• 401.489.5513
  • 250 Main St #1 Pawtucket, RI 02860
  • Tuesday-Friday: 12 to 6pm & by appointment

Sexual Attitude Reassessment (SAR)

The CSPH Sexual Attitude Reassessment (SAR) leads participants through the process of evaluating their feelings, values, and attitudes around sexuality. Based in our organizational values, our SAR applies the lens of intersectionality to human sexual behavior and examines both individual and societal attitudes about a variety of sexuality topics.

The SAR is a basic requirement for those who wish to become certified as sexuality educators, counselors, or therapists, but it can also benefit people in a range of other professions. The American Association of Sexuality Educators, Counselors and Therapists (AASECT) suggests that this experience occurs early in one’s training so it can be most beneficial to one’s understanding personal biases and values while working with sexually-diverse populations.

The CSPH April SAR is approved for 10 AASECT CEs.

While sexually explicit media, conversations, and small group discussions are part of the SAR, there is no live nudity or sexual activity included (or permitted) in the program. If you have any questions about the program and/or its structure, please call the CSPH or email us at info@thecsph.org.

Our next SAR will be held Saturday, April 21, 2018.

Register here now!


The registration fee covers program tuition, afternoon snacks, coffee/tea, and water on both days, and an assortment of bagels and fruit on the second morning. There are continuing education credits available through AASECT for no additional charge. Housing and meals are not included. For your convenience, we have compiled a list – here – of nearby hotels where you may find accommodations.

$400 (Paid in full)
Three payments of $149 (Paid in full by April 1, 2018)

Note: If you require a payment plan, please contact us at info@thecsph.org. At this time scholarships are only made available to members of the WoCSHN (the Women of Color Sexual Health Network).


Kira Manser, LCSW, MEd

Kira is a triple threat: clinician, educator, and program manager with expertise in gender and sexual diversity, sexual pleasure, disability advocacy, and social justice. She is also a Licensed Social Worker with a Masters in Education in Human Sexuality.  Due to her obsession with learning she is also working to complete a doctorate in Human Sexuality from Widener University- examining the experience of gender identity development for neurodiverse individuals.  She has worked as a sex educator in a large range of settings, from middle schools to medical schools for over a decade.  She recently moved from Philadelphia where she worked as the LGBT Health and Capacity Training Manager at The Mazzoni Center, organized the 13th Annual Philadelphia Trans-Health Conference, and co-founded the sex education collaborative ScrewSmart. Energetic and friendly, she strives to create spaces that challenge and support individuals to explore sexuality by using active methods and affirmative and feminist informed therapeutic modalities. She is excited to be back in Rhode Island, and humbled to be hired to work on the RI Trans* Health Initiative to create systemic change in support of accessible and sustainable health care for trans* Rhode Islanders.

Aida Manduley, MSW

Aida Manduley is an award-winning Latinx activist and presenter known for big earrings and building bridges. Trained as a sexuality educator, social worker, and nonprofit manager, they’re working to make the word a more equitable place through education, therapy, and community organizing. Their perspective is one that centers intersectionality and maximizing kindness while retaining both a sense of humor and a sense of justice.

With degrees from Brown University and Boston University, Mx. Manduley’s areas of clinical specialization are trauma, aging, and communities marginalized due to gender, sexuality, and/or race. They currently serve on the Executive Committee for the Women of Color Sexual Health Network—as well as a variety of regional coalitions—and have been with The Center for Sexual Pleasure & Health in various roles since 2010. Their other areas of expertise include non-monogamy, kink/BDSM, and the integration of technology with sexuality.

Content Level & Learning Objectives

The CSPH Sexual Attitude Reassessment is suitable for beginners and intermediate practitioners of sex education, sex counseling, sex therapy, social work, and many allied health and education professionals that work directly with clients, patients, and students.

  1. Discover how personal reactions, feelings and values about sexuality may impact work in professional settings.
  2. Describe at least two (2) intersecting personal identities, e.g., race, class, ethnicity, gender identity and expression, sexual orientation, physical and cognitive abilities, etc. that may impact their attitudes, values, beliefs and feelings when providing sexuality education, counseling or therapy to clients in professional settings.
  3. Examine the relationship between cultural and social institutions and the development of sexual ethics, values, attitudes and sense of sexual identity.
  4. Summarize how sexual attitudes, values, beliefs, and feelings may impact the delivery of educational, counseling, and therapeutic services to persons from multicultural and differing socioeconomic backgrounds.
  5. Identify their attitudes, values, beliefs and feelings towards various aspects of human sexuality and practices pertaining to:
    1. youth and sexuality, including parent & caregiver attitudes, values, beliefs and feelings that support or undermine the development of a positive relationship to sex and sexuality;
    2. elders and sexuality including heterosexual, gay, lesbian, bisexual and transgender people engaged in sexual activities in later life and the social attitudes, values, beliefs and feelings that impact sexuality in later life;
    3. sexual orientations and identities, e.g., heterosexual, homosexual, bisexual and asexuality;
    4. gender identity, gender roles and gender expression, e.g., intersex conditions, transgender identities and gender variance;
    5. chronic illness, physical and cognitive disabilities and sexuality, e.g. congenital conditions, spinal cord injuries, loss of limbs and mobility, psychological conditions that may impact one’s perception of self and others as sexual beings;
    6. sexually transmitted infections, including personal disclosure and risk behaviors;
    7. sex work as a continuum from sexual surrogates, professional escorts, survival sex work and street level prostitution and the differences between sex work as practice in the United States and other cultures;
    8. religion and spirituality;
    9. various paraphilias (consensual and nonconsensual) as erotic templates and diverse forms of sexual expression;
    10. substance use and its impact on sexual behavior, pleasure, and consent;
    11. body image and its role on sense of self as a sexual being;
    12. masturbation and self-pleasuring;
    13. orgasm and pleasure as an aspect of sex and sexuality;
  6. Recognize how personal discomfort with issues of sexuality and diverse sexual practices may contribute to barriers in the delivery of educational, health, social and behavioral health services.

