Out On The Couch
Bisexual Polyamorous Clients in Therapy
Before getting into this article, I would like to locate myself. I am a white, bisexual, able-bodied, ambiamorous, cisgender woman with anxiety and a chronic illness who has been in both monogamous and polyamorous relationships. As someone who identifies as bisexual, has navigated both polyamorous and monogamous relationships, and specializes in working with these communities, I believe that it is important for clinicians to understand the unique experiences of bisexual polyamorous individuals.
As an affirmative therapist throughout the COVID-19 pandemic, I have worked with clients with marginalized identities who have been experiencing higher-than-baseline levels of anxiety and depression due to the pandemic. This has filtered into much of our work, even if their primary presenting problem was originally to navigate their sexual orientation or relationship orientation, or to navigate concerns within their relationships. COVID-19 has highlighted the fact that, as clinicians, it is important to recognize that our clients’ identities do not exist in a vacuum – just as our own identities do not exist in a vacuum. Therefore, it is always important to take into account the impact of both internal and external factors in clients’ lives while working with them – as well as how our own experiences may or may not come into the therapy room.
Potential Benefits of Polyamory for Bisexual Clients
Bisexuality has been defined as “the potential to be attracted – romantically and/or sexually – to people of more than one gender, not necessarily at the same time, not necessarily in the same way, and not necessarily to the same degree” (Ochs, n.d.). Studies show that bisexual people prefer polyamorous or open relationships in greater frequency than people of other sexual orientations (Weinberg, Williams, & Pryor, 1994). One benefit of polyamory for bisexual people is: “polyamory and bisexuality propose a plurality of loves, both in the number of partners and genders thereof” (Anderlini-D’Onofrio, 2004). Polyamory can be a beautiful thing for many bisexual individuals who want to add diversity to their sexual and romantic lives with people of more than one gender.
However, they don’t always have a “preference” in their partner’s gender; it is more about the people they are dating and how polyamory enhances their lives. In fact, 70% of bisexual polyamorous participants in one study did not care whether their partners were of the same or different genders at any one time (Weitzman, 2006). Their preference for polyamory, therefore, may come from the fact that more bi-identified men and women tend to believe that monogamy in relationships is less enhancing and more sacrificing than gay-identified or straight-identified individuals (Mark, Rosenkrantz, & Kerner, 2014).
Bisexual Erasure and Strategic Identities
Polyamory offers an exceptional way to provide a buffer against bi erasure or invisibility and challenges the risk of falling into heteronormativity (Robinson, 2013). In fact, non-monogamy has been identified as a “strategic identity” to maintain bisexual visibility in the world (Klesse, 2011; Moss, 2012; Robinson, 2013; Weitzman, 2006). A strategic identity is an identity that serves a political, social, or interpersonal function. In this case, the function of polyamory could be visibility and support of bisexuality as an authentic identity. When bisexual individuals can express their identity more fully and be visibly bisexual, especially in the context of a polyamorous relationship, they also tend to have more:
- Freedom to have partner choices of all genders,
- Freedom to speak openly about the full range of their attractions and fantasies,
- Opportunities for group sex, and
- Sexual and romantic enjoyment of different genders.
Therefore, if bisexual individuals engage in polyamorous relationships, they can express their sexuality more freely – both for themselves and within the larger world.
Potential Disadvantages of Polyamory for Bisexual Clients
There are also unique disadvantages to being both bisexual and polyamorous. These individuals may be doubly stigmatized as “confused” or “promiscuous” (McLean, 2011; Weitzman, 2006). They may experience prejudice and discrimination from both the gay and straight communities (e.g., prejudice from gay partners about other-gender partners; prejudice from straight partners about same-gender partners). This internalized stigma and biphobia from partners (either monosexual or bisexual partners) can also lead to potential increased rates of intimate partner violence. Turell, Brown, and Herrmann (2017) found that bi-negativity and the oversexualization of bisexual individuals was a risk factor for higher rates of jealousy and IPV. This risk was highlighted by bisexual participants who are also polyamorous.
