When it comes to people with disabilities, while it is not their therapist's or clinician's job to meet the human needs of sexual intimacy and touch, there is an entire profession of people who do just that: sex workers.
In traditional Shibari practice, tying is its own end, and the pleasure, pain, and beauty are found in the practice itself, not in whatever happens once the rope bottom (the person being tied) has been securely bound.
Two essays by Mohamed Tal appeared in our column on psychoanalysis and the politics of mental health, The Contemporary Clinic. The first is a critical response to Evan Malater and Celeste Pietrusza’s “The Mysterious Return of Imposter Syndrome,” which inaugurated the column.