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date: 17 June 2019

Abstract and Keywords

The American Psychiatric Association’s Principles of Medical Ethics emphasize competence, respect and up-to-date knowledge as a basis for appropriate professional behavior toward lesbian, gay, bisexual, and transgender (LGBT) patients. This chapter first reviews historical psychiatric attitudes towards LGBT patients that could be construed, at best, as patronizing and, at worst, overtly hostile. In modern clinical practice, as opposed to trying to “cure” homosexuality or “transsexualism,” LGBT patients are helped to live their lives according to their own natures and desires. This chapter outlines some common clinical questions raised by LGBT patients—what is known and not known about the origins of homosexuality and transgenderism, sexual orientation conversion efforts (SOCE), therapist self-disclosure, how therapists should address LGBT patients, and controversies surrounding treatment of transgender children—as well as ethical issues raised in these clinical encounters.

Keywords: bisexual, ethics, gay, homosexuality, lesbian, sexual orientation conversion efforts (SOCE), therapist self-disclosure, transgender

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