Sexual Attitude Reassessment · Reflective Exercise

Whose Concern Is It

You will be given a session and allowed to conduct it however you choose. The exercise will not interrupt you. It keeps a transcript.

The case this is built on

A therapist is seeing a client for anxiety related to their work environment. Early in the first session, the client mentions a practice the therapist finds uncomfortable.

What the therapist did next is withheld until the end. You will have made your own choices by then, which is the point.

Estimated time to complete this exercise: 20 minutes

1The session
2The transcript
3The record
4Your threshold
5Whose concern
6Close

Before you begin

How this one works

There are no correct answers here and nothing is graded. Several of the options you will be offered are defensible, and a few of them are defensible once and not four times.
Nothing you type leaves your browser. There is no record and no submission, and closing or reloading this page discards it. At the end you can copy your own responses if you want to take them to consultation.
You will be given a session to conduct and allowed to conduct it however you choose. The exercise will not interrupt you. It keeps a transcript, and you will read it afterwards.
This case concerns a practice many clinicians find uncomfortable. The exercise is not asking you to be comfortable with it. It is asking you to find out what your discomfort does to your clinical direction.

Choose as you actually would in the room, not as you would choose if you were being observed. The exercise is worth nothing otherwise.

References

  1. Richters, J., de Visser, R. O., Rissel, C. E., Grulich, A. E., & Smith, A. M. A. (2008). Demographic and psychosocial features of participants in bondage and discipline, “sadomasochism” or dominance and submission (BDSM): Data from a national survey. The Journal of Sexual Medicine, 5(7), 1660–1668. https://doi.org/10.1111/j.1743-6109.2008.00795.x
  2. Wismeijer, A. A. J., & van Assen, M. A. L. M. (2013). Psychological characteristics of BDSM practitioners. The Journal of Sexual Medicine, 10(8), 1943–1952. https://doi.org/10.1111/jsm.12192