On an individual level, bisexual people may experience guilt about reinforcing the stereotype that “bisexual people aren’t/can’t be monogamous.” And, they may also experience their own or others’ misperceptions that same-gender relationships are somehow less important than other-gender relationships (Weitsman, 2006).
As clinicians, it is our duty to challenge these cognitions if we have any of them; by reinforcing these stereotypes, we would be harming our bisexual clients as well. We can challenge our own thoughts and feelings through:
- Being curious about clients’ lived experiences
- Identifying and being curious about our own reactions and expectations for our clients’ lives
- Reading, following, and engaging with media created by bisexual polyamorous folx
- Educating ourselves about the reality of bisexuality and polyamory
- Seeking supervision or consultation with another polyamory-affirmative clinician
Clinical Work with Bisexual Polyamorous Clients
Having explored the potential advantages and disadvantages of polyamory for bisexual individuals, clinicians will hopefully be better positioned to provide a safe space for their bisexual polyamorous clients. Helping bisexual polyamorous clients with their relationships may include talking about safer sex practices with many genders, assessing for biphobia, assessing and creating safety plans for IPV, as well as addressing any other clinical issues.
Clinical work may include an exploration of how competition shows up in their relationships (if it does at all). Some partners of bisexual individuals may take comfort in knowing that they are currently the only person of a particular gender that the person is dating; therefore, they may feel as though there is less of a risk of their bisexual partner leaving them. For others, they may be acutely aware that their body is different from that of their metamours’; therefore, they may be concerned about never being able to fulfill a particular role or sexual desire for their partner (Armstrong & Reissing, 2014).
In doing this work, affirmative clinicians should also be on the lookout for any potential biphobia or IPV within a relationship. Couples’ therapy or multi-partner relationship therapy is not recommended in cases where IPV is prevalent.
Unique Stressor: A “Choice”
Bisexual polyamorous people also often are asked to make a choice between a partner and their relationship orientation. This is because potential other-sex partners of bisexual individuals tend to have expectations of monogamy (Armstrong & Reissing, 2014). This decision is a frequent reason couples end up in my office: one person craves non-monogamy, while the other can only envision a monogamous relationship for themselves. This is not always related to one person having a bisexual identity, but it can be one aspect of mono-poly relationship experiences. When faced with a monogamous-minded partner, some bisexual individuals do end up feeling like they have to make a choice, and may explore their options in our office. Some questions a bisexual client may be struggling with are:
- Do I stay in a monogamous relationship, or do I go?
- What does this say about my identity?
- Am I being true to myself?
- What will my community think?
- Will I be rejected from bisexual spaces or polyamorous spaces?
- Would I be a “sell-out” for choosing a partner of one gender or choosing a monogamous relationship?
Bisexual erasure happens to bisexual folx all the time; it is a weight we often feel, even if we aren’t expressing it. Therefore, an affirmative clinician should try to be aware of both the explicit and implicit choices that a client may be making when they are exploring the pros and cons of their relationship structures and how they are designing their relationships. While polyamory may help some bisexual folx combat bi erasure and be more visible, it also brings other difficulties with it. There is no one “correct” way to structure relationships, but exploring the various options, benefits, and disadvantages with bisexual individuals may help clients find the best choice for themselves and live more authentically in their life.
