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"SM Issues for Healthcare Providers"


17th Annual Symposium
in San Diego, California on Aug 27, 1999

 

I. Who we are... why we are doing this

 

Introductions of Dr. Ruth W., neurologist, and Susan Wright, Policy Director of NCSF

 

We are presenting on "SM Issues for Healthcare Providers" because the same issues which may lead to inadequate health care for patients with non-mainstream sexual orientations or gender identity affect those who participate in sexual minority practices.

 

There are many questions related to physical or psychological health which patients may feel unable to ask because of fear of discrimination or of breach of confidentiality. As health care providers, we have a responsibility to be able to address these concerns without passing judgment.

 

An understanding of the basic principles of SM play enables us to fulfill this responsibility. In addition, it is important that we be able to identify when someone is in an abusive, non-consensual situation, and to provide them with appropriate support. This workshop will address the physical and psychological aspects of SM practices and provide an understanding of common scenarios.

 

II. Examples of questions Doctors may get

 

A 50 y/o man defers consulting his family physician about lower abdominal cramping associated with bowel movements because he is afraid the doctor will be able to tell he is into anal sex play and enemas, and that this may be related to his problem.

 

A 30 y/o woman gets a vaginal tear from fisting, which is continuing to bleed, but doesn't want to consult her doctor or got to the ER.

 

A 45 y/o man is left in bondage by a professional dominatrix for too long and develops numbness and weakness of both arms which does not resolve after a couple of days.

 

A 25 y/o woman newly diagnosed with MS is scared to explore her new interest in SM with her girlfriend, because she doesn't know how to ask her neurologist about what might be safe or dangerous for her to do.

 

The same issues which may lead to inadequate healthcare for patients with non-mainstream sexual orientation or gender identity affect those who participate in sexual minority practices. This includes gays, lesbians, bisexuals, folks who enjoy SM, who have body modifications such as piercings, tattoos, who crossdress, who are sex workers, who have multiple partners, who are transgendered or engage in fetish behavior.

 

There are many questions related to physical or psychological health which patients may feel unable to ask because fear of discrimination or of breach of confidentiality. Simple problems fester or become chronic. Patients are afraid to tell their doctors about their alternative sexual expression - even doctors they know are kink-friendly.

 

We are all unused to discussing sexuality in a neutral atmosphere and we are not given training to do it. In the LGBT community we are at an advantage, because sexuality is often more to the forefront than in the heterosexual community, but this certainly doesn't make us immune to being judgmental about practices outside our realm of experience. But precisely because of this reason I would argue that we have more of a responsibility to address issues related to alternative sexual practices.

 

Everyone deserves adequate health care, whether they are kinky or straight. As a prerequisite to good health care, the patient must trust their physician.

 

As healthcare providers we have a responsibility to be able to address these concerns without passing judgment. An understanding of the basic principles of SM play enables us fulfill this responsibility. In addition it is important that we be able to identify when someone is in an abusive situation and to provide them with appropriate support.

 

III. What is SM?

 

SM includes a broad and complex group of behaviors between consenting adults that involves the consensual exchange of power. This includes the giving and receiving of intense erotic sensation and/or mental discipline and power games.

SM activity is often called "playing" or having a "scene" because that is the way the SM-Leather-Fetish community approaches our form of sexual expression. Our equipment is often referred to as "toys". Like any other kind of game, we have rules we play by.

 

Individuals negotiate their limits prior to having a scene. Negotiation is ongoing; before, during and after the scene (what's known as "aftercare") to make sure the bottom is fine with what occurred. In our community, it's considered polite to check in with a bottom the day after the scene (or to request that they call you). This is usually more for the psychological issues that may have arisen rather than physical concerns.

 

SM does not feel like what it looks like. SM rests on a firm foundation of ongoing communication because most of what's going on is in the participants head. I'll use the term top and bottom, but it's also called dominant and submissive, or master and slave. SM is sometimes called D/S or BDSM or the practitioner may not identify or label their activities at all.

 

Contrary to popular stereotypes, the bottom is in control of the scene and can stop the activity at any time. Often people use a predetermined "safeword". This is a word or gesture that will stop the scene. At community events, the established safeword is "safeword," but individuals often have their own personal safeword, or some simply use "no" to mean "no." Sometimes people who are very submissive have trouble saying no, so a word like "red" is easy for them to say. Or some bottoms like to resist and say no, when they really mean yes, so they choose to have a safeword.

