Exam Preview for 1712: Culturally Competent Clinical Care and Ethic

Culturally Competent Clinical Care and Ethics: BDSM, Kink, and Fetishes in Practice

Please note: exam questions are subject to change.

1. What is BDSM? Non-consensual exchange of dominance and submission in a sexual context. Practices involving bondage and discipline, dominance and submission, and sadomasochism. Sexual practices that fall under the overarching category of fetishes. A DSM-V diagnosis that includes sadomasochism.
2. What percentage of people in the U.S. report at least one BDSM fantasy or practice? 15% 7% 68% 54%
3. What is the most common cause of death in BDSM and kink? head injuries strangulation cardiac problems suicide
4. Which theory of the etiology of BDSM and kink has been supported by research? psychopathological psychoanalytic radical feminist None have been supported
5. Which statement is true regarding BDSM and trauma? Most BDSM and kink practitioners have a history of childhood sexual trauma. BDSM and kink is likely retraumatizing for individuals with trauma histories and should be avoided. For some clients, BDSM and kink can be used to facilitate trauma recovery. BDSM and kink practitioners who undergo trauma treatment often stop engaging in BDSM and kink practices.
6. What is the difference between someone who has pathologic paraphilia per DSM-V, and individuals with non-pathologic BDSM/kink practices? a DSM-V diagnosis must include either lack of consent, clinically significant distress, or functional impairment a DSM-V diagnosis must include a fetish, defined as sexual arousal from a non-living object or non-sexual body part a DSM-V diagnosis must include lack of consent there are no DSM-V diagnoses that can be applied to an individual who practices BDSM/kink
7. Which of the following practices are NOT associated with BDSM ethical principles surrounding consent? Dungeons Traffic light system Prescene negotiation safewords
8. Which mottos have been established within the BDSM and kink communities to establish the importance of consent? “Dom and Submissive” “Safe Word” “Safe, Sane and Consensual” and “RACK” “Consent Always” and “RACK”
9. Which of the following is a common stigmatized view of BDSM/kink practitioners? BDSM and kink is pathological and likely develops as a result of trauma. BDSM and kink are normal aspects of human sexual diversity. BDSM and kink involve power dynamics that cause sexual arousal. BDSM and kink have biological effects due to increased stress.
10. What is one of the important negative effects of BDSM and kink stigma? BDSM/kink practitioners may not seek mental health treatment for their paraphilias. BDSM/kink practitioners may stay within small communities that are difficult for outsiders to enter. BDSM/kink practitioners may become more involved in BDSM and kink activity due to stigma. BDSM/kink practitioners may avoid healthcare due to fears of stigma or abuse reporting.
11. What is one way in which mental health clinicians can address BDSM and kink stigma? Do not consider BDSM and kink practitioners to be sexual minorities. Recognize BDSM and kink practitioners as sexual minorities. Consider BDSM/kink and LGBT communities to be inherently separate. Use the DSM-V diagnoses for all BDSM and kink practitioners.
12. Which of the following is NOT an appropriate clinical intervention when working with BDSM/kink practitioners? adopt a judgmental attitude toward BDSM and kink ask client-centered questions about the client’s experience avoid talking about BDSM/kink if not familiar with those practices collaboratively explore topics that are important to the client
13. How can mental health providers better educate themselves on sexual assault within the BDSM community? sexual assault is unlikely to occur in the BDSM community; providers should educate themselves on consensual BDSM practices. Providers should be aware that LGBT populations are more likely to ignore safe words and negotiated agreements. Providers should be on the lookout for bruising and other physical signs of sexual assault. Providers should familiarize themselves on sexual assault and how it differs from consensual BDSM and kink practices.
14. Which of the following interventions would be most commonly used for a BDSM/kink practitioner struggling with societal stigma? Identify play partners for the client to connect with. Encourage the client to connect with supportive BDSM and kink community. Refer the client to clinicians specialized in treating paraphilic disorders. Encourage the client to come out as kinky to their friends and family.
15. Which of the following is a common tension between ethics and the law with regard to BDSM and kink? Even when fully consensual, BDSM and kink practices may be prosecuted under criminal law. BDSM and kink practices would never be considered illegal if they are conducted in a consensual and ethical manner. Laws always allow for the revoking of consent, but BDSM and kink ethical standards do not always allow for revoking of consent. None of the above.