The Leather Couch: Clinical Practice with Kinky Clients

By: Stefani Goerlich

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Synopsis: The Leather Couch provides a comprehensive overview of the BDSM and kink community and guides clinicians on how to meet the unique relational and mental health needs of its members. The text offers a 101-style introduction to BDSM before delving into topics ranging from intersectionality within the kink community, to conducting a kink-affirming risk assessment and how to discern between domestic violence and consensual power-exchange. The author explores differential diagnoses and clinical concerns that are relevant to health care providers, including social workers and therapists as well as primary care physicians and sex educators. Interwoven throughout with real-world case studies, each chapter presents practical suggestions, tools, and handouts the reader can use to inform their practice and serve clients in ways that meet the needs of each individual, couple, or partnership. Written in a conversational, accessible style for clinicians and members of the BDSM community alike, The Leather Couch is the go-to resource for any mental health professional or educator looking to transform their practice from kink aware to kink affirming.