Anderlini-D’Onofrio, S. (2004). Plural loves: Bi and poly utopias for a new millennium. Journal of Bisexuality, 4, 1-6, doi:10.1300/J159v04n03_01
Armstrong, H. L. & Reissing, E. D. (2014). Attitudes toward casual sex, dating, and committed relationship with bisexual partners. Journal of Bisexuality, 14, 236-264. doi:10.1080/15299716.2014.902784
Klesse, C. (2011). Shady characters, untrustworthy partners, and promiscuous sluts: Creating bisexual intimacies in the face of heteronormativity and biphobia. Journal of Bisexuality, 11, 227-244. doi:10.1080/15299716.2011.571987
Mark, K., Rosenkrantz, D., and Kerner, I. (2014). “Bi”ing into monogamy: Attitudes toward monogamy in a sample of bisexual-identified adults. Psychology of Sexual Orientation and Gender Diversity, 1(3), 263-269. doi:10.1037/sgd0000051
McLean, K. (2011). Bisexuality and nonmonogamy: A reflection. Journal of Bisexuality, 11, 513-517. doi:10.1080/15299716.2011.620857
Moss, A. R. (2012). Alternative families, alternative lives: Married women doing bisexuality. Journal of GLBT Family Studies, 8(5), 405-427. doi:10.1080/1550428X.2012.729946
Ochs, R. (n.d.). Bisexual: A few quotes from Robyn Ochs. Retrieved from https://robynochs.com/bisexual/
Robinson, M. (2013). Polyamory and monogamy as strategic identities. Journal of Bisexuality, 13(1), 21-38. doi:10.1080/15299716.2013.755731
Turell, S. C., Brown, M., & Hermann, M. (2017). Disproportionately high: An exploration of intimate partner violence prevalence rates for bisexual people. Sexual and Relationship Therapy, 33, 113-131. doi:10.1080/14681994.2017.1347614
Weinberg, M., Williams, C., & Pryor, D. (1994). Dual attraction: Understanding bisexuality. New York, NY: Oxford Press.
Weitsman, G. (2006). Therapy with clients who are bisexual and polyamorous. Journal of Bisexuality, 6, 137-164. doi:10.1300/J159v06n01_08
Check Out Stephanie’s CE Courses on working with polyamorous clients
Helping Clients to Negotiate Intimate Relationship Contracts
It can be difficult to find guidance on writing effective relationship contracts, largely because the therapeutic community lacks consensus on the efficacy of such documents. Many clinicians believe that contracts serve the purpose of simply negotiating sexual acts and dynamics, and that by creating a contract, clients can sacrifice creativity and spontaneity in a relationship.
But this is a myth. Contracts can go far deeper than addressing what happens in the bedroom, serving as a viable and necessary tool for people in relationships to see and understand each other. Contracts can be created to help begin honest conversations about each individual’s wants and needs within a relationship.
I was first introduced to the concept of intimate relationship contracts in a college course on human sexuality. The version of the contract I initially saw is popular specifically within BDSM communities; it helps clarify the roles and responsibilities of each person in a relationship. When beginning to develop contracts in a clinical or therapeutic setting, you may find overlaps between versions of sexual and intimate relationship ones. An important distinction is that a sexual contract’s goal is responsible “play,” whereas an intimate relationship version strives for an honest and shared understanding of a relationship as a whole.
For an example from pop culture, we might look at the well-known book and film trilogy Fifty Shades of Grey (James, 2012). This provided, to many, an introduction to what an intimate relationship contract can entail. However, those who already had familiarity with contracts might view Fifty Shades’ portrayal as inaccurate and watered down. For example, in the film, only certain parts of the contract were portrayed; to some, these seemed to be the most risque components, which were used to surprise the audience. And in the book version, the contract and relationship overall were more about issues of control and ultimately dominance and submission. But most will find that in reality, relationships are more complex than that.
Note that intimate relationship contracts are not legally binding; there is nothing that the courts would be able to uphold in these documents. So think of these contracts as more of a tool for understanding a partner, setting boundaries, and laying out expectations in writing. The documents give each individual the opportunity to state their desires and interests, and if an issue or argument arises later, both sides can consult the contract to remember what was agreed upon in the beginning.
It’s also important to note that contracts are limited; they are not designed for negotiating every specific point of a relationship. If, during a therapy session, the contract starts to go in that direction, it’s a good time to stop and refocus clients on the reasons for using this tool as a way to get them on the same page.
What might an intimate relationship contract look like? Some contracts contain more sections and logistical information, while others may include more details about expectations. Either way, any contract should include at least several basic sections; these are outlined below. Note that those sections are conversation starters, intended to help your clients move towards more in-depth discussions of their desires and dynamics, and they by no means constitute a complete list of topics. I hope you will be able to use this template to dig deep into your clients’ communication with each other, and to get to the bottom of their preferences.
