Conversion Practices in Eating Disorder Treatment: A Lived Experience Narrative.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Conversion Practices in Eating Disorder Treatment: A Lived Experience Narrative.
Συγγραφείς: Spadaccini C; Independent Researcher and Lived Experience Advocate, Western Australia, Australia., Schweizer K; School of Human Sciences (Exercise & Sport Science), University of Western Australia, Perth, Western Australia, Australia.; The Kids Research Institute Australia, Perth, Western Australia, Australia.
Πηγή: Journal of psychiatric and mental health nursing [J Psychiatr Ment Health Nurs] 2026 Oct; Vol. 33 (5), pp. 865-870. Date of Electronic Publication: 2026 Jun 23.
Τύπος έκδοσης: Journal Article; Case Reports
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9439514 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2850 (Electronic) Linking ISSN: 13510126 NLM ISO Abbreviation: J Psychiatr Ment Health Nurs Subsets: MEDLINE
Imprint Name(s): Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1994-
Ιατρικοί όροι (MeSH): Feeding and Eating Disorders*/therapy , Feeding and Eating Disorders*/psychology , Transgender Persons*/psychology , Gender Identity*, Humans ; Male ; Narration ; Adult
Περίληψη: Background and Aim: Conversion practices (sometimes referred to as 'conversion therapy') refer to interventions that aim to change a person's sexual orientation or gender identity. While these are often associated with faith-based settings, they can also occur in secular healthcare contexts. The practices are associated with significant psychological harm. This paper aims to provide a lived experience account of gender identity conversion practices perpetrated in the context of inpatient eating disorder (ED) treatment.
Methods: This paper provides the first author's narrative of his inpatient ED treatment as a young trans man and maps this experience to the key features aligned with accepted definitions of conversion practices and their enduring impact.
Findings: This paper describes an inpatient ED treatment experience characterised by (1) pathologisation of the first author's gender diversity; (2) the use of coercion and institutional power to enforce cisnormative developmental outcomes; (3) the persistent withholding, delaying, and problematising of gender-affirming medical care; and (4) the enduring psychological harm and extended disengagement from further treatment-seeking that results from these practices.
Discussion: This narrative highlights the urgent need to safeguard against conversion practices within inpatient mental health settings and ensure ED treatment is provided from a gender-affirming framework.
(© 2026 The Author(s). Journal of Psychiatric and Mental Health Nursing published by John Wiley & Sons Ltd.)
References: Can J Psychiatry. 2022 Jun;67(6):441-451. (PMID: 34242106)
Nutr Diet. 2022 Jul;79(3):390-399. (PMID: 35231954)
Int J Eat Disord. 2023 Dec;56(12):2210-2222. (PMID: 37638738)
Entry Date(s): Date Created: 20260623 Date Completed: 20260908 Latest Revision: 20260917
Update Code: 20260917
PubMed Central ID: PMC13551193
DOI: 10.1111/jpm.70168
PMID: 42333982
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1365-2850
DOI:10.1111/jpm.70168