 

This community-wide standard was codified more than ten years ago in the creed: "safe, sane, consensual."

 

1. Safe is being knowledgeable about the techniques and safety concerns involved in what you are doing, and acting in accordance with that knowledge.

 

This includes protection against HIV, STDs, and hepatitis. It also includes notifying your partner of any physical condition that may impact on the scene, like asthma, bad back, epilepsy, etc. It also includes psychological safety, such as you were abused as a child and don't like a particular part of your body touched.

 

The community concerns itself with safety issues by supporting hundreds of educational and social organizations that teach people the proper way to use their equipment. Such as: how to tie wrists without putting pressure on the insides; how to properly clean equipment; which areas on the body are unsafe to stimulate, such as the face, joints, spine, bottoms of the feet.

 

2. Sane is knowing the difference between fantasy and reality, and acting in accordance with that knowledge.

Since physical acts has so much power, there are many fantasies that can be acted out by only hinting at the physical conditions someone fantasizes about. That's why our language is so symbolic: dungeon, slave, words of humiliation, or affectionate ownership. You may have to break through the fantasy to make sure your patient likes and wants what is happening.

 

Sane includes being of clear mind, and the community strongly recommends that mind-altering substances should be avoided during a scene, including alcohol, illegal drugs, and prescription drugs that impair judgment.

 

3. Consensual is respecting the limits imposed by each participant at all times. One of the recognized ways to maintain limits is through the "safeword" I mentioned. If it's nonconsensual, then it's abuse or assault. SM must be consensual.

 

To determine if informed consent has been reached, you can ask the following questions:
a) Was informed consent expressly denied or withdrawn? (similar to rape standards, if one of the participants withdraws consent during the activity, that must be respected)
b) Were there factors that negated the informed consent? (alcohol impairment, drug use, underage participants)
c) What is the relationship of the participants? (first encounter or long-term partner?)
d) What was the nature of the activity? (did it cause permanent harm, was it unsafe, was it enjoyable?)
e) What was the intent of the accused abuser? (to cause pleasure, to gain dominance, to gain control, to hurt?)

IV. SM vs Abuse

 

The community standard of safe, sane and consensual emerged from the growing national concern with domestic violence. SM is not domestic violence, but increasingly as SM gains wider mainstream acceptance, there are abusers who take advantage of men and women who enjoy SM. This makes it difficult for you, as a doctor who is required to report abuse.

 

If there are physical signs, you can usually judge by the marks:


1. SM rarely results in facial marks or marks that are received on the forearms (defensive marks).
2. There is usually an even pattern of marks if it is SM, indicating the bottom held quite still during the stimulation.

3. The marks are often quite well-defined when inflicted by a toy like cane or whip, whereas in abuse there are blotches of soft-tissue bruising, randomly distributed.
4. The common areas for SM stimulation is on the buttocks, thighs, back, breasts, or the genitals. The fleshy parts of the body can be stimulated intensely and pleasurably.

 

Questions to ask to determine if it is abuse. Whether an individual's role is top/dominant or bottom/submissive, they could be suffering abuse if they answer no to any of the following questions:

 

1. Are your needs and limits respected?
2. Is your relationship built on honesty, trust, and respect?
3. Are you able to express feelings of guilt or jealousy or unhappiness?
4. Can you function in everyday life?
5. Can you refuse to do illegal activities?
6. Can you insist on safe sex practices?
7. Can you choose to interact freely with others outside of your relationship?
8. Can you leave the situation without fearing that you will be harmed, or fearing the other participant(s) will harm themselves?
9. Can you choose to exercise self-determination with money, employment, and life decisions?
10. Do you feel free to discuss your practices and feelings with anyone you choose?

 

V. Intersections of SM and Healthcare 

 

The role of Health Care Providers is to educate the patient to understand the medical problem. Give the patient the info to help determine what is safe, and what to do if there is a problem. If they don't know already, they should know to educate play partner(s).

 

1. When SM causes health problem (least common). An accurate report of activity is essential and requires trust from patient:
a) Fainting or dizziness
b) Bondage-related - causing nerve damage, joint strain, numbness
c) problems releasing retained rectal objects

 

2. When the patient wants advice on what is safe (pretty common). Much of this we can figure out from common medical knowledge (eg how long can vascular supply be cut off), but you may need expert advice on this from scene-friendly physicians:

a) extreme bondage (breast, genital)
b) play-piercing
c) breath control
d) anal play
e) nipple piercing and breast-feeding

 

3. When health problem inhibits a patient from full expression of sexuality. This is more straightforward, and involves educating patient about their disease:

a) MS: fatigue, overheating, numbness, coordination, sexual dysfunction,
b) CAD: HTN level of exertion,
c) Diabetes: avoiding hypoglycemia,
d) Asthma: need quick-release restraints, no chest or breath restraint,
e) Epilepsy: awareness of aura, what to do if seizure occurs,
f) LBP, arthritis: avoid putting strain upon joints (shouldn't do this anyway).

