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The sickness model of LGBT people was dominant within UK psychiatry and its impact was still apparent years later despite the removal of homosexuality from ICD-10 in 1992. Conversion and reparative therapies were important aspects of psychiatrists’ and other mental health practitioners’ approaches to LGBT people, despite the lack of a credible evidence base. More positive, gay-affirming therapeutic approaches have been developed and adopted by mental health practitioners, although many LGBT people report concerns about their experience of mental health care. Social changes (liberalisation in public attitudes and law) were brought about through complex social processes that owed nothing to UK psychiatry. The history of LGBT people in relation to psychiatry raises important questions about the legitimacy of psychiatric power and authority.
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