Gay-to-straight Conversion Therapy

Sandra Osborne Excerpts

Wednesday 20th November 2013 Westminster Hall

[Sandra Osborne (Ayr, Carrick and Cumnock) (Lab)]

It is a great pleasure, Mr Hood, to serve under your chairmanship. I am raising this debate as part of an ongoing discussion on gay-to-straight conversion therapy, and I refer to my early-day motion, which attracted 52 signatures; the petition presented to the House by my hon. Friend the Member for Kingston upon Hull North (Diana Johnson); and the private Member’s Bill, the Counsellors and Psychotherapists (Regulation) Bill, which was introduced by my hon. Friend the Member for Swansea West (Geraint Davies).

[Diana Johnson (Kingston upon Hull North) (Lab)]

I congratulate my hon. Friend on securing this debate. I want to put on record the enormously helpful work of Tom Stevens and Colin Levitt, who live in Hull and were behind the petition that was presented to Parliament because they felt strongly about the matter and decided something had to be done.

[Sandra Osborne]

I, too, have reason to be grateful to those people.

I want to place on the record the fact that several hon. Members indicated that they wanted to attend this debate but had other commitments.

[Geraint Davies (Swansea West) (Lab/Co-op)]

As my hon. Friend was so kind as to mention my Bill, does she agree that our joint ambition to get rid of gay-to-straight conversion therapy needs to be embraced in a regulatory context so that all psychotherapists are regulated, which they are not at present?

[Sandra Osborne]

I agree, and I will go into that further. Conversion or reparative therapy is the attempt by individuals, often posing as professionals, to alter the sexuality of lesbian, gay or bisexual patients. Virtually every major national and international professional organisation has condemned the practice as ineffective and potentially extremely harmful to patients.

[Simon Kirby (Brighton, Kemptown) (Con)]

I want to place on the record the fact that I am proud to represent some 6,000 gay men in my constituency, and that conversion of any sort is unacceptable in this day and age.

[Sandra Osborne]

I thank the hon. Gentleman for his intervention.

The prevalence of conversion therapy in Britain has been the subject of recent interest in Parliament. Hon. Members will have received a recent communiqué from the pro-conversion group, Core Issues, calling on us not to support the private Member’s Bill introduced by my hon. Friend the Member for Swansea West on the regulation of counsellors and psychotherapists. The people in Core Issues are the very same who tried and, fortunately, failed to put up posters on London buses advertising conversion therapy. On 30 January, alongside Christian Concern, they hosted a debate on conversion therapy in a Committee Room of this House. One of the speakers at that debate, Canadian psychiatrist Dr Joseph Berger, is on the record as advocating the bullying of cross-dressing children in schools.

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[Mr Jim Hood (in the Chair)]

Order. I remind hon. Members that this is a 30-minute debate, and interventions should be brief to allow the hon. Member whose debate it is to speak.

[Sandra Osborne]

Thank you, Mr Hood.

I want to focus on the main aspects of the problem of conversion therapy, and to debunk three common myths: first, that conversion therapy is something that happens only in America; secondly, that conversion therapy is carried out only by religious fundamentalists operating outside professional channels; thirdly, that the debate about conversion therapy is a simplistic one between allowing people freely to choose conversion therapy and infringing people’s personal choices. On the contrary, I hope to show that conversion therapy is a real and present danger in Britain, and that instead of being a problem just among religious fundamentalists, it is an issue for the national health service and the professional sector. This is not a simplistic debate about freedom to choose. If lesbian, gay, bisexual and transgender community patients are coaxed into undertaking therapy by peer pressure or referred to conversion therapists after approaching professionals, that is hardly free choice.

[Mike Freer (Finchley and Golders Green) (Con)]

Does the hon. Lady agree that until now the Department of Health has been weak on the matter? Instead of condoning it, it should ban the voodoo medicine and conversion therapy.

[Sandra Osborne]

I agree with the hon. Gentleman and I hope to get some answers from the Minister.

