ABSTRACT
This chapter introduces a clinical approach that focuses on co-creating language and meaning for sexual desire and intimacy. Locating oneself as a clinician with erotically marginalized clients is the keystone to the arc of meta-communication. Location of self is the structure in which clinicians can practice Preemptive Radical Inclusion(PRI) and attune themselves to client meta-communication. PRI in practice is intentionally assuming that a client is someone who experiences marginalization, whether it is visible or not. Meta-communication in a sex therapy context with erotically marginalized clients has a few tributaries of meaning. Meta-communication is all the non-verbal cues that hold meaning, and either enhances or disallows what one might say with words. Co-creating language that brings meaning to meta-communications is critical to the practice of sex therapy with erotically marginalized clients. Making meaning and giving language to meta-communication is a huge part of helping people in romantic and intimate relationships negotiate consensually non-monogamous agreements.
