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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
Summary
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.
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.
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