Sex Therapy with Erotically Marginalized Clients: Nine Principles of Clinical Support provides a clinical guide to relational sex therapy with individuals, partnerships, polyships, and alternative family structures where one or more of the clients are erotically marginalized. This term refers to people who are at risk of being pathologized and oppressed both outside and inside the clinical setting due to their gender identities, sexual orientations, or sexual practices.

The book outlines nine principles for therapeutic practice which meet the needs of erotically marginalized clients, whose forms of sexuality and desire are rarely spoken about and for whom there is a dearth of language in therapeutic contexts. Each principle concludes with a series of ‘key points’ and then followed by illustrative clinical case studies, contributed by sex therapists and clinicians who self-identify as erotically marginalized and who also work with erotically marginalized clients. The book also provides a full glossary, ‘Defining Erotically Marginalized Identities’.

The authors and case contributors use a radical and affirming lens to examine erotically marginalized identities that are often neglected. The book bridges gaps between the past, present, and future in the field of sex therapy and greatly expands the diversity of experiences and identities within the field, particularly the experience of multiple oppressions.

The book marks a valuable contribution not only to sex therapists but to the wider clinical and therapeutic community.

chapter |9 pages


Sex Therapy with Erotically Marginalized Clients: Nine Principles of Clinical Support

part I|71 pages


chapter Principle Two|23 pages

Challenge Binary Thinking and its Constrictions

chapter Principle Three|19 pages

Support Willingness to Experience the Anxiety of Uncertainty

part II|84 pages


chapter Principle Four|31 pages

Practice a Relational and Dialogic Approach to Sex Therapy

chapter Principle Five|22 pages

Emphasize Clients’ Own Words, Knowledge, and Narratives

chapter Principle Six|29 pages

Locate Oneself and Respond to Clients’ Meta-Communication

part III|54 pages


chapter Principle Seven|20 pages

Support Participation of Family and Communities

chapter Principle Eight|24 pages

Practice Active Allyship

chapter Principle Nine|8 pages

Build a Community of Colleagues