COMPONENTS OF AN INTIMATE RELATIONSHIP/ SEXUAL CONTRACT
- Who is involved?
This question may seem obvious, but for couples who are consensually non-monogamous, involvement of other people can make or break the relationship. As a therapist working with couples, I have noted that when clients are connected in an intimate relationship, they sometimes assume they know each other completely, which will lead them to make decisions without consulting each other. This can contribute to confusion, jealousy, and sometimes the end of their relationship. So it’s crucial for clear communication to take place about who will be involved. Note that this of course doesn’t mean changes can’t be made. But now is a good time to discuss how modifications to the contract, like who is or is not involved, can be considered and accepted by all parties.
- What are your hygiene rituals?
This is another important conversation starter: discussing preparations for various sexual acts and for learning each other’s preferences. A person may learn that their significant other is allergic to or strongly favors certain soaps and perfumes. As a cultural norm, some people may bathe every few days, while others will shower daily. Communication about hygiene is key, and as a therapist, you can help address discomfort or shame that may emerge about discussing this topic openly.
- What are your fantasies?
Fantasies aren’t always purely sexual in nature, though this part of the conversation can certainly go in that direction. But your clients may go beyond sex on this topic: fantasies could entail thinking about extravagant dates, a day in which one partner is completely dedicated to the other’s wants and needs, a weekend without the children, etc. Remember that fantasies are thoughts or dreams, not acts in which we will necessarily engage. That is why fantasies change–while the thought of doing something can be interesting and exciting, actually following through with it might be too much for a client. This section can entail a simple conversation between two individuals if they are brave enough to venture through the topic on their own. Therapists can also provide exercises and worksheets to help clients further understand each other’s desires. I like to sometimes use a worksheet by Lisa Page (2010) that helps women in particular to explore and look at some of these desires. Some other counseling methods, like the Gottman method, EFT by Susan Johnson, and sex therapy techniques, among others, can help clinicians learn how to explore topics with couples clients.
- What are the things that you know you are okay with?
Fantasies are thoughts, so in this section, clients will consider actions. What have clients actually done that they enjoy and would like to continue? Again, it’s important for your clients to know so that they can relay this information effectively to their partner(s).
- Interests in exploration?
Another thing to remember about fantasies is that most of them are thoughts or dreams, not something the person has actually engaged in. And that is why fantasies change–because while the idea of something can be interesting and exciting, actually doing it or following through with it can be too much for some.
For components 3, 4, and 5, there is a helpful article on Autostraddle (Osworth, 2014) that describes how to talk to your partners about sex. It includes an excellent set of worksheets that I like to use with individuals and couples to help them learn about themselves in conjunction with their partners.
- Limitations/Hard Limits?
It is important to think about your hard limits, defined as those areas in which a partner is not interested and is not willing to try. Just as it is important to know about an individual’s actions–what they enjoy or are willing to do–it is important to know their boundaries: where they draw the line when it comes to their interests and exploration.
- Safe words/hand signs or gestures?
Sometimes things can get passionate and out of control in erotic situations. Safe words, signs, and gestures are ways of making sure that everyone involved stays on the same page, and that activities remain SAFE and CONSENSUAL. Consent, in this context, entails seeking permission or agreement for an act taking place, and the nuances of the definition of consent continue to evolve. It is important that, as clinicians, we encourage partners to continue to ask for permission, and to never assume that they have the right to do something with a partner because they “think” they know each other well enough.
- How often should sex happen?
A lot of couples can get stuck on the question of how often sex should happen; they might fear being completely open and vulnerable with one another in exploring this difficult topic. As a therapist, it is important for you to encourage a conversation about this. A couple may need to compromise on the frequency of sex in order to progress forward. It is essential for each member of a relationship to gain an understanding of their own sexual desire and libido, which can fluctuate and differ from those of their partners, and this will play a role in determining how often sex takes place. I find that if individuals don’t understand this in themselves, they will have a hard time understanding it in others, which is why it’s helpful to have a facilitated conversation with you as therapist present.
