The PLISSIT model is a framework used to discuss sexuality with patients after SCI. What does the acronym PLISSIT stand for?

The PLISSIT model is a framework used to discuss sexuality with patients after SCI. What does the acronym PLISSIT stand for?

• A. Physical Limitations, Intimate Support, Sexual Suggestions, Individual Treatment
• B. Problem Identification, Lifestyle Integration, Sexual Support, Intensive Training
• C. Patient Limitations, Information Sharing, Specialized Services, Interdisciplinary Therapy
• D. Permission, Limited Information, Specific Suggestions, Intensive Therapy

Answer: (D)

PLISSIT is a stepped approach clinicians use to discuss sexuality with patients, especially after spinal cord injury. The four levels map to Permission, Limited Information, Specific Suggestions, Intensive Therapy. First, you create a space where the patient feels permission to bring up sexual concerns, signaling that it’s natural and okay to discuss these topics. Then you provide limited information—focused and relevant, enough to address the patient’s questions without overwhelming them. Next, you offer specific suggestions tailored to the individual’s situation, including practical, concrete steps they can take. If needed, you escalate to intensive therapy for more complex issues that require deeper psychosexual work or specialized support. This sequence aligns with how the PLISSIT model is meant to function, making it the best choice. The other options use terms and order that don’t match the established levels of the model.

PLISSIT is a stepped approach clinicians use to discuss sexuality with patients, especially after spinal cord injury. The four levels map to Permission, Limited Information, Specific Suggestions, Intensive Therapy. First, you create a space where the patient feels permission to bring up sexual concerns, signaling that it’s natural and okay to discuss these topics. Then you provide limited information—focused and relevant, enough to address the patient’s questions without overwhelming them. Next, you offer specific suggestions tailored to the individual’s situation, including practical, concrete steps they can take. If needed, you escalate to intensive therapy for more complex issues that require deeper psychosexual work or specialized support.

This sequence aligns with how the PLISSIT model is meant to function, making it the best choice. The other options use terms and order that don’t match the established levels of the model.