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Photo credited to Disabled and Here.

Kathryn collaborated with Dr. Jess Gagui again for this week's blog as a follow up to their last blog focused on the historical context of hypersexualization and fetishization of BIPOC women and femmes.  Be sure to give that a read if you haven't already.  This week focuses on intervention strategies you can use when working with folks who voice experiences of hypersexualization, fetishization, asexualization, and body criticism for not fitting the standard of beauty: for example, white, thin, able bodied.  While last week's blog centered BIPOC women and femmes, we think you’ll find these intervention strategies helpful for many other populations you work with. 

Clients’ experiences related to identity and culture aren’t off limits to clinicians:

Clinicians can, rightfully so, feel cautions to challenge what clients admit as cultural messages.  For example, "I grew up in a Catholic home and still view sex as 'dirty' and 'sinful,' and I’m havin...

Before you read on, here's a self-assessment to stoke self reflection.  

Take a look at Victoria's Secret's website and Rihanna’s SavagexFenty website.  Ask yourself: “if my sex and intimacy occupational therapy practice was either Victoria’s Secret or SavagexFenty, which one would it be?”

Here are some questions: 

1. If you have patient handouts, who is visually represented in them?
2. What clients do you address sex and intimacy with and which ones do you hesitate to address it with?
3. Do you ask your clients what kind of sex they have or what it typically looks like?  
4. Are you comfortable celebrating the expansive forms of sexuality and ways sexual activity can be engaged in?  Does this acceptance translate when you’re working with your clients?

Last week, I wanted to buy a few new pieces of lingerie. Like an old habit, I typed Victoria’s Secret into my google search bar and went to the website…I didn’t last 7 seconds.  

I quickly visually scanned the pictures and saw the bodies...

When I first started addressing sexuality with clients and making recommendations for sex toys I went through the steps of printing out a screen shot of a vibrator on a work computer, folding it in half, and slyly giving it to my client in front of their families.  

But now, thanks to the folks at Direct-Rec App, OT clinicians can share sexual wellness products directly and privately with their clients.  Dang… where was this 10 years ago!?   

Ok, so what is Direct-Rec? 

Direct-Rec is a new app that can help clinicians share equipment and product recommendations quickly and securely with patients. The folks at Direct-Rec teamed up with the OT educators at the OT After Dark Podcast to create a category of sexual wellness products with information on how the products can be helpful to specific patients based on their specific challenges, sexual goals, or interests.  This might be a vibrator with an extended reach, slings and supports to aid in positioning when limbs cannot support, an...

When it comes to helping clients with sexuality and intimacy there are several topics I find important and helpful to address: the selfies, sexplay and sexual communication. Being able to acknowledge and validate their wants and needs to their partner can be uncomfortable for our clients, especially if it's a foreign practice. 

Cue, The Selfies.

I've developed some helpful handouts that I use in my practice and wanted to share the content of them here with you! This week I'll be sharing The Selfies, which are a great addition to your OT treatment session and can make for great discussions, worksheets or role play exercises. 

Self-Advocacy

The practice of communicating your personal desires, preferences, needs, boundaries, and rights to yourself and to partners. Taking responsibility for yourself as a sexual and intimate person by advocating for what you want and do not want through explicit communication.

• How to practice self-advocacy:

  Practice self-awareness: know yoursel

  ...