{"id":1587,"date":"2012-10-06T20:08:38","date_gmt":"2012-10-07T00:08:38","guid":{"rendered":"http:\/\/journals.law.harvard.edu\/hlpr\/?p=1587"},"modified":"2015-10-02T15:22:31","modified_gmt":"2015-10-02T15:22:31","slug":"californias-ban-on-ex-gay-therapy-challenged-on-constitutional-grounds","status":"publish","type":"post","link":"https:\/\/journals.law.harvard.edu\/lpr\/2012\/10\/06\/californias-ban-on-ex-gay-therapy-challenged-on-constitutional-grounds\/","title":{"rendered":"California\u2019s Ban on \u201cEx-Gay\u201d Therapy Challenged on Constitutional Grounds"},"content":{"rendered":"<p>Its protracted and divisive struggle over the legalization of same-sex marriage notwithstanding, the state of California has taken the lead on another vital issue on the pro-equality agenda\u2014by enacting a legislative ban on so-called \u201cex-gay\u201d therapy for minors.<\/p>\n<p>Effective January 1, 2013, SB 1172 will prohibit children under 18 from undergoing sexual orientation-change efforts (SOCE). Alternatively labeled \u201cconversion therapy,\u201d \u201creparative therapy,\u201d or \u201csexual orientation therapy,\u201d\u00a0<a href=\"https:\/\/web.archive.org\/web\/20130127221030\/http:\/\/sd28.senate.ca.gov\/sites\/sd28.senate.ca.gov\/files\/SB%201172%20Fact%20Sheet_8.pdf\">SOCE often comprises<\/a>\u00a0efforts by mental health professionals and religious leaders to \u201cconvert\u201d people to heterosexuality by techniques including \u201caversive treatments, such as the application of electric shocks[\u2026], and nausea-inducing drugs\u2026 administered simultaneously with the presentation of homoerotic stimuli, masturbatory reconditioning, visualization, social skills training, psychoanalytic therapy, and spiritual interventions, such as \u2018prayer and group support and pressure.\u2019 \u201d<br \/>\n<!--more--><br \/>\nThe legislation\u2019s sponsors allege that when applied to minors, such therapy is tantamount to \u201cpsychological child abuse,\u201d and have received endorsement from\u00a0the California Psychological Association and the California Board of Behavioral Sciences, among others. \u00a0While there is no evidence to support the conclusion that such therapy leads to or induces suicide, the fact that the therapy often fails to cause the \u201cdesired\u201d results exacerbates a child\u2019s internal struggles and compounds distress,\u00a0<a href=\"https:\/\/web.archive.org\/web\/20130127221030\/http:\/\/online.wsj.com\/article\/SB10000872396390444914904577622153696305504.html\">thereby lowering self-esteem<\/a>\u00a0and possibly triggering depression.<\/p>\n<p>SB 1172 defines SOCE as denoting any practices by mental health providers that seek to change an individual\u2019s sexual orientation. \u00a0This includes efforts to \u201cchange behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same sex.\u201d \u00a0Psychotherapies that: (i) provide acceptance, support, and understanding of clients or the facilitation of clients\u2019 coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices; and (ii) do not seek to change sexual orientation, are categorically excluded from the purview of the legislation.<\/p>\n<p>The law forbids any mental health provider from engaging in sexual orientation change efforts with a patient under 18 years of age.\u00a0 Any such attempt will be deemed \u201cunprofessional conduct\u201d and shall subject the concerned provider to discipline by her\/his licensing entity.<\/p>\n<p>Predictably enough, the law has already been challenged in federal court, as an \u201castounding violation\u201d of the right to free speech and religious liberty. The challengers assert that the law is tantamount to\u00a0<a href=\"https:\/\/web.archive.org\/web\/20130127221030\/http:\/\/www.washingtontimes.com\/news\/2012\/oct\/4\/second-suit-filed-against-calilfornias-gay-change-\/#ixzz28O3p64aO\">viewpoint discrimination<\/a>\u2014which tends to attract strict scrutiny under a First Amendment analysis\u2014because \u201cit is telling a client that he or she may not receive a specific viewpoint in counseling,\u201d even if that viewpoint coheres with their religious or moral values.