- Who initiates the act?
Who is dominant and who is submissive in the relationship? Does this dynamic apply? Are any of the individuals involved switches? This section can introduce a conversation about who feels most comfortable initiating contact, either in a sexual or an intimate context. By intimate, I mean affectionate, without leading to any sexual acts.
- What type of aftercare rituals are desired?
Aftercare is what an individual needs after a sexual encounter. For some it may be taking a shower, followed by cuddling while falling asleep together. Others may want to eat ice cream or have a smoke, while still others might just want to get dressed, eat something, and move on with life. Whatever the case, it’s important to know what each person seeks after an encounter so that wrong assumptions can be avoided.
Communication is the basis for working on these issues and concerns. In order to truly understand and know each other, couples need to be ready and willing to communicate and learn from each others’ wants and needs, and contracts are a vital tool to help with this process. By starting this conversation early in the relationship and continuing to have the support to discuss their desires throughout, clients may feel significantly safer about communicating openly in the future.
Learn More about working with Polyamorous Clients
Gray, J. (June 14, 2016). How to Write a Relationship Contract. Retrieved from www.jordangrayconsulting.com/relationship-contract/
James, E.L. (2012). Fifty Shades of Grey. New York: Vintage Books.
Osworth, A.E. (June 19, 2014). You Need Help: Here is a Worksheet to Help you Talk to Partners about Sex. Retrieved from www.autostraddle.com/you-need-help-here-is-a-worksheet-to-help-you-talk-to-partners-about-sex-237385/
Page, L. (2010). Sexuality and Fantasy Exploration Worksheet for Women. Retrieved from https://lisapage.com/wp-content/uploads/2012/09/sexuality-fantasy-exploration-workbook-by-lisa-page.pdf
Types of Consensual Non-Monogamy
By Stephanie M. Sullivan, MS, LLMFT
Consensual non-monogamy is a relationship style in which all individuals within the relationship agree to not being monogamous, and all individuals involved in the relationship are aware that it is not a monogamous relationship. Consensual non-monogamy makes up about 4-5% of the population in the United States (Moors, Conley, Edelstein, & Chopkin, 2015). This means that approximately thirteen million to sixteen million people are involved in consensual non-monogamous relationships. This number includes people who are in swinging relationships, polyamorous relationships, or other forms of open relationships.
Consensual non-monogamy is a vast umbrella term, encompassing many kinds of relationships. Within these kinds of relationships (such as swinging, polyamorous, and monogamish relationships), there are an infinite number of ways to navigate the relationship in an ethical manner. There is no “one right way” to be in a consensual non-monogamous relationship (other than the fact that all people involved in the relationship should be knowledgeable about the relationship structure and agree to this structure willingly). Therefore, it is important to remember that this article is in no way intended to be an exhaustive list of non-monogamy; it is merely meant to be a brief introduction to some of these topics.
Different types of consensual non-monogamy have different kinds of relationship rules. When attempting to navigate a non-monogamous relationship ethically, it is important for everyone involved in the relationship to have a mutual understanding and agree to the terms of the relationship. There are many types of consensual non-monogamous relationships, and each individual relationship will vary on their agreements, structure, and openness. Consensual non-monogamy is not cheating, and should not be confused with affairs or infidelity. However, if a relationship agreement between two people is broken, this may be a form of cheating within the relationship. Breaking an agreement can be a huge breach of trust within the consensual non-monogamous relationship, just as much as an affair would be a breach of trust in a monogamous relationship.
Swinging is a form of consensual non-monogamy in which both singles and couples in a committed relationship can explore sexual activities with others recreationally or socially. Couples that swing generally have agreements that they have an open relationship sexually, but do not have an open relationship emotionally or romantically. Swingers will often attend social events at swingers’ clubs, conventions, or swinging resorts, and may pursue sexual relationships with others while their partners are present (Matsick, Conley, Ziegler, Moors, & Rubin, 2014). They may also attend private parties for swingers, often taking place in someone’s personal residence, or may go on a date with another couple before engaging in sexual activities.
