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  • This is an issue where state governing bodies are given too much power away from the ethical boards

    The APA for example has firmly opposed conversion therapy officially since 1998 (way too late, but better than our shitty government). This opposition is functionally meaningless though because the APA does not license individuals, state boards do

    So if your state is totally cool with conversion therapy it doesn’t matter that you are a psychologist who does this entirely unethical practice that has been recognized by the governing body as not evidenced based. They will both grant you a license as a new practitioner and continue to renew your license.

    Now this is a comfortable position the APA can take because they do not have this power. The ACA, the American counseling association, has made a similar statement and has basically the same scenario. This becomes relevant in a moment:

    A different scenario: the NBCC has made a softer statement. They “support government bans”. The ACA and APA ethics boards use much stronger language. To compare:

    “The American Counseling Association (ACA) opposes the practice of conversion therapy and advocates for the banning of such practices in the United States. As a leading organization in the field of behavioral health care, the ACA stands against conversion therapy because there is no credible scientific data to support its effectiveness. Furthermore, extensive research has demonstrated that conversion therapy is a harmful and damaging practice for clients, often resulting in psychological trauma and distress.”

    “NBCC supports all bans on conversion therapy in all its forms. Conversion therapy directly contradicts every moral and ethical standard that mental health counselors are held to, including the NBCC Code of Ethics and the ACA Code of Ethics. Not only is the practice wholly based on unproven claims, it has been shown in multiple scientific studies to cause great mental and emotional harm to those who undergo it”

    The NBCC post is buried on their issues blog (instead of a formal post on the topic like the ACA and APA) and the language is not direct, which is ill advised when discussing ethical issues. The ACA is clear: the practice is opposed and advocacy for banning the practice is advised. The NBCC supports bans and feels the practice is not evidence based but does explicitly state that the practice should be prohibited. Again, you might say this can be inferred from their language (it obviously can be) but when you are discussing ethical issues inference is your downfall. The people looking to practice this bullshit will see this and say “oh well you didn’t explicitly say no so that is a yes”

    This is important because unlike the ACA and APA the NBCC actually does have power here. They are not a licensing agency but a certifying body on a national level. One must adhere to their ethical code to maintain their certification. This is sometimes required for jobs at the VA or working with TriCare, some school and university jobs require it, and some insurance companies require it for paneling as well. They do hold some power.

    In the meantime states should still ban it. But practitioners should still actively petition their boards to make explicit revisions to ethical codes that are equivalent to state bans.

    This does bring up the other inherent issue: state licensing boards are in theory guided by the ethical code of whatever. The state licensing board of Alabama psychologists are supposed to go by APA guidelines. But the APA has little power here. The system is designed in a very dumb way that gives the governing ethical body no power over the state licensing body. The APA can pressure the licensing board by “strongly recommending” they take action but there is no consequence, really. They can take action against the licensee directly but only if they are an APA member. If they decline membership or have it revoked they still retain licensure, generally, unless it was for a gross ethical violation (which conversion therapy is not in these states apparently). You can sub in ACA/AAMFT/AMA/etc.

    States rights!

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