\u00a0Arguments based on the judicially recognized \u201cright to privacy\u201d have also been raised, with the law being cast as an egregious intrusion into an intimate sphere of thought, belief and activity.<\/p>\n<p>Supporters of the law appear unfazed by the lawsuits, going so far as dismissing them as\u00a0<a href=\"https:\/\/web.archive.org\/web\/20130127221030\/http:\/\/newsandinsight.thomsonreuters.com\/Legal\/News\/2012\/10_-_October\/Lawsuit_challenges_California_ban_on_gay_conversion_therapy_for_youth\/\">\u201cfrivolous.\u201d<\/a>\u00a0 It is possible that the constitutionality\u2014or otherwise\u2014of California\u2019s measure does proffer some room for debate, or at least creates the opportunity for critical engagement with current First Amendment doctrine\u2014particularly in the realm of religious freedom of minors themselves to pursue professional\/medical help for dealing with feelings that they may consider repugnant to their own beliefs, and\/or the right of parents to shape the upbringing of their children. \u00a0Cue to<em>Wisconsin v. Yoder<\/em>\u00a0406 U.S. 205 (1972)\u2014 a stand-out decision rendered in the context of highly particularized circumstances\u2014which held that the Amish were entitled to an exemption from a generally applicable law requiring children to attend schools up to the age of 16. \u00a0<em>Yoder<\/em>\u00a0remains good law under the First Amendment\u2019s free exercise clause even after the Supreme Court in\u00a0<em>Employment Division v. Smith,<\/em>\u00a0494 U.S. 872 (1990)<em>,\u00a0<\/em>held that\u00a0religious objectors are generally\u00a0<em>not<\/em>\u00a0entitled to an exemption from neutral and generally applicable laws.\u00a0<em>Yoder<\/em>\u00a0singled out the non-free-exercise principle involved by stipulating that \u201cthe Court\u2019s [earlier] holding in\u00a0<em>Pierce<\/em>\u00a0stands as a charter of the rights of parents to direct the religious upbringing of their children.\u201d<\/p>\n<p>However, as the legislation\u2019s sponsor (state Senator Ted Lieu) points out, \u00a0the government\u2019s duty to protect children from abuse has unassailable historical and constitutional foundations.\u00a0[See also<em>\u00a0<\/em><em>Ginsberg v. New York<\/em>, 390 U.S. 629 (1968), which recognizes the state&#8217;s interest in the general well-being of children].\u00a0It is important to highlight the law\u2019s limited scope: it only applies to the activities of licensed therapists, and does not affect ministers or lay people (parents, friends, relatives) who counsel teens to resist same-sex attractions and desist from same-sex sexual conduct.\u00a0As originally written, the bill would have also required therapists to warn adult patients of SOCE\u2019s risks and limitations and to obtain their written consent before availing of it.\u00a0 However, this provision was later dropped, amid complaints that it unduly interfered with the therapist-client relationship.<\/p>\n<p>Moreover, under\u00a0<a href=\"https:\/\/web.archive.org\/web\/20130127221030\/http:\/\/www.teenhealthlaw.org\/fileadmin\/teenhealth\/teenhealthrights\/ca\/SB_543_2010.pdf\">California law (SB 543, 2009),\u00a0<\/a>a minor of 12 or older can consent to mental health treatment or counseling services if, in the opinion of the attending professional person, the minor is mature enough to participate intelligently in the mental health treatment or counseling services.\u00a0 However, SB 543 also contains exceptions disallowing a minor\u2019s access to controversial or potentially harmful mental health treatments, such as electro-convulsive therapy (ECT) and psychosurgery. \u00a0The ban on SOCE can thus be justified as a legislatively crafted exception that prevents minors from consenting to certain, narrowly defined categories of mental health treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Its protracted and divisive struggle over the legalization of same-sex marriage notwithstanding, the state of California has taken the lead 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