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(Un)desirable approaches in therapy with Swedish individuals practicing BDSM : client’s perspectives and recommendations for affirmative clinical practices

Lantto, Reid LU orcid and Lundberg, Tove LU orcid (2022) In Psychology & Sexuality 13(3). p.742-755
Abstract
This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’,... (More)
This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’, regarding how therapists handled conversation about the topic. Participants reported negative experiences where therapists expressed prejudice, judgment or pathologizing attitudes, failed to contain their own emotions, questioned their clients about BDSM, used their clients to inform themselves about BDSM, avoided or focused excessively on the topic. Positive experiences were characterised by non-judgement, asking client-centred questions, and stimulating a collaborative exploration of matters relevant to the client. BDSM practitioners’ experiences of therapy were related to those documented in the literature on other minoritized identities. This study contributes to the growing literature on kink-aware therapy, which makes psychotherapy more affirmative, accessible, and rewarding to BDSM practitioners. (Less)
Abstract (Swedish)
This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’,... (More)
This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’, regarding how therapists handled conversation about the topic. Participants reported negative experiences where therapists expressed prejudice, judgment or pathologizing attitudes, failed to contain their own emotions, questioned their clients about BDSM, used their clients to inform themselves about BDSM, avoided or focused excessively on the topic. Positive experiences were characterised by non-judgement, asking client-centred questions, and stimulating a collaborative exploration of matters relevant to the client. BDSM practitioners’ experiences of therapy were related to those documented in the literature on other minoritized identities. This study contributes to the growing literature on kink-aware therapy, which makes psychotherapy more affirmative, accessible, and rewarding to BDSM practitioners. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
BDSM, psychotherapy, kink affirmative therapy, kink-awareness, LGBTQ+, transformative research, BDSM, psychotherapy, kink affirmative therapy, kink-awareness, LGBTQ+, transformative research
in
Psychology & Sexuality
volume
13
issue
3
pages
742 - 755
publisher
Taylor & Francis
external identifiers
  • scopus:85104796284
ISSN
1941-9899
DOI
10.1080/19419899.2021.1918230
project
Upplevelser av terapi bland personer som utövar bdsm
language
English
LU publication?
yes
id
ac163281-588f-4360-870e-45589460ccec
date added to LUP
2021-04-21 09:01:04
date last changed
2022-11-23 21:40:17
@article{ac163281-588f-4360-870e-45589460ccec,
  abstract     = {{This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’, regarding how therapists handled conversation about the topic. Participants reported negative experiences where therapists expressed prejudice, judgment or pathologizing attitudes, failed to contain their own emotions, questioned their clients about BDSM, used their clients to inform themselves about BDSM, avoided or focused excessively on the topic. Positive experiences were characterised by non-judgement, asking client-centred questions, and stimulating a collaborative exploration of matters relevant to the client. BDSM practitioners’ experiences of therapy were related to those documented in the literature on other minoritized identities. This study contributes to the growing literature on kink-aware therapy, which makes psychotherapy more affirmative, accessible, and rewarding to BDSM practitioners.}},
  author       = {{Lantto, Reid and Lundberg, Tove}},
  issn         = {{1941-9899}},
  keywords     = {{BDSM; psychotherapy; kink affirmative therapy; kink-awareness; LGBTQ+; transformative research; BDSM; psychotherapy; kink affirmative therapy; kink-awareness; LGBTQ+; transformative research}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{742--755}},
  publisher    = {{Taylor & Francis}},
  series       = {{Psychology & Sexuality}},
  title        = {{(Un)desirable approaches in therapy with Swedish individuals practicing BDSM : client’s perspectives and recommendations for affirmative clinical practices}},
  url          = {{http://dx.doi.org/10.1080/19419899.2021.1918230}},
  doi          = {{10.1080/19419899.2021.1918230}},
  volume       = {{13}},
  year         = {{2022}},
}