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Conversion therapy still exists in Puerto Rico

Bill would ban discredited practice on the island

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Puerto Rico Pulse nightclub victims, gay news, Washington Blade
Puerto Rico Pulse nightclub victims, gay news, Washington Blade
(Image by Nicolas Raymond; courtesy of Flickr)

The former governor of Puerto Rico, the Hon. Ricardo Rosselló, in 2019 signed Executive Order EO-2019-16 that “partially” banned conversion therapy for minors on the island after the House of Representatives decided not to vote on Senate Bill 1000, which would have made these therapies illegal. The executive order requires all medical institutions applying for a license from the Health Department to guarantee that they will not offer conversion therapy. However, this is not enough to address the problem since the order is limited to the executive’s powers. Also, any future governor can repeal it, so it cannot be relied on to guarantee the protection that minors deserve. Although the EO does represent a positive advance to prohibit conversion therapies, it is vitally important to enact it into law to address them and expressly prohibit them. This legislation should be extended to the religious sector and mental health professionals to protect minors.

Different senators recently introduced Senate Bill 184 to expand protections for minors’ physical and mental health and prohibit the practice of conversion therapy against LGBTIQ+ people. The bill defines conversion therapy as a “practice or treatment provided by an entity or professional who is licensed or certified to provide mental health services that seeks to change the sexual orientation or gender identity in an individual.” The definition includes any effort or treatment to change a person’s bodily behavior, expressions, or sexual orientation and eliminate or reduce romantic or sexual attractions or feelings towards individuals of the same gender. The bill identifies conversion therapy as a form of child abuse, including “institutional abuse,” as established in the Child Safety, Well-being and Protection Act of Puerto Rico. However, legislators keep debating the bill’s approval under the assumption these therapies do not happen on the island anymore.

Over the decades, conversion therapies used to “cure” homosexuality included hypnosis, lobotomies, inducing nausea, vomiting, paralysis, electric shock, chemical castration, among other things. In Puerto Rico, conversion therapies exist, and they are far from being what they once were in the ’60s, ’70s and ’80s. Conversion therapies that are practiced today in Puerto Rico, the United States and around the world occur with the consent and the enforcement of the religious sector and health professionals with faith-based beliefs. We focus on our minors’ physical abuse, forgetting the emotional and psychological abuse that continues to occur in each corner of Puerto Rico, in doctor’s offices and churches. To forget this fact on purpose and use it to defend the non-existence of reparative therapies in Puerto Rico by our majority legislators (members of the Popular Democratic Party) is irresponsible and ignorant. It threatens the best welfare of our minors and their responsibility as state entities to ensure it.

In 2018, Senate Bill 1000 favored eliminating conversion therapies on the island. It would have allowed the survivors of these therapies to relate their experiences and traumatic processes to psychological clinics and churches. Several victims of these therapies told their stories during public hearings. Some of their stories are the following:

Survivor Caleb Esteban said that he received therapy at a counseling center when he was between 14- and 15-years-old. He later learned that the counselor had no education to give mental health treatment, but she was there because she was a church leader. He said that the therapy consisted of performing exorcism-type prayers to get rid of the “demons.”

Another survivor, Sofia Padrón, said she “was taken at 16 by my mother to a psychologist because I was attracted to women. The psychologist said that he treated me as a pastor, not as a psychologist, that same-sex attraction was a temporary phase and that I was confused. He told me that I couldn’t be happy and that my attraction to women was not normal …”

Alvín A. Rivera was 14 – and 15-years-old in 2014 and 2015 when he was taken by his mother to the church because he felt attracted to men. There, the pastor, who was also a psychologist, performed exorcisms to combat his homosexuality and charged his mother for these services. After several occasions, the pastor told Alvin and his mother that he “was cured” that he “had managed to free him from his demon.”

Alejandro Santiago between 2008-2013 attended his church. There, the pastor recommended fasting and long hours of praying to cure him of homosexuality and “not behaving as a man should behave.” The fasts began at 5 a.m. and ended at midnight. Sometimes they summoned the congregation of the church for a prayer circle to cure Alejandro of his homosexuality. Sometimes Alejandro stood in front of hundreds of people to claim the homosexuality demon had been released from his body. Alejandro suffered from depression and anxiety for many years after this. Today, he is a human rights activist.

