Using the PLISSIT model, a physical therapist raises the topic of sexuality during an initial evaluation by asking a patient with SCI if they have any concerns about sexual function. This action represents which level of the PLISSIT model?

Using the PLISSIT model, a physical therapist raises the topic of sexuality during an initial evaluation by asking a patient with SCI if they have any concerns about sexual function. This action represents which level of the PLISSIT model?

• A. Limited Information
• B. Specific Suggestions
• C. Permission
• D. Intensive Therapy

Answer: (D)

Giving permission to discuss sexuality is the level being used. In PLISSIT, the first step is to create a safe space and invite the patient to talk about sexuality as it relates to their rehab. By asking the patient if they have any concerns about sexual function during the initial evaluation, the therapist explicitly grants permission to discuss the topic and signals that it’s relevant and acceptable to bring up. This establishes a comfortable starting point for any future information or advice and helps reduce stigma or embarrassment. It isn’t yet providing information, concrete strategies, or intensive therapy, which would come at the next levels if the patient expresses interest or needs arise. So, this action best aligns with the permission level.

Giving permission to discuss sexuality is the level being used. In PLISSIT, the first step is to create a safe space and invite the patient to talk about sexuality as it relates to their rehab. By asking the patient if they have any concerns about sexual function during the initial evaluation, the therapist explicitly grants permission to discuss the topic and signals that it’s relevant and acceptable to bring up. This establishes a comfortable starting point for any future information or advice and helps reduce stigma or embarrassment. It isn’t yet providing information, concrete strategies, or intensive therapy, which would come at the next levels if the patient expresses interest or needs arise. So, this action best aligns with the permission level.