The ppt is disappointingly superficial.
Daaaamn, you really are well informed about this.
I try. Problem is that there are very very few data on even LGB health, must less transgender or intersex or poly or kinky or or or...
And a huge chunk of research (mostly "older", but some new stuff still too) is biased or improperly done.
I'm sorry you found the ppt superficial.
Sad sad. I thought she did a good job of covering the psych behind BDSM, and thus making it comprehensible to vanilla folks. Rule 34 applies to real life, though, so in that spirit... I poked around a found a list of checklists including BDSM activities. These lists are used as part of negotiations, and are definitely not complete, but should give you a broader sense of what people enjoy.... (very NSFW)
http://ranai.wordpress.com/kink-resources/en/topics/checklists/ You can definitely see in those lists how some would have medical consequences and safety considerations, where many others do not.
Good to see there's increasing medical awareness on such things. I'm just curious to what extent a physician can detach from his/her cultural and religious values to be able to treat patients on different levels for such things.
People are trying, but there is a LOT of stigma still to overcome. It's why threads like this are important.
As for cultural/religious values...I honestly don't know. How well is anyone able to do that? If you tossed me into a room full of conservative Roman Catholics I'd probably stumble over some cultural thing I didn't know existed. I tend to believe that a lot of culture can be handled with respect and flexibility on both sides, but I also know that's naive.
On the other hand, I've seen great care be delivered to transgender people by a cisgender person, and to LGB people from straight people. I'm confident that health care for kinky people can be delivered by vanilla people.
On this thread's note, curious why there isn't more focus on teaching future physicians to practice preventative medicine when dealing with those who are very active sexually with emphasis on males who have homosexual sex
Don't you mean "emphasis on people who have unprotected anal sex"? Same-sex sex ≠ anal sex... many MSM don't have anal sex at all. Why are you focusing on that group more than others?
Because getting patients to modify their lifestyles is a lesson in futility.
Eh... I think it depends on how you try to get them to modify lifestyle. Saying "don't do that thing" doesn't help and alienates. Saying "What I'm hearing is that this activity is important to you. Can do X2 instead of X1 to reduce your risks of Y and Z?" or the like is, IMO, more likely to be received and considered. Harm reduction rather than harm elimination.
Also some people have really silly ideas about safe sex.
OMG yes. I had a girlfriend once who was convinced hot tubs spread STIs like crazy. Ugh. There's also the pervasive myth in the lesbian community that lesbians are at really really low risk for STIs and don't need screened or need to use protection. Nooooo fluid and skin contact is fluid and skin contact and can spread STIs! Gha.
There's also a lot of risk when people start to go outside the "norm" in sexuality, simply because there isn't enough info circulating on safety.