Program Outline

The CSPH offers SARs in three formats – one day, two days, and three days – in order to accommodate the unique needs of different learners and to offer the program in such a way that it fits well into your work/life schedule. Below you can find the program outline for each of our three formats.

One Day SAR

  1. 8:00-8:45am Introduction
  2. 8:45-10:15am Sexuality Across the Lifespan
  3. 10:15-10:25am Break
  4. 10:25-11:40am Identities & Orientations
  5. 11:40am-1:00pm Illness & Disabilities
  6. 1:00-2:00pm Lunch Break
  7. 2:00-3:15pm Sexuality & STIs
  8. 3:15-4:15pm Religion & Spirituality
  9. 4:15-4:30pm Break
  10. 4:30-5:30pm Body Image & Diversity
  11. 5:30-6:30pm Pleasure
  12. 6:30-7:00pm Closing & Evaluations

Two Day SAR

DAY 1 – 9:00am to 6:15pm

  1. 9:00-10:15am Introduction
  2. 10:15-11:15am Sexuality Across Lifespan
  3. 11:15-11:30am Break
  4. 11:30am-12:30pm Identities & Orientations
  5. 12:30-1:30pm Lunch
  6. 1:30-2:30pm Chronic Illness & Intellectual/Developmental Disabilities
  7. 2:30-3:30pm Sexuality & STIs
  8. 3:30-3:45pm Break
  9. 3:45-4:45pm Sex Work
  10. 4:45-5:45pm Religion & Spirituality
  11. 5:45-6:15pm Debrief


DAY 2 – 9:00am to 5:00pm

  1. 9:00-9:30am Welcome/Re-Centering
  2. 9:30-10:45am Erotic Templates
  3. 10:45-11:00am Break
  4. 11:00-11:45am Substance Use
  5. 11:45am-12:30pm Consent & Coercion
  6. 12:30-1:30pm Lunch
  7. 1:30-2:30pm Body Image & Diversity
  8. 2:30-3:30pm Self-Pleasure
  9. 3:30-3:45pm Break
  10. 3:45-4:45pm Closing & Reflection
  11. 4:45-5:00pm Evaluations

Three Day SAR

DAY 1 – 9:00am to 5:00pm

  1. 9:00-10:15am Introductions
  2. 10:15-11:35am Sexuality Across the Lifespan
  3. 11:35-11:45am Break
  4. 11:45-1:15pm Identities & Orientations
  5. 1:15-2:15pm Lunch
  6. 2:15-3:45pm Illness & Disabilities
  7. 3:45-4:45pm Sexuality & STIs
  8. 4:45-5:00pm Closing

DAY 2 – 9:00am to 5:00pm

  1. 9:00-9:45am Welcome/Re-Centering
  2. 9:45am-12:00pm Erotic Templates
  3. 12:00-1:00pm Lunch
  4. 1:00-2:45pm Body Image & Diversity
  5. 2:45-3:45pm Sex Work
  6. 3:45-4:45pm Pleasure
  7. 4:45-5:00 Closing

DAY 3 – 9:00am to 1:00pm

  1. 9:00-9:25am Welcome/Re-Centering
  2. 9:25-11:00am Medical Procedures/Issues
  3. 11:00-11:10am Break
  4. 11:10-12:40pm Religion & Spirituality
  5. 12:40-1:00pm Closing, Reflection, & Evaluations



During the SAR I learned quite a bit about sexuality, but more importantly I feel that I learned quite a bit about myself as a person.I just wanted to do a shout-out of thanks, publicly, to [the facilitators] who conducted the most amazing SAR here at Northampton Sex Therapy Associates over the past weekend. Viewing a vast spectrum of human sexual behavior and perspectives through the lens of intersectionality, [the facilitators] respectfully and skilfully held together a large, diverse group of people – with enormous outpourings of feelings of grief, loss, joy, anger, horror, revulsion, thrill, delight and bewilderment present in the room – and I don’t believe anybody left our center without feeling that their world view had just experienced a major paradigm shift. If you ever get a chance to attend [The CSPH] SAR, SEIZE the opportunity. This was my third SAR and, without doubt, the BEST one so far. Kudos to both of you, for the work you did. I am so grateful to you both for the work that you did with us all.

Jassy Timberlake, M.Ed., LMFT, AASECT (SAR Participant, 2016)
Northampton Sex Therapy Associates

The SAR was an exhausting, yet rewarding experience that I suggest sex educators try to attend. Both facilitators were welcoming, open, and very intentional about their focus on intersectionality. What I appreciated most was that intersectionality was not just another buzzword or section, but embedded in the very core of the SAR. This allowed the environment to feel more welcoming to my identity as a black woman, as well as help other people seemingly feel comfortable expressing their identities as well. I felt that this allowed for more open dialogue and a space that felt safer than any other professional training/workshop I’ve ever attended.

CSPