & giving
    • Awards & member recognition
      • RANZCP awards
      • Faculty and section awards
      • Branch awards
      • Membership milestones
      • Honour board
    • Grants
      • Event grants & scholarships
      • Research grants
      • Trainee grants
    • RANZCP Foundation
      • Donate
      • Your impact
      • About the Foundation
      • Our patrons
      • Foundation Partners
  • News & analysis
  • College & committees
    • About
      • What the College does
      • Board
      • Our members
      • Executive team
      • Annual reports, AGM and evaluations
      • Governance
      • Accreditation of the College
      • Our history
      • Current projects
    • Public & partners
      • Find a psychiatrist
      • Media centre
      • Feedback and complaints
      • Advertising and endorsements
      • Consultation Hub
      • For health services with STP posts
      • Career opportunities
    • Key focus areas
      • Aboriginal & Torres Strait Islander mental health
      • Māori mental health
      • Lake Alice apology and actions
      • Gender equity
      • Rural psychiatry
      • NSW workforce crisis
    • Committees & groups
      • Committees
      • Faculties
      • Sections
      • Networks
      • Working & advisory groups
      • Committee openings
      • Board elections
    • Tu Te Akaaka Roa NZ National Office
    • Australian branches
      • Australian Capital Territory
      • New South Wales
      • Northern Territory
      • Queensland
      • South Australia
      • Tasmania
      • Victoria
      • Western Australia
  • Contact
Back to results

Sexual orientation change efforts

Position statement Last updated: Mar 2019 Published in Australia Reference: PS #60

The RANZCP does not support the use of sexual orientation change efforts of any kind. There is no scientific evidence that sexual orientation can be changed. Sexual orientation change efforts risk causing significant harm to individuals.

Introduction

The Royal Australian and New Zealand College of Psychiatrists (RANZCP) presents this position statement to affirm its opposition to the use of sexual orientation change efforts of any kind.

Key messages

  • The RANZCP does not support the use of sexual orientation change efforts of any kind.
  • There is no scientific evidence that sexual orientation can be changed.
  • Sexual orientation change efforts risk causing significant harm to individuals as well as contributing to the misrepresentation of alternative sexualities as mental disorders, and to the broader prejudice and discrimination faced by people with alternative sexualities.

Definitions

Sexual orientation change efforts (SOCE) are efforts to change the sexual orientation of a person to heterosexual through therapy or other treatments. Sexual orientation is different to gender identity and SOCE does not refer to those undergoing gender reaffirmation therapy or management.

SOCE also does not refer to those people with paraphilic disorder (American Psychiatric Association, 2013). This group of people require specific advice, therapy and treatment that are not covered by this position statement.

Evidence

The American Psychological Association published a report of a study that reviewed the results of 83 studies carried out between 1960 and 2007 on the controversial concept of SOCE (American Psychological Association, 2009). The report found no sound scientific evidence that sexual orientation can be changed, contrary to the claims of SOCE practitioners and advocates.

The harm such therapies can cause to individuals, the contribution they make to the misrepresentation of alternative expressions of sexuality as mental disorders, and the prejudice and discrimination that can flourish through the use of such therapies has led all major medical organisations to oppose their use. 
In 1973, the American Psychiatric Association concluded there was no scientific evidence that homosexuality was a disorder and removed it from its diagnostic glossary of mental disorders. The International Classification of Diseases of the World Health Organisation followed suit in 1992.

RANZCP position

The RANZCP Code of Ethics (2018) states that:

Psychiatrists shall not discriminate against patients on any grounds such as age, sex, gender, race, ethnicity, sexual orientation, disability, language, religious or political affiliation, or socio-economic status; neither shall they attempt to impose their own values on patients and patients’ families.

The RANZCP recognises that people with alternative sexualities are valued members of society with rights to equal access to health care, marriage and procreating and bringing up children as well as freedom from harassment or discrimination in any sphere and a right to protection from therapies that are potentially damaging, particularly those that purport to change sexual orientation. The RANZCP further asserts that these same rights apply to transgender, intersex and genderqueer identified people.

Recommendations

The RANZCP does not support the use of sexual orientation change efforts of any kind. Furthermore, the RANZCP notes that:

  • the efficacy of sexual orientation change efforts when providing assistance to people distressed by their or others’ sexual orientation should not be misrepresented
  • people distressed by their sexual orientation should be assisted with treatment approaches that involve acceptance, support, and identity exploration, and aim to reduce the stigma associated with alternative sexual identities, and demonstrate respect for the person’s religious, spiritual and/or cultural beliefs.

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edition. Washington DC, American Psychiatric Press.

American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009) Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation. Washington DC.

Royal Australian and New Zealand College of Psychiatrists (2018) Code of Ethics. Available at: https://www.ranzcp.org/Files/Resources/College_Statements/Practice_Guidelines/Code-of-Ethics.aspx (accessed 21 September 2018).

Royal Australian and New Zealand College of Psychiatrists (2018) Position Statement 83: Recognising and addressing the mental health needs of the LGBTIQ+ population. Available at: https://www.ranzcp.org/news-policy/policy-submissions-reports/document-library/recognising-and-addressing-the-mental-health-needs  (accessed 17 October 2018).

Responsible committee: Committee for Evidence Based Practice




References

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edition. Washington DC, American Psychiatric Press.

American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009) Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation. Washington DC.

Royal Australian and New Zealand College of Psychiatrists (2018) Code of Ethics. Available at: https://www.ranzcp.org/Files/Resources/College_Statements/Practice_Guidelines/Code-of-Ethics.aspx (accessed 21 September 2018).

Royal Australian and New Zealand College of Psychiatrists (2018) Position Statement 83: Recognising and addressing the mental health needs of the LGBTIQ+ population. Available at: https://www.ranzcp.org/news-policy/policy-submissions-reports/document-library/recognising-and-addressing-the-mental-health-needs  (accessed 17 October 2018).


Disclaimer: This information is intended to provide general guidance to practitioners, and should not be relied on as a substitute for proper assessment with respect to the merits of each case and the needs of the patient. The RANZCP endeavours to ensure that information is accurate and current at the time of preparation, but takes no responsibility for matters arising from changed circumstances, information or material that may have become subsequently available.

Your health in mind

For the public

Expert mental health information for everyone
  • Find a psychiatrist
  • Feedback about psychiatrists

About the College

  • Offices and branches
  • Media centre
  • About us
  • For health services with STP posts

Jobs

  • Career opportunities at the College
  • Psychiatry Jobs Hub
  • Committee openings

RANZCP Head Office

309 La Trobe Street

Melbourne VIC 3000

Australia

T: 1800 337 448 (Australia) T: 0800 443 827 (New Zealand) E: ranzcp@ranzcp.org

Contact

  • Contact the College
  • Advertising options
  • Consultation Hub
  • Help centre

We acknowledge Aboriginal and Torres Strait Islander Peoples as the First Nations and the Traditional Owners and Custodians of the lands and waters now known as Australia, and Māori as tangata whenua in Aotearoa, also known as New Zealand. We recognise those with lived and living experience of a mental health condition, including community members and all RANZCP members. We affirm their ongoing contribution to the improvement of mental healthcare for all people.

Our commitment to Aboriginal and Torres Strait Islander mental health Our commitment to Māori mental health
Please be aware that this website and associated resources may contain the names or images of Aboriginal and/or Torres Strait Islander peoples who are now deceased.
© The Royal Australian and New Zealand College of Psychiatrists
  • Privacy policy
  • Terms of use
  • Accessibility statement