The stories mentioned above are just a few of the many others happening in Puerto Rico every day. However, legislators persist in the narrative that conversion therapies do not exist in Puerto Rico. The new position of the legislators confirms again that the stigma and prejudices towards homosexuality continue. Unfortunately, this only creates more bigotry and more significant harm to the most vulnerable.

About 28 percent of LGBTQ youth who have undergone the above conversion therapies have attempted suicide, compared to 12 percent of LGBTQ youth who had not undergone conversion therapy, according to the Williams Institute. Suicide rates among LGBTQ youth who have undergone conversion therapies, such as the ones mentioned above, are extremely high, and these practices in Puerto Rico are a clear example of how the state fails to fulfill its duty to ensure the best welfare of our minors.

The Puerto Rico Supreme Court has upheld the state’s duty to protect minors on countless occasions. The constitutional right to religious freedom or parents’ power over their children is not absolute, and it yields to the state’s responsibility to ensure that our minors do not suffer from emotional abuse, such as those currently caused by reparative therapies on the island. It is the responsibility of the state to ensure that these minors are protected, or we will continue to be responsible for the increase in numbers of depression and suicide in Puerto Rico. On three different occasions, the U.S. Supreme Court upheld 3rd U.S. Circuit Court of Appeals’ decisions that allowed New Jersey’s anti-conversion therapy law to remain in effect. The U.S. Supreme Court also refused to hear challenges to California’s anti-conversion therapy law in May 2017 and in June 2014 it left in place decisions from the 9th U.S. Circuit Court of Appeals that affirmed the law’s constitutionality.

There is extensive scientific evidence on the harm that conversion therapies do to minors, including those that not physically invasive. Conversion therapies constitute mistreatment of our children, and this must be established through legislation in Puerto Rico. Health professionals and members of the religious sector charge for these exorcism services, therapies, and spiritual sessions. Parents and minors themselves believe that they will have “a normal” life upon completion of these therapies. These practices promote depression, anxiety, and invalidation in our youth. They are not practices of love or an affirmation of the love of God, and they result in increased suicide rates and low self-esteem in our society. Our minors’ lives and their emotional state are again in Puerto Rico’s legislators’ hands. Hopefully, this time they will listen and vote to prohibit these tortures on the island.

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Commentary

Stand with displaced queer people living with HIV

Dec. 1 is World AIDS Day

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(Bigstock photo)

Today, on World AIDS Day, we honor the resilience, courage, and dignity of people living with HIV everywhere especially refugees, asylum seekers, and queer displaced communities across East Africa and the world.

For many, living with HIV is not just a health journey it is a journey of navigating stigma, borders, laws, discrimination, and survival.

Yet even in the face of displacement, uncertainty, and exclusion, queer people living with HIV continue to rise, thrive, advocate, and build community against all odds.

To every displaced person living with HIV:

• Your strength inspires us.

• Your story matters.

• You are worthy of safety, compassion, and the full right to health.

• You deserve a world where borders do not determine access to treatment, where identity does not determine dignity, and where your existence is celebrated not criminalized.

Let today be a reminder that:

• HIV is not a crime.

• Queer identity is not a crime.

• Seeking safety is not a crime.

• Stigma has no place in our communities.

• Access to treatment, care, and protection is a human right.

As we reflect, we must recommit ourselves to building systems that protect not punish displaced queer people living with HIV. We must amplify their voices, invest in inclusive healthcare, and fight the inequalities that fuel vulnerability.

Hope is stronger when we build it together.

Let’s continue to uplift, empower, and walk alongside those whose journeys are too often unheard.

Today we remember.

Today we stand together.

Today we renew hope.

Abraham Junior lives in the Gorom Refugee Settlement in South Sudan.