 

VI. Talking to your Patients about SM

 

1. Who is involved in SM?

 

You have patients involved in SM practice and you don't know it. One out of every ten Americans engages in diverse sexual behavior, yet the stigma against these millions of people means that these people aren't talking about their sexuality as it impacts on their health concerns.

 

How does a patient come out about SM activities to a healthcare provider? It may be that the provider simply notices piercings or marks or shaved skin. Don't ignore these signs--ask questions to ensure it is consensual SM. That will encourage your patient in turn to ask their health care questions. As you ask questions, never assume you know the kinky activity by a person's appearance.

 

As an added bonus, Doctors can benefit from being kink-aware because the SM community constantly talks to each other. They belong to support groups, women's groups, special interest groups, and word gets around. You could find you're getting many referrals if it's known that you don't pass judgment on their lifestyle.

 

2. Don't discriminate against SM practitioners.

 

It is imperative for you to be nonjudgmental. As a prerequisite to good health care, the patient must trust their physician. To create that trust, the HCP must be receptive. Patients are often inhibited from going to HCP in the first place because of embarrassment/fear of being judged or discriminated against. Many practitioners don't even tell their therapists much less their doctors.

 

You must be aware that there is REAL discrimination and persecution going on against SM practitioners. The analysis of the NCSF Violence and Discrimination Survey indicates that 1/3 of the respondents have suffered discrimination because of their SM practice, and another 1/3 have suffered attacks and harassment because of their SM practice. People lose their kids, their jobs, their spouses, and even suffer estrangement from family members because of the stigma. NCSF has received complaints from people who have been lectured by their doctors to stop what they are doing, or they were made to feel like they were wrong.

Just because you treat and understand a kinky patient, that's not the end of the road. Often you have to make referrals, and you will have to educate other HCP. This includes making them comfortable enough and knowledgeable enough to give quality medical care to the patient.

 

3. How do you talk about SM with your patient?

 

You as the Health Care Provider may be embarrassed about expression of sexuality in patient. Most of us are uncomfortable with discussing sexuality. Medical school doesn't address this issue, and our society is taught to treat sexuality as a joke or something to be avoided.

 

4 out of 5 of the people who participate in the organized SM community are closeted at work or with their friends and family. Some don't even tell their primary partner about the SM activities they engage in. This can cause problems for the doctor when the patient hems and haws and doesn't ask their real question until your hand is on the door knob. It can take up extra time you don't have. So be sensitive to hints and tentative probes - it may be up to you to help them discuss their activities and how it might be adversely affecting their health.

 

Remember that your patients have had no experience talking about this in the way that you require. They may provide too much information about their personal desires and explain their sexual encounters in ways that are embarrassing to you. They aren't trying to shock you - they are simply sharing in the way they've learned through SM support and educational groups. You can gently help them stay on track by asking questions and keeping the dialogue moving.

 

VII. Conclusion

 

We are here because we want to be able to address these needs of our patients, as they can have deep impact upon level of healthcare sought and given. Patients have a right to this. If we don't feel comfortable we should refer to someone else, and not at patient's emotional expense. As LGBT Health Care Providers, I feel we are better equipped to deal with these issues because our sexuality is a more prominent factor in our identity, and we should have more empathy for those who feel marginalized because of sexual practices.

 

We don't have all the info about what the patients' needs are, and they may not tell, or even anticipate all of their activities, and they don't have the medical information to make decisions about safety.

 

How we can appear non-judgmental:

a) Ask about sexual partners/activities when taking medical history
b) Be very careful about judgmental language and use open ended questions.
c) Ask patient to define terms used rather than making assumptions.


VIII. Open up for questions
Resources for Media

Resources for Media

Includes vital statistics on alternative sexual expression, interview contact list, and a selection of articles from national publications.

Community Resources

Community Resources

Includes tips on how to speak to the media, sound-bites on alternative sexual expression, and a primer on how to write a letter to the editor.

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Action Alerts!

