A Clinicians Manual For Working With Kinky Clients

With the advent of the Internet, those who participate in alternative forms of relationship, gender, and sexual expression have come together as a community and have created a new sexual minority subculture. The clinical needs of this community are different than the traditional mental health client and it is important for all mental health clinicians and healthcare providers to be familiar with the standard of care that may be different in the varied populations that make up this community. This document is the accompanying manual for a pilot Kink Aware Therapy Certification educational program, and it offers a fundamental working knowledge and important clinical considerations and interventions in the treatment of this population based upon one clinician's experiences, the current research, and community literature. This companion text also reinforces the growing need for an educational program for mental health and medical providers and further clinical research with this population.

Kink-Affirming Practice is an essential guide on how clinicians can ethically and effectively integrate elements of their client’s BSDM identities and practices into their treatment planning, creative interventions, and client self-care. Embracing both an anthropological understanding of this diverse yet still marginalized community, as well as a sex-positive approach to mental health, Stefani Goerlich recognizes the ways in which specific power exchange dynamics can evoke positive behavioral changes in clients, and guides the reader in how to integrate these concepts into their clinical work. Chapters discuss the foundations of BDSM, what is meant by kink-affirming practice, the purpose of claiming power and ceding control, integrating and reclaiming identities, dominant/submissive personas, and the benefits of caregiving kink, such as pet play. It practically discusses how to conduct a kink-affirming risk assessment, as well as exploring topics like ethical and health boundary setting, how to gain informed consent, and the unique issues that arise when clinicians catch themselves romancing the kink. This book is invaluable reading for professionals working with clients who engage in BDSM activities, such as marriage and family therapists, sex therapists, clinical social workers, and counselors. It may also be useful reading for students on both undergraduate and graduate level human sexuality and sexuality courses.

The Modern Clinician's Guide to Working with LGBTQ+ Clients is a ground-breaking resource for therapists working with LGBTQ+ clients whose identity expressions span all gender-, sex-, and relationship-diverse groups. Combining the author’s extensive clinical experience with contemporary evidence-based research, the chapters of this book explore the origins and development of sexual minority groups, going beyond lesbian women and gay men to include transgender and gender nonbinary people, kink and polyamory, bisexuality and pansexuality, and those who identify as asexual or aromantic. The text also offers in-depth coverage of clinical work with transgender, gender-nonconforming, and nonbinary clients of all ages. With a wealth of therapeutic strategies and case studies, this resource helps professionals respond to this ‘Big Tent’ community in an informed and empathetic way. Spanning sexuality, gender, relationships and age groups, The Modern Clinician's Guide to Working with LGBTQ+ Clients is an invaluable reference for psychotherapists in a broad range of clinical settings.

Sexuality is an important area of clients’ lives yet it is often neglected, both in the consulting room and in training. This book examines issues of sexuality in a positive and affirming light and considers how sexuality-related issues can be introduced into therapy and training. Sex and sexuality are important to consider in psychotherapy, psychology, counselling and health provision across a variety of contexts and are relevant to clinicians and therapists working in health and mental health settings as well as in specialist services such as sexual and reproductive health and HIV. Sex, Sexuality and Therapeutic Practice opens with a general discussion of sex and sexuality before considering how the therapists can think and talk about sexuality in practical and self-reflective ways in different circumstances. Each chapter in the book focuses on a specific topic with areas covered including: sexual diversity across the lifespan health and disability sexual and gender minority issues how culture and sexuality interact. The manual provides up-to-date information, further reading, handouts for clients, self-reflective exercises and examples of training exercises for workshops and teaching. It is an essential resource for health professionals, therapists, clinicians, academics and trainers, and will support the practicing therapist as well as those in training.

Featuring over seventy affirming interventions in the form of homework assignments, handouts, and activities, this comprehensive volume helps novice and experienced counselors support LGBTQ+ community members and their allies. Each chapter includes an objective, indications and contraindications, a case study, suggestions for follow-up, professional resources, and references. The book’s social justice perspective encourages counselors to hone their skills in creating change in their communities while helping their clients learn effective coping strategies in the face of stress, bullying, microaggressions, and other life challenges. The volume also contains a large section on training groups of allies and promoting greater cohesion within LGBTQ+ communities. Counseling and mental health services for LGBTQ+ clients require between-session activities that are clinically focused, evidence-based, and specifically designed for one or more LGBTQ+ sub-populations. This handbook gathers together the best of such LGBTQ+ clinically focused material. As such, the book appeals both to students learning affirmative LGBTQ+ psychotherapy/counseling and to experienced practitioners. The Handbook features homework assignments, handouts, and activities that: -Emphasize working with clients from different backgrounds. -Stress the importance of ethical guidelines and culturally competent care. -Demonstrate how to engage clients in conversations about coming out across the lifespan. -Help clients manage oppression and build resilience through self-care, advocacy, and validation. -Identify the facets of relationships that are unique to LGBTQ+ individuals. -Offer interventions to enhance familial support and work through family dynamics. -Assist clients to more deeply appreciate their genders and sexual identities. -Aid therapists in their work with clients who have substance use and abuse issues. -Address concerns about career choices, employment options, and college pursuits. -Create safety in a range of social and clinical spaces, including college campuses. Offering practical tools used by clinicians worldwide, the volume is particularly useful for courses in clinical and community counseling, social work, and psychology. Those new to working with LGBTQ+ clients will appreciate the book’s accessible foundation to guide interventions.