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Perfection is a lie and vulnerability is the new strength

Rebuilding life and business after profound struggles

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(Photo by Orhan/Bigstock)

I grew up an overweight, gay Black boy in West Baltimore, so I know what it feels like not to fit into a world that was not really made for you. When I was 18, my mother passed from congestive heart failure, and fitness became a sanctuary for my mental health rather than just a place to build my body. That is the line I open most speeches with when people ask who I am and why I started SWEAT DC.

The truth is that little boy never really left me.

Even now, at 42 years old, standing 6 feet 3 inches and 225 pounds as a fitness business owner, I still carry the fears, judgments, and insecurities of that broken kid. Many of us do. We grow into new seasons of life, but the messages we absorbed when we were young linger and shape the stories we tell ourselves. My lack of confidence growing up pushed me to chase perfection as I aged. So, of course, I ended up in Washington, D.C., which I lovingly call the most perfection obsessed city in the world.

Chances are that if you are reading this, you feel some of that too.

D.C. is a place where your resume walks through the door before you do, where degrees, salaries, and the perfect body feel like unspoken expectations. In the age of social media, the pressure is even louder. We are all scrolling through each other’s highlight reels, comparing our behind the scenes to someone else’s curated moment. And I am not above it. I have posted the perfect photo with the inspirational “God did it again” caption when I am feeling great and then gone completely quiet when life feels heavy. I am guilty of loving being the strong friend while hating to admit that sometimes I am the friend who needs support.

We are all caught in a system that teaches us perfection or nothing at all. But what I know for sure now is this: Perfection is a lie and vulnerability is the new strength.

When I first stepped into leadership, trying to be the perfect CEO, I found Brené Brown’s book, “Daring Greatly” and immediately grabbed onto the idea that vulnerability is strength. I wanted to create a community at SWEAT where people felt safe enough to be real. Staff, members, partners, everyone. “Welcome Home” became our motto for a reason. Our mission is to create a world where everyone feels confident in their skin.

But in my effort to build that world for others, I forgot to build it for myself.

Since launching SWEAT as a pop up fundraiser in 2015, opening our first brick and mortar in 2017, surviving COVID, reemerging and scaling, and now preparing to open our fifth location in Shaw in February 2026, life has been full. Along the way, I went from having a tight trainer six pack to gaining nearly 50 pounds as a stressed out entrepreneur. I lost my father. I underwent hip replacement surgery. I left a relationship that looked fine on paper but was not right. I took on extra jobs to keep the business alive. I battled alcoholism. I faced depression and loneliness. There are more stories than I can fit in one piece.

But the hardest battle was the one in my head. I judged myself for not having the body I once had. I asked myself how I could lead a fitness company if I was not in perfect shape. I asked myself how I could be a gay man in this city and not look the way I used to.

Then came the healing.

A fraternity brother said to me on the phone, “G, you have to forgive yourself.” It stopped me in my tracks. I had never considered forgiving myself. I only knew how to push harder, chase more, and hide the cracks. When we hung up, I cried. That moment opened something in me. I realized I had not neglected my body. I had held my life and my business together the best way I knew how through unimaginable seasons.

I stopped shaming myself for not looking like my past. I started honoring the new ways I had proven I was strong.

So here is what I want to offer anyone who is in that dark space now. Give yourself the same grace you give everyone else. Love yourself through every phase, not just the shiny ones. Recognize growth even when growth simply means you are still here.

When I created SWEAT, I hoped to build a home where people felt worthy just as they are, mostly because I needed that home too. My mission now is to carry that message beyond our walls and into the city I love. To build a STRONGER DC.

Because strength is not perfection. Strength is learning to love an imperfect you.

With love and gratitude, Coach G.


Gerard Burley, also known as Coach G, is a D.C.-based fitness entrepreneur.

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Elusive safety: what new global data reveals about gender, violence, and erasure

Movements against gender equality, lack of human rights data contributing factors.

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Activists who participated in a 2024 Pride march in San Salvador, El Salvador, carry a banner that calls for a country where “being a woman is not a danger.” (Photo courtesy of Colectivo Alejandría)

“My identity could be revealed, people can say whatever they want [online] without consequences. [Hormone replacement therapy] is illegal here so I’m just waiting to find a way to get out of here.”

