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Clinical Guidelines for Working with Clients Involved in Kink.

Richard A Sprott1, Cara Herbitter2,3, Patrick Grant4

  • 1Human Development and Women's Studies, California State University, East Bay, CA, USA.

Journal of Sex & Marital Therapy
|July 13, 2023
PubMed
Summary
This summary is machine-generated.

Clinicians need better training to support individuals in kink (BDSM or fetish) subcultures, who often face healthcare stigma. New guidelines offer culturally competent care strategies for these clients.

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Area of Science:

  • Psychology
  • Sociology
  • Healthcare Ethics

Background:

  • Individuals in kink (BDSM or fetish) subcultures frequently experience stigma and bias within healthcare and psychotherapy settings.
  • Clinicians often lack preparedness or awareness of their own biases when addressing the needs of this population.
  • Culturally competent care is essential for addressing the unique challenges faced by kink-identified individuals.

Purpose of the Study:

  • To develop clinical practice guidelines for healthcare professionals working with individuals involved in kink subcultures.
  • To address the stigma and bias encountered by kink-identified individuals in clinical settings.
  • To provide recommendations for culturally competent care, research, and training.

Main Methods:

  • A two-year collaborative effort involving 20 experienced clinicians and researchers.
  • An extensive literature review on kink, BDSM, and fetish subcultures in clinical contexts.
  • Documentation and synthesis of clinical expertise to inform guideline development.

Main Results:

  • Development of comprehensive clinical practice guidelines for working with kink-involved individuals.
  • Identification of key issues and challenges faced by clinicians and clients.
  • Discussion of implications for clinical practice, future research, and professional training.

Conclusions:

  • The established guidelines aim to improve the quality of care for kink-identified individuals.
  • Addressing clinician bias and enhancing cultural competence are crucial for equitable healthcare.
  • Further research and training are necessary to support clinicians in providing effective and non-stigmatizing care.