Sex Therapy with Erotically Marginalized Clients: Nine Principles of Clinical Support provides a clinical guide to relational sex therapy with individuals, partnerships, polyships, and alternative family structures where one or more of the clients are erotically marginalized. This term refers to people who are at risk of being pathologized and oppressed both outside and inside the clinical setting due to their gender identities, sexual orientations, or sexual practices. The book outlines nine principles for therapeutic practice which meet the needs of erotically marginalized clients, whose forms of sexuality and desire are rarely spoken about and for whom there is a dearth of language in therapeutic contexts. Each principle concludes with a series of ‘key points’ and then followed by illustrative clinical case studies, contributed by sex therapists and clinicians who self-identify as erotically marginalized and who also work with erotically marginalized clients. The book also provides a full glossary, ‘Defining Erotically Marginalized Identities’. The authors and case contributors use a radical and affirming lens to examine erotically marginalized identities that are often neglected. The book bridges gaps between the past, present, and future in the field of sex therapy and greatly expands the diversity of experiences and identities within the field, particularly the experience of multiple oppressions. The book marks a valuable contribution not only to sex therapists but to the wider clinical and therapeutic community.

Historically, mental health clinical research has taken inadequate account of psychosocial disorders experienced by those who identify as sexual and gender minorities, however, researchers have recently begun developing and adapting evidence-based mental health treatment approaches for use with these groups. Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities offers a comprehensive array of evidence-based approaches for treating sexual and gender minority clients' mental health concerns. The interventions detailed here span a diverse spectrum of populations, including sexual and gender minority youth, transgender populations, same-sex couples, sexual minority parents, and bisexual individuals. Chapters also address numerous mental and behavioral health problems, including anxiety disorders, depression, substance abuse, trauma, body image disturbance, and sexual health. In addition to an overview of the research evidence supporting each clinical presentation and approach, chapters contain practical how-to guidance for therapists to use in their clinical practice. This book reflects a true integration of the best of sexual and gender minority research and the best of evidence-based practice research, presented by the leading experts in the field. As such it is essential reading for mental health professionals who work with these groups, as well as trainees in social work, counseling, and clinical psychology.

Sensate Focus in Sex Therapy: The Illustrated Manual is an illustrated manual that provides health professionals with specific information on the use of the structured touching opportunities used regularly by Sexologists to address their clients’ sexual difficulties (Sensate Focus 1) and enhance intimate relationships (Sensate Focus 2). This book is the only one to: vividly describe and illustrate the specific steps of, activities involved in, and positions associated with Sensate Focus; emphasize the purpose of Sensate Focus as a mindfulness-based practice; and distinguish between the purposes of Sensate Focus 1 and Sensate Focus 2. Through the use of artful drawings and descriptive text, this manual engages mental health and medical professionals and their clients by appealing to both the visual and the analytical. It discusses how modifications to Sensate Focus can be applied to diverse populations, such as LGBTQ clients, the elderly, the disabled, trauma survivors, and those with challenges such as Autism Spectrum, anxiety, and depression. The book also offers suggestions for dealing with common client difficulties such as avoidance, confusion, and goal directed attitudes. This comprehensive approach to Sensate Focus will remind readers of the beauty and power of touch while offering suggestions for moving from avoidance to sensory transcendence.

The Wiley Handbook of Sex Therapy ist ein umfassendes und auf empirischer Basis überarbeitetes Werk zur jüngsten Theorie und Praxis in der psychotherapeutischen Behandlung sexueller Probleme quer durch alle Klientengruppen. -In vier Abschnitten werden spezifische sexuelle Fehlfunktionen, theoretische Ansätze der Sexualtherapie, die Arbeit mit der Diversität der Klienten und zukünftige Richtungen in der Sexualtherapie dargestellt. -Vertritt einen ganzheitlichen Ansatz in der Sexualtherapie, fokussiert auf die Anwendung einer Bandbreite psychotherapeutischer Theorien und Techniken mehr als nur auf die gängigen Verhaltensstrategien. -Fallstudien dokumentieren das breite Spektrum an Zuständen, die Klienten erleben können und die Sexualtherapeuten daher im Beratungsraum antreffen. -Enthält Beiträge von mehr als 60 Experten verschiedenster Fachrichtungen.

An affirming and sex-positive guide to working with sex workers: uncovering clinical biases, creating safe spaces, and dismantling the whorearchy. Despite the wide range of sex work--from street-based to OnlyFans--clinicians too often focus on what they think sex workers need, instead of building trust, developing rapport, and really doing the work to understand the unique stressors that make quality mental health care essential for sex worker communities. Sex-positive therapists Theodore Burnes and Jamila Dawson break down everything that mental health providers need to know to work effectively with sex workers, while dispeling the tired, pervasive myths that continue to impact treatment today. Readers will learn about: Who sex workers are; different types of sex work; and sex workers’ specific therapy needs How outdated research methodology results in bad data and poor care The whorearchy--the sex-work hierarchy--and why we need to dismantle it How to recognize and move beyond personal biases How to provide effective, affirming, and better clinical care What words not to use--and what they reveal about the sexism, racism, misogyny, and transphobia embedded in our society (and our practices) As sex work changes and evolves, encompassing everything from brothels to cam work, clinical care needs to catch up. This book shows you how.