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  • Action Alert - DSM Revision Petition






    Written on Monday, 15 September 2008 09:00

  • Action Alert - Religious political extremists attack The Task Force for "Leather Leadership Award"

    February 13, 2008 - The American Family News Network posted an inflammatory article condemning the National Gay and Lesbian Task Force for honoring Guy Baldwin with  their Leather Leadership Award at the 20th National Conference on LGBT Equality:  Creating Change, on February 6-10, 2008 (www.thetaskforce.org). According to the February 7th article: Peter LaBarbera, executive director of Americans for Truth commented that he is  not sure if he is more surprised…





    Written on Wednesday, 13 February 2008 11:12
    Tags: DSM Creating Change Conference Task Force Award Leather LGBT
  • Action Alert: Folsom Street Fair Needs Your Help

    October 12, 2007 - The Catholic League, Concerned Women for America and Americans for Truth have called for a boycott of Miller Brewing Company because they are one of the sponsors of Folsom Street Fair in San Francisco. "Miller is sponsoring an incredibly outrageous and palpably anti-Christian event," said Bill Donohue, president of the Catholic League.  Miller is feeling the heat, and we need you to email Miller Brewing Company…





    Written on Friday, 12 October 2007 08:04
    Tags: CWA Folsom Street
  • Action Alert - Support the Palmer House Hilton

    June 6, 2007 - Please write a short note of support for the Palmer House Hilton, host hotel for International Mr. Leather, thanking them for not discriminating against any guests or groups based on their sexual orientation. The anti-gay group, Americans For Truth, posted an action alert calling for people to protest the "homosexual orgies" that take place at the "sadistic sexual perversion-fest known as International Mr. Leather."   NCSF…





    Written on Wednesday, 06 June 2007 01:00
    Tags: Leather
  • Action Alert - Kink.com

    March 8, 2007 - An informational hearing has been scheduled for March 8 at San Francisco City Hall from 10-12:30. Kink.com needs lots of people to show up and support Kink.com's right to be in business. NCSF recommends that you wear business or casual clothes so that our community looks like the neighbors – we need to show them that we won't abide discrimination and persecution against alt sex practices…





    Written on Thursday, 08 March 2007 01:00
    Tags: Action Alert Kink.com
CDA Media Reports

CDA Media Reports

Media reports covering the Communications Decency Act lawsuit launched by co-plaintiffs NCSF and Barbara Nitke.

  • NEWSBYTES - December 19, 2001

    Net Obscenity Provisions Revocation Sought NEWSBYTES By David McGuire http://www.NEWSBYTES.com December 19, 2001, Washington, DC -- A small civil liberties group has asked a federal judge in New York to revoke what remains of an Internet pornography law that was gutted by the U.S. Supreme Court in 1997. In a complaint filed in a New York City Federal Court [http://www.USCourts.gov ] last week, the National Coalition for Sexual Freedom [https://ncsfreedom.org…






    Tags: Media News
  • San Francisco Bay Guardian - January 14, 2002

    Techsploitation By Annalee Newitz San Francisco Bay Guardian, January 14, 2002   HERE'S YET ANOTHER wacky fact you probably didn't know about the Communications Decency Act ole Bill Clinton signed into law way back in 1996: the good citizens of some small town in Arizona or southern California might have the power to send you to jail if they think the contents of your Web site are "obscene." The CDA…






    Tags: Media CDA
  • San Francisco Frontiers - January 23, 2002

    Communications Decency Act A Lingering Coup de Grace? By Tim Kingston   January 23, 2002   You may dimly recall the Communications Decency Act of 1996, which unsuccessfully attempted to define and proscribe "indecency" on the Internet. That law's legal core--its indecency provision--was immediately challenged and rapidly struck down as unconstitutional by free- and electronic-speech advocates. But, what many may not know is that another portion of the law, prohibiting…






    Tags: Media CDA
  • Ynot News - January 2, 2002

    Can David Beat Goliath in the Battle of Obscenity? Part 2   By Judd Handler   Ynot News, January 2, 2002   Last week's editorial featured an interview with John Wirenius, lead counsel for the National Coalition for Sexual Freedom and Barbara Nitke, an adult content photographer. Wirenius, on behalf of the NCSF and Nitke, filed a lawsuit on December 11 against Attorney General John Ashcroft seeking to overturn Internet…