Conversion therapy used to be a much greater and more systemic problem in Britain than it is today. In the 1950s and ’60s, LGBT patients were routinely forwarded by teachers, GPs and, as in the case of Alan Turing, criminal courts to NHS so-called specialists in sexual orientation treatment. During that period, all branches of psychology from the cognitive to the behavioural and the psychodynamic had their own cruel and unpalatable methods of dealing with same-sex attraction.

The watershed moment came when homosexuality was removed from the American “Diagnostic and Statistical Manual of Mental Disorders” in 1973. However, simply changing the rules does not change an entire system overnight. Conversion therapy persisted and psychotherapy remains an unregulated profession in Britain. Anyone in the country can set up as a psychotherapist without being part of a professional body, and there are professionals practising in the NHS and therapy sectors who received their training well before homosexuality ceased to be classed a mental illness. Even the new intake of therapists is a cause for concern.

In 2008, a survey of 226 British psychology undergraduates was published in the Journal of Homosexuality and found that only 66% agreed with an equal age of consent. That is the context in which we should view the extent of conversion therapy in Britain. In a 2009 survey of more than 1,300 accredited mental health professionals, nearly 300 willingly admitted to having attempted to change at least one patient’s sexuality. Even more shocking, the therapists admitted that some 35% of the patients they treated were referred to them for treatment by GPs, and 40% were treated inside an NHS practice.

[Nia Griffith (Llanelli) (Lab)]

Does my hon. Friend agree that it is very serious that the issue is so widespread among GPs and other professionals, and that we must tackle that when regulating psychotherapy and the health professionals who refer people?

[Sandra Osborne]

The issue is serious and it is not recognised to the extent it should be, which is one reason why I am so pleased that we are having this debate.

In 2010, Patrick Strudwick of The Independent carried out an undercover investigation. One psychotherapist who attempted to “cure” him, Lesley Pilkington, readily admitted that most of her clients were referred to her from her local GP’s surgery. Many professionals receive little training in what to do when a gay person approaches them expressing uneasiness about their sexuality. There is legitimate concern that some professionals in the NHS and elsewhere are referring LGBT patients to conversion therapists.

Addressing the problem of conversion therapy in Britain requires a range of measures. In the therapeutic profession, affirmative therapy, which begins from the premise that no efforts should be made to change sexuality and that homosexuality is perfectly normal, should be promoted as the appropriate, healthy way of assisting LGBT patients who feel uneasy about their sexuality. To promote this therapy, we must ensure that therapists and students are properly trained in LGBT-friendly mental health provision.

The public sector equality duty mandates the public sector to address inequality and is vital to drive forward reform. That is why recent Government calls to review the duty are particularly concerning. It is important to consider the role that the public sector equality duty can play in improving the quality of care for LGBT patients. What initiatives has the Department of Health supported from the Equality and Human Rights Commission, for example, and from non-governmental organisations such as Stonewall, to identify and promote good practice in relation to the public sector equality duty and LGBT patients? We know that when public bodies are proactive, it can make a real difference.

We need to explore the regulation of psychotherapy. At the very least, it has to become a protected profession in which nobody can legally call themselves a psychotherapist without being accredited by a professional body. We also need to ensure that professional bodies have an appropriate complaints procedure, so that LGBT patients who undergo conversion therapy can achieve justice. Patrick Strudwick, to whom I referred, has raised concerns about the complex bureaucratic process that he had to go through to ensure that the conversion therapist who treated him was struck off her professional body.

We need to ensure that psychotherapists who are not members of those professional bodies that explicitly have a position against conversion therapy are not commissioned by the NHS. Will the Minister tell us whether groups without professional affiliations are commissioned by the NHS for services? What about the advertising to which I referred earlier? A New York Times advert in the ’90s for conversion therapy is credited with causing a revival in the practice. That is why restricting advertisements for conversion therapies is vital and should be explored. What is the Minister’s view on that?

At the very least, the Government must force practitioner full disclosure, which was advocated as the desired alternative to the model of Health Professions Council regulation in the Maresfield report of 2009, and involves

“the establishment of an independent body to administer a register of therapists, with the statutory requirement that anyone practising a therapy supply full details of training and professional history.”

