This is a good article related to this study examining the concept that affirmation is in itself a gay conversion therapy - from Transgender Trend.
‘ The results of an important new study from Singh, Bradley & Zucker on gender identity & sexual orientation of clinic-referred pre-pubertal boys are consistent with the results of all previous studies of persistence and desistance. Using the largest sample to date, with a follow-up mean age of 20.58 years, the study found only a 12.2% persistence rate. 87.8 % desisted and 63.6% grew up to be gay. We know that under a watchful waiting approach around 80% of children outgrow gender dysphoria and the most likely outcome is same-sex orientation in adulthood. Becoming transsexual as an adult is the least likely outcome.
A 2013 research study by Steensma et al found that social transition is the most powerful predictor of persistence of childhood gender dysphoria. In other words, social transition of pre-pubertal children may prevent them from growing up to be gay. So what is ‘gender identity’ doing on the MoU on conversion therapy when there is a risk that affirmation and social transition is a form of gay conversion therapy in itself?’