    Tags: Media CDA
  • Ynot News - December 20, 2001

    Can David Beat Goliath in the Battle of Obscenity? By Judd Handler   Ynot News, December 20, 2001   One would think it would take the giants of the industry to force the government to rethink existing, not-applicable-to-the-Internet obscenity laws. On the contrary, the little players may be the ones who are successful in getting the federal government and the Supreme Court to throw out irrelevant local community standards when…






    Tags: Media CDA
  • Wired - December 12, 2001

    New Suit Targets Obscenity Law By Julia Scheeres Wired, December 12, 2001    A national organization that promotes sexual tolerance and an artist who photographs pictures of couples engaged in sadomasochism filed a lawsuit Tuesday seeking to overturn Internet obscenity laws. The National Coalition for Sexual Freedom and photographer Barbara Nitke argue that the obscenity provision of the Communications Decency Act (CDA) is so broad that it violates free speech.…






    Tags: Media CDA
  • Spectator Magazine - January 11, 2002

    STANDING UP TO BE COUNTED: BARBARA NITKE CHALLENGES JOHN ASHCROFT ON S/M AND INTERNET OBSCENITY By David Steinberg Spectator Magazine, January 11, 2002 "No matter how we're wired to express love, freedom is having the courage to be who we are." - Photographer/plaintiff Barbara Nitke On December 11, Barbara Nitke and the National Coalition for Sexual Freedom brought suit in New York City's Federal District Court, seeking to have the…






    Tags: Media CDA
  • New York Press - August 28, 2002

    What's Obscene in Podunk By John Strausbaugh New York Press, August 28, 2002   Barbara Nitke is a well-known and much-seen photographer in her field. She's president of the New York Camera Club and teaches a course in darkroom technique at SVA. A nice, neat, sweet individual, she's the very very last person in New York City you'd suspect of being a pornographer. Which she's not, not exactly. She's more…






    Tags: Media CDA
  • New York Newsday - July 25 2005

    New York judges refuse to say Internet obscenity law is unconstitutional By LARRY NEUMEISTER Associated Press Writer, July 25, 2005, 7:58 PM EDT  NEW YORK -- A special three-judge federal panel on Monday refused to find unconstitutional a law making it a crime to send obscenity over the Internet to children. The Communications Decency Act of 1996 had been challenged by Barbara Nitke, a photographer who specializes in pictures of…






    Tags: Media CDA
  • New York Daily News - July 15, 2002

    Fotog vs. Feds in Obscenity Law: Files suit to keep photos on Web by Veronica Vera New York Daily News, July 15, 2002 Photographer Barbara Nitke is used to being behind the lens, but if legal matters heat up, she may soon find the government focusing on her. Nitke is ready to step into the foreground as the chief plantiff in Barbara Nitke and the National Coalition for Sexual Freedom…






    Tags: Media CDA
  • Nerve - December 11, 2001

    Nerve December 11, 2001 Photographer Barbara Nitke and the National Coalition for Sexual Freedom (NCSF) filed a lawsuit today, claiming the Internet censorship provision of the Communications Decency Act (CDA) violates the First Amendment right to free speech. The provision stipulates that "local community standards" will judge whether or not something is indecent. Yet attorney John Wirenius argues that "By allowing the most restrictive jurisdiction to define what speech can…






    Tags: Media CDA
  • CNN - December 20, 2001

    Lawsuit targets last scraps of Net-obscenity law By Sam Costello (IDG News) CNN, December 20, 2001 The National Coalition for Sexual Freedom (NCSF) and artist Barbara Nitke have filed a lawsuit challenging the remaining provisions of the Communications Decency Act, much of which was struck down by the U.S. Supreme Court in 1997. The act, or CDA, was passed in 1996 and was the first U.S. law designed to allow…






    Tags: CDA Media
  • Adult Video News - February, 2002

    NCSF Tackles "Community Standards" For The Web By Mark Kernes Adult Video News, February Issue Washington, DC The National Coalition for Sexual Freedom may not be a household name, even in the adult entertainment industry, but if their recently-filed lawsuit succeeds, they may go down in history as the first group to secure Americans' core constitutional speech rights.  NCSF is based in the nation's capital [~] in fact, only a…






    Tags: Media CDA News
  • ABC News - July 29, 2002

    Love or Obscenity? S/M Photographer Challenges Internet Decency Standards By Dean Schabner ABCnews.com, July 29, 2002 When Barbara Nitke wanted to put her photographs of loving couples on the Internet, she thought she should check into the laws first. That's because Nitke's recent photographs have been focused on how some couples express their love through sado-masochism. What Nitke found after reading up on Internet law and talking to lawyers was…






    Tags: Media CDA
NCSF Newsletters

NCSF Newsletters

A quarterly newsletter produced by the NCSF staff to inform our communities about the important work our coalition is doing.