The Government’s regulatory model for psychotherapy falls far short of PFD. Why?

Finally, I want to raise the question of the role of the law in tackling the practice of conversion therapy. The Government could opt to ban conversion therapy for all under-18s and go further with an all-out ban for all age groups, as happens in other countries.

[Stephen Gilbert (St Austell and Newquay) (LD)]

I congratulate the hon. Lady on the measures that she has outlined and support her fully. Is it not the case that in 21st-century Britain, no lesbian, gay, bisexual or transsexual individual should be accessing this kind of voodoo psychology? Instead, we should provide services that help to give confidence and which support them in discovering their sexuality and about themselves, rather than making them feel more ashamed about it.

[Sandra Osborne]

I totally agree, and thank the hon. Gentleman for his contribution. In addition to a ban, we must go further in the training of professionals who are dealing with LGBT patients and provide friendly public service provision.

Other than a solitary remark from the Government that they do “not condone” conversion therapy, made in response to a written question tabled by my hon. Friend the Member for Kingston upon Hull North, the Government have said nothing about their views on conversion therapy. I look forward to the contribution of other Members and, in particular, to the Minister’s reply on the issues that I have raised.

[Mr Jim Hood (in the Chair)]

I have received a letter from the hon. Member for Washington and Sunderland West (Mrs Hodgson) requesting permission to speak in the debate. She assures me that she has had the agreement of the hon. Member for Ayr, Carrick and Cumnock (Sandra Osborne), and the Minister has told me that he agrees. To be fair to the Minister, he has to have the same time as the hon. Member for Ayr, Carrick and Cumnock had in opening the debate, so I ask the hon. Member for Washington and Sunderland West to take only a few minutes, which will hopefully leave time for the Minister.

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[The Minister of State, Department of Health (Norman Lamb)]

Thank you, Mr Hood. I congratulate the hon. Member for Ayr, Carrick and Cumnock (Sandra Osborne) on securing the debate and thank the hon. Member for Washington and Sunderland West (Mrs Hodgson) for her contribution, which I was pleased to hear as well. I found myself agreeing with the vast bulk of what has been said and with the interventions that have been made—in fact, I agreed with everything that has been said.

Personally, I find the practice utterly abhorrent and it has no place in a modern society. That is my personal view, and many of the questions that have been asked are questions that I have asked officials about the powers that might be available. If hon. Members would welcome it, I would be very happy to meet with all of them or a group of them to discuss the matter further. That is an open offer, which I make genuinely.

The Government have a proud record of supporting the rights of lesbian, gay and bisexual people. Most recently, we witnessed and welcomed the enactment of the Marriage (Same Sex Couples) Act 2013. Our support for the legislation demonstrates absolutely our belief that extending the right to marry to lesbians and gay men is part of recognising that loving and committed relationships and families in modern Britain come in all shapes and sizes and should be celebrated.

[Sandra Osborne]

Is the Minister aware that today in the Scottish Parliament the same-sex marriage Bill is being introduced? Does he not think that that is ironic, given that we are discussing this matter?

[Norman Lamb]

I thank the hon. Lady for that intervention, and I note her point. Being lesbian, gay or bisexual is not an illness—it is sad that we need to state that, but it needs to be stated. It is not an illness to be treated or cured. Way back in 1973, the American Psychiatric Association removed homosexuality from its diagnostic glossary of mental disorders. Thankfully, the international classification of diseases produced by the World Health Organisation eventually followed suit in 1992; there was quite a long delay before that happened. Therefore, we are concerned about the issue of so-called gay-to-straight conversion therapy.

The Department of Health has received 15 or so letters in the past few months about the issue. All but one of those letters have been supportive of gay people and against the notion of gay-to-straight conversion therapy. That surely reflects the fact that most people in society today are far more relaxed and understanding about people’s sexuality than they ever were in the past.

We are not aware that the NHS commissions this type of therapy. It is completely inappropriate for any GP to be referring a patient for such a thing. It is unacceptable that that should happen through someone working in our national health service.