-Anonymous respondent to the 2024 F&M Global Barometers LGBTQI+ Perception Index from Iraq, self-identified as a transgender woman and lesbian

As the campaign for 16 Days Against Gender-Based Violence begins, it is a reminder that gender-based violence (GBV) — both on– and offline — not only impacts women and girls but everyone who has been harmed or abused because of their gender or perceived gender. New research from the Franklin & Marshall (F&M) Global Barometers and its report A Growing Backlash: Quantifying the Experiences of LGBTQI+ People, 2022-2024 starkly show trends of declining safety among LGBTQI+ persons around the world.

This erosion of safety is accelerated by movements against gender equality and the disappearance of credible human rights data and reporting. The fight against GBV means understanding all people’s lived realities, including those of LGBTQI+ people, alongside the rights we continue to fight for.

We partnered together while at USAID and Franklin & Marshall College to expand the research and evidence base to better understand GBV against LGBTQI+ persons through the F&M Global Barometers. The collection of barometers tracks the legal rights and lived experiences of LGBTQI+ persons from 204 countries and territories from 2011 to the present. With more than a decade of data, it allows us to see how rights have progressed and receded as well as the gaps between legal protections and lived experiences of discrimination and violence. 

This year’s data reveals alarming trends that highlight how fear and violence are, at its root, gendered phenomena that affect anyone who transgresses traditional gender norms.

LGBTQI+ people feel less safe

Nearly two-thirds of countries experienced a decline in their score on the F&M Global Barometers LGBTQI+ Perception Index (GBPI) from 2022-2024. This represents a five percent drop in global safety scores in just two years. With almost 70 percent of countries receiving an “F” grade on the GBPI, this suggests a global crisis in actual human rights protections for LGBTQI+ people. 

Backsliding on LGBTQI+ human rights is happening everywhere, even in politically stable, established democracies with human rights protections for LGBTQI+ people. Countries in Western Europe and the Americas experienced the greatest negative GBPI score changes globally, 74 and 67 percent, respectively. Transgender people globally reported the highest likelihood of violence, while trans women and intersex people reported the highest levels of feeling very unsafe or unsafe simply because of who they are. 

Taboo of gender equality

Before this current administration dismantled USAID, I helped create an LGBTQI+ inclusive whole-of-government strategy to prevent and respond to GBV that highlighted the unique forms of GBV against LGBTQI+ persons. This included so-called ‘corrective’ rape related to actual or perceived sexual orientation, gender identity, or expression” and so-called ‘conversion’ therapy practices that seek to change or suppress a person’s gender identity or expression, sexual orientation, or sex characteristics. These efforts helped connect the dots in understanding that LGBTQI+ violence is rooted in the same systems of inequality and power imbalances as the broader spectrum of GBV against women and girls. 

Losing data and accountability

Data that helps better understand GBV against LGBTQI+ persons is also disappearing. Again, the dismantling of USAID meant a treasure trove of research and reports on LGBTQI+ rights have been lost. Earlier this year, the US Department of State removed LGBTQI+ reporting from its annual Human Rights Reports. These played a critical role in providing credible sources for civil society, researchers, and policymakers to track abuses and advocate for change. 

If violence isn’t documented, it’s easier for governments to deny it even exists and harder for us to hold governments accountable. Yet when systems of accountability work, governments and civil society can utilize data in international forums like the UN Universal Periodic Review, the Convention on the Elimination of All Forms of Discrimination Against Women, and the Sustainable Development Goals to assess progress and compliance and call for governments to improve protections. 

All may not be lost if other countries and donors fill the void by supporting independent data collection and reporting efforts like the F&M Global Barometers and other academic and civil society monitoring. Such efforts are essential to the fight against GBV: The data helps show that the path toward safety, equality, and justice is within our reach if we’re unafraid of truth and visibility of those most marginalized and impacted.

Jay Gilliam (he/him/his) was the Senior LGBTQI+ Coordinator at USAID and is a member of the Global Outreach Advisory Council of the F&M Global Barometers.

Susan Dicklitch-Nelson (she/her/hers) is the founder of the F&M Global Barometers and Professor of Government at Franklin & Marshall College.

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