  • NCSF Newsletter: 1st Quarter 2012

    NCSF Newsletter 1st Quarter, 2012 In this issue The NCSF Annual Meeting is the 3rd Weekend of March! Sexual Freedom Stories in the News What happened at Spanksgiving? Spanksgiving, an Addendum Coalition Corner - The Eulenspiegel Society Meet Your Board! Returning Member- Vivienne Kramer The NCSF Annual Meeting is the 3rd Weekend of March!  Join us in St. Paul Minnesota this spring! We are pulling out all the stops for a…





    Written on Wednesday, 01 February 2012 00:24
    Tags: Newsletter News newletters
  • NCSF Newsletter: 4th Quarter 2011

    NCSF Newsletter 4th Quarter, 2011   In this issue NCSF Annual Meeting, March 2012 in Minnesota Consent Counts: Report & Looking to the Future Consent Counts: Words from Our Board Chair Coalition Corner: Siege Works Meet Your Board! Returning Member- Mercury  NCSF Annual Meeting, March 2012 in Minnesota  By: Sassy, CP Rep - Minnesota Stocks Debentures & Bonds March is known for "March Madness" in Minnesota. It's a time of high school…





    Written on Friday, 11 November 2011 02:28
    Tags: Newsletter News Newsletters
  • NCSF Newsletter: 3rd Quarter 2011

    NCSF Newsletter 3rd Quarter, 2011    In this issue Membership Drive...Keep that Independence Day Spirit Minnesota Welcomes NCSF next March! Meet Your Board!...New Member- Julian Wolf Update: Kinky is NOT a Diagnosis Consent Counts Expands Educational Focus Coalition Corner - Meet the New Mexico Leather League Membership Drive Keep that Independence Day Spirit and become a freedom fighter by joining NCSF! NCSF is having a membership drive until July 31st! NCSF is…





    Written on Wednesday, 20 July 2011 00:52
    Tags: Newsletter News
  • NCSF Newsletter: 2nd Quarter 2011

    NCSF Newsletter 2nd Quarter 2011 In this issue NCSF's Coalition Partners Meet in Cambridge Annual Meeting Letter From the Chair Hosting the Annual Meeting New Coalition Partner, FetFest, Launches Ticket Donations Creating Change at Creating Change Why KAP (Kink Aware Professionals) Affecting the Law In California NCSF's Coalition Partners Meet in Cambridge The National Coalition for Sexual Freedom held its annual Coalition Partner meeting in Cambridge, MA from March 26-27,…





    Written on Wednesday, 11 May 2011 15:07

  • NCSF Newsletter: 1st Quarter 2011

    NCSF Newsletter: 1st Quarter 2011 In this issue   Letter from the Chair Boston Annual Meeting Interview with a Coalition Partner DSM Revision Project a Success Why support the NCSF?   From the ChairBy: Leigha FlemingNCSF Board Chair Hello to all of you and an especially warm greeting to all of our supporting and coalition partners. 2010 has been an exciting year for NCSF. We had some major successes with…





    Written on Friday, 25 March 2011 14:28

  • NCSF Newsletter: 4th Quarter 2010

    Winter: January 2010 In this issue   NCSF Publishes Two Important Mental Health Guides NCSF Protests Raid on Atlanta Eagle Consent Counts- Get Involved! Coalition Partner Stewardship NCSF Publishes Two Important Mental Health Guidesby: Susan Wright NCSF and the Foundation are thrilled to announce two new and valuable additions to its line of publications. The first is A Guide to Choosing a Kink-Aware Therapist , created by Keely Kolmes Psy.D.…





    Written on Friday, 25 March 2011 14:23
    Tags: Newsletter Notes
  • NCSF Newsletter: 3rd Quarter 2010

    NCSF Newsletter: 3rd Quarter 2010   In this issue Next Annual Meeting AASECTH NCSF & FetLife NCSF Comes to You Tube Next Annual Meeting in BostonBy: Opn Heartd CP Rep, MOB New England New Englanders, maybe you belong to a NCSF Coalition Partner group like NELA or NE-DS or Mob New England or you are an individual supporting member of NCSF.  Maybe you've attended an event that donated to NCSF,…





    Written on Tuesday, 22 March 2011 14:40
    Tags: Newsletter Notes
  • NCSF Newsletter: 2nd Quarter 2010