Monogamish is a term originally coined by Dan Savage. This describes couples who are committed to each other and are generally monogamous, but will allow for certain sexual exceptions to monogamy. For example, if one partner travels often for work, the couple may have an agreement that one-night stands can occur if the partners are at least 100 miles apart. Another couple may have an agreement that they are allowed to make out with friends at parties. Yet another couple may describe themselves as monogamish because they are allowed to flirt with and attempt to seduce strangers occasionally.
Polyamory is a relationship style centered on the belief that it is possible to love more than one person. The word polyamory comes from the combination of the Greek word for “many” and the Latin word for “love.” Literally translated, polyamory means “many loves” or “more than one love” (Anapol, 2010; Klesse 2006). Polyamorous relationships often involve having more than one romantic relationship simultaneously, with full knowledge and consent of all the partners involved. Polyamory also differs from polygamy, which is a religious-based form of non-monogamy. Elisabeth Sheff (2014) estimates that there are somewhere between 1.2 to 9.8 million polyamorous people living in the United States. In the past, the terms “polyamory” or “polyamorous” would be shortened to “poly.” However, this term is beginning to fall away, as individuals who identify as Polynesian also tend to utilize the term Poly. Therefore, the polyamorous community is beginning to transition into using “polyam” or “polya” for short.
Polyamorous individuals can also be swingers, and swingers can also be polyamorous; one type of relationship style does not negate another. Relationship styles can also alter over time; perhaps a previously monogamous couple begins swinging, and then one partner realizes they have romantic feelings for someone and would like to explore polyamory. Every relationship will navigate these changes differently, and people may or may not stay together through these relationship changes.
It is important to note that a person’s relationship style is not an indication of their gender or sexual orientation. People of any gender or sexual orientation can be involved in consensual non-monogamous relationships for a multitude of reasons. Some bisexual individuals may engage in consensual non-monogamy in order to have simultaneous relationships with partners of different genders, while other authors have noted that, as heterosexual women, they favor polyamory due to their perception of inherent patriarchal beliefs behind monogamy (Moss, 2012; Jackson & Scott, 2004). Other individuals may engage in polyamory for different reasons. For example, someone on the asexual spectrum may choose to be polyamorous in order to have multiple loving relationships without the pressure of fulfilling their partners’ sexual needs. Therefore, it is important to remember that people of all gender identities and sexual orientations may engage in any form of consensual non-monogamy.
Learn More from Stephanie M. Sullivan
Anapol, D. (2010). Polyamory in the twenty-first century: Love and intimacy with multiple partners. Lanham, MD: Rowman & Littlefield Publishers, Inc.
Klesse, C. (2006). Polyamory and its ‘others’: Contesting the terms of non-monogamy. Sexualities, 9(5), 565-583. doi:10.1177/1363460706069986
Matsick, J. L., Conley, T. D., Ziegler, A., Moors, A. C., & Rubin, J. D. (2014). Love and sex: Polyamorous relationships are perceived more favourably than swinging and open relationships. Psychology & Sexuality, 5(4), 339-348. doi:10.1080/19419899.2013.832934
Moors, A. C., Conley, T. D., Edelstein, R. S., & Chopkin, W. J. (2015). Attached to monogamy? Avoidance predicts willingness to engage (but not actual engagement) in consensual non-monogamy. Journal of Social and Personal Relationships, 32, 222-240. doi:10.1177/0265407514529065
Moss, A. R. (2012). Alternative families, alternative lives: Married women doing bisexuality. Journal of GLBT Family Studies, 8, 405-427. doi:10.1080/1550428X.2012.729946
Jackson, S. & Scott, S. (2004). The personal is still political: Heterosexuality, feminism and monogamy. Feminism & Psychology, 14(1), 151-157. doi:10.1177/0959-353504040317
Sheff, E. (2014). The polyamorists next door: Inside multiple-partner relationships and families. Lanham, MD: Rowman & Littlefield.