A Multiple Timepoint Pre-post Evaluation of a ‘Sexual Respect’ DVD to Improve Competence in Discussing Sex with Patients with Disability

Dyer, Kerry; Aubeeluck, Aimée; Yates, Nicola L.; Nair, Roshan das

doi:10.1007/s11195-014-9375-3

Cited by 5 publications

(1 citation statement)

References 62 publications

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“…The PLISSIT model has been used in addressing the sexual well‐being of individuals with chronic illness and acquired disabilities (Dyer, Aubeeluck, Yates, & Das Nair, ). Additionally, it has been adapted as a framework for sexual education and to be used in various situations by mental and physical health professionals (Dyer et al, ; Farnam, Janghorbani, Raisi, & Merghati‐Khoei, ; Pillai‐Friedman & Ashline, ).…”

Section: The Allow and Plissit Modelsmentioning

confidence: 99%

Renegotiating Sexuality Following an Acquired Disability: Best Practices for Counselors

Tellier

Calleja

2017

Adultspan Journal

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Acquired physical disabilities are a critical issue that confronts many adults today, and they are projected to continue to increase over the next several years. For many individuals with acquired physical disabilities, the disabilities affect sexuality, thus requiring a renegotiation of disability and sexuality. This article reviews the extant literature on physical disabilities and sexuality and provides best practices for counselors to effectively address the needs of this growing population.

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Section: The Allow and Plissit Modelsmentioning

confidence: 99%

Renegotiating Sexuality Following an Acquired Disability: Best Practices for Counselors

Tellier

Calleja

2017

Adultspan Journal

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Sexuality Education and Implications for Quality of Care for Individuals with Adult Onset Disability: A Review of Current Literature

Eglseder

Webb

2017

American Journal of Sexuality Education

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Mistrust and missed opportunities: BDSM practitioner experiences in healthcare

Jansen,

Fried,

Goetz

et al. 2024

The Journal of Sexual Medicine

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Background Stigma and discrimination have been shown to be significant barriers to healthcare utilization and provider trust among sexual minority groups including BDSM and kink communities. Aim This exploratory study sought to better understand medical mistrust and experiences of discrimination in primary care settings and how these factors predict hiding kink-related injuries from healthcare providers. Methods A total of 301 individuals who self-identified as being a member of the BDSM community and engaged in BDSM-play activities completed an online survey. Outcomes Participants completed measures including experiences with BDSM-play-related injuries, disclosure of BDSM activity to healthcare providers, measures addressing mistrust in in healthcare providers (such as avoidance of questions about sexual health or STI testing), and experiences with discrimination in healthcare settings because of BDSM group membership (such as perceptions of being insulted or receiving poor care). Results Nearly, 40% of participants indicated at least one experience with discrimination in the healthcare system because they identified as a member of the kink community. Over 20% of participants indicated there were BDSM-related concerns they would have liked to discuss with their primary care provider but did not. Participants who hid injuries from their primary care provider had higher levels of medical mistrust and more experiences with medical discrimination than those who disclosed their injuries. A stepwise logistic regression determined that medical mistrust served as a significant predictor of hiding injuries from healthcare providers. Clinical Implications Patients who are members of the BDSM community are likely to have had negative healthcare experiences, and these experiences impact their communication with and trust in future medical encounters. Strengths and Limitations Strengths of the study include addressing diverse components of stigma in healthcare including both experiences with discrimination as well as perceptions of the medical field. Furthermore, potential direct consequences of past negative experiences such as hiding injuries from healthcare providers were examined. Given the likely impact of race, gender, and BDSM group membership on experiences with discrimination, a limitation includes the limited representations of BDSM participants from minoritized racial and ethnic groups. Furthermore, in addressing injuries, the survey did not differentiate intended or expected injuries obtained in BDSM play from unintentional or unwanted injuries. Conclusion Mistrust in the medical system impacts members of the BDSM community’s willingness to disclose injuries to their healthcare provider.

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A Multiple Timepoint Pre-post Evaluation of a ‘Sexual Respect’ DVD to Improve Competence in Discussing Sex with Patients with Disability

Cited by 5 publications

References 62 publications

Renegotiating Sexuality Following an Acquired Disability: Best Practices for Counselors

Renegotiating Sexuality Following an Acquired Disability: Best Practices for Counselors

Sexuality Education and Implications for Quality of Care for Individuals with Adult Onset Disability: A Review of Current Literature

Mistrust and missed opportunities: BDSM practitioner experiences in healthcare

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