    NCSF Newsletter Spring: May 2010 In this issue Annual Meeting Board of Directors Volunteer of the Year New Papers ___________________________________________________________________________________ Annual Coalition Partner's Meeting  The Annual Coalition Partner's Meeting was held in Seattle this year. It was the NCSF's first time in the city of Seattle and this could not have been done without the efforts of the Seattle community - particularly Jim Duvall and Allena Gabosch. We would like…





    Written on Sunday, 20 March 2011 15:35
    Tags: Newsletter Notes
  • NCSF Newsletter: 1st Quarter 2010

    NCSF Newsletter: Winter January 2010 In this issue NCSF Publishes Two Important Mental Health Guides NCSF Protests Raid on Atlanta Eagle Consent Counts- Get Involved! Coalition Partner Stewardship  _____________________________________________________________________________ NCSF Publishes Two Important Mental Health Guides by: Susan Wright NCSF and the Foundation are thrilled to announce two new and valuable additions to its line of publications. The first is A Guide to Choosing a Kink-Aware Therapist , created by…





    Written on Sunday, 20 March 2011 14:58
    Tags: Notes Newsletters
  • NCSF Newsletter: 4th Quarter 2009

    Download NCSF Notes Winter 2009-2010





    Written on Thursday, 14 January 2010 07:12
    Tags: Newsletter Notes
Media Activity Reports

Media Activity Reports

Reports about the activities of the NCSF Media Committee.

  • NCSF Media Activity Report - 2007

    September 2007 to August 2008 The NCSF Media Committee reviews, edits, and refines the documents that NCSF distributes. The media committee is chaired by Susan Wright, spokesperson for NCSF, and consists of Levi Halberstadt, Keith Richie, Lisa Vandever, Lolita Wolf, and Howie Z. Over the past year, Susan gave five media trainings including one for the board of a national event, and one at the annual CP meeting for CP…






    Tags: BDSM Susan Wright Task Force
  • Media Activity Reports

    Reports about the activities of the NCSF Media Committee NCSF has an active media committee which provides interviews for print, radio, and television. We creates press releases, action alerts, and entertainment media updates. The Media committee also provides media training and coaching to coalition partners, advocacy groups and responds to hundreds of media related queries. With the action around the CDA lawsuit as well as other media events, this has…






    Tags: Activist Media Coalition Partners
  • NCSF Media Activity Report - 2006

    September 2005 - September 2006 The NCSF Media Committee reviews, edits, and refines the documents that NCSF publicly distributes. The media committee consists of Susan Wright, Allena Gabosch, Anita Wagner, Lisa Vandever, Lolita Wolf, Howie Z., and Keith, who creates and distributes the NCSF Media Updates. Interviews Susan Wright gave 57 interviews with most of the media outlets contacting NCSF, indicating that NCSF has much higher profile than before the…






    Tags: Susan Wright Media CDA
Press Releases

Press Releases

  • NCSF: Moving Forward

    What is the difference between NCSF and the NCSF Foundation?   The National Coalition for Sexual Freedom is a 501c4 nonprofit membership organization that advocates for those in the kink and polyamory lifestyles. The Coalition Partners oversee NCSF’s Board of Directors, who in turn run the projects and programs of both organizations. The NCSF Foundation is a 501c3 nonprofit charitable organization that educates about BDSM, swinging and polyamory to destigmatize…





    Written on Monday, 10 March 2014 00:56

  • 2013 Advocacy Roundup

    National Coalition for Sexual Freedom 2013 Advocacy Roundup NCSF faced some difficult challenges in 2013, but the dedicated volunteer staff worked hard to advocate for the BDSM, swing and polyamory lifestyles: Kink is Okay                   The biggest news of 2013 was that the American Psychiatric Association depathologized consensual sadism, masochism, cross-dressing and fetishes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). NCSF’s DSM-Revision project began in April…





    Written on Thursday, 06 February 2014 00:52

  • Take the Consent Violations Survey!

    Please take this survey even if you’ve never had a consent violation. We want to know what are your power exchange and sexual identities? Are you “out” about being kinky? How often do you go to BDSM groups and online communities?   NCSF will use these results to help perform its advocacy, such as helping law enforcement, prosecutors and health care professionals understand the experiences of kinky people and provide…





    Written on Wednesday, 22 January 2014 00:47

  • The National Coalition for Sexual Freedom and Leather Archives & Museum proudly present: “BDSM? Erotic Play? What Are the Legal Risks?”

    Where: Leather Archives & Museum6418 N. Greenview AvenueChicago, IL 60626 When: Saturday, October 19th from 2:30-5 p.m.followed by awine and cheese reception for the benefit of LA&M and NCSF from 5-7 p.m.Presentation is free of charge.Wine and cheese reception has a suggested donation of $20 and is open to the public.   Program description:You and your BDSM partner may be having a great time, but you need to know about…





    Written on Tuesday, 24 September 2013 00:42

  • The DSM-5 Says Kink is OK!

    The DSM-5 Says Kink is OK!   The American Psychiatric Association has depathologized kinky sex – including cross-dressing, fetishes, and BDSM – in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Now the paraphilias are considered to be “unusual sexual interests,” while those who have sex with children or people who haven’t consented, or who deliberately cause harm to themselves or others, may be diagnosed with a…





    Written on Saturday, 22 June 2013 00:32
    Tags: DSM
  • NCSF’s Coalition Partners Join Together for Consent Summit

    NCSF’s Coalition Partners Join Together for Consent Summit   The National Coalition for Sexual Freedom held its annual Coalition Partner meeting in Phoenix, Arizona from February 8-10, 2013. The Consent Summit took place Friday evening, and Coalition Partners were able to participate via streaming video to give their input on the new Consent Statement. Go to www.ncsfreedom.org to see the Consent Statement and comment on it.   “The Consent Statement…





    Written on Tuesday, 19 February 2013 00:22
    Tags: Consent_Counts
  • Office Fire Fundraiser

    Our Office Burned! We need YOUR help February 13, 2013 – The NCSF office in Baltimore, MD, was destroyed in a fire a few weeks ago. We’ve lost everything: computer, office supplies and furnishings, tee shirts, and all of our stored printed literature are gone.    Please donate to the NCSF Fire Recovery Fund drive:   https://www.wepay.com/donations/ncsf-fire-recovery-fund      Donations are tax deductible! In order to continue helping the BDSM-leather-fetish, swing…





    Written on Wednesday, 13 February 2013 00:15

  • NCSF Survey on Consent

    FOR IMMEDIATE RELEASE National Coalition for Sexual Freedom NCSF Survey on Consent The National Coalition for Sexual Freedom (NCSF) wants to hear from you! Please take our Consent Counts survey and tell us what you think about consent: www.ncsfreedom.org/survey.html As part of decriminalizing BDSM in the legal codes, we need to be able to articulate a clear definition of consent that the BDSM communities believe in. The results of this…





    Written on Monday, 09 July 2012 10:19
    Tags: Survey Consent Counts consent fetlife
  • Mark Frazier Joins the NCSF Board of Directors

    Mark Frazier Joins the NCSF Board of Directors July 1, 2012 - The National Coalition for Sexual Freedom is pleased to announce the addition of a new board member, Mark Frazier. Mark will fill an appointed board seat until the 2013 Coalition Partner meeting. Mark Frazier is the owner and executive producer of the International LeatherSir/Leatherboy and community bootblack contests. He has been involved in the leather and kink lifestyle…





    Written on Tuesday, 03 July 2012 02:26

  • NCSF at AASECT 2012

      NCSF at AASECT  On behalf of NCSF, Jim Fleckenstein and Susan Wright attended the American Association of Sexuality Educators, Counselors and Therapists (AASECT) Annual Conference on June 8-10th in Austin, Texas. The NCSF booth in the Exhibit Hall featured free copies of NCSF’s newly refreshed guide: "What Psychology Professionals Should Know About Polyamory." 150 copies were given away to professional service providers courtesy of a grant by Alan of Polyamory…





    Written on Wednesday, 27 June 2012 01:33
    Tags: NCSF aasect

Support this program!

Media Outreach: We're Making a Difference

  • NCSF has successfully changed the discussion in the media by debunking stereotypes about BDSM, swinging, and polyamory
  • NCFS has developed a strong media outreach and training program for its coalition, supporting, and other partners.
  • NCSF has successfully become through dedicated advocacy, the leading media authority on BDSM, swinging, and polyamory

 

About Media Outreach

The Media Outreach Program is designed to reach outward to educate media and respond to media stories about alternative sex. In addition it is designed to reach inward to our own constituents to teach and train them in how to respond and deal with media effectively.

Program Goals:
The goal of the goal of the Media Outreach Program is to change the public discussion about alternative sexuality and to educate and support our members when they have occasion to deal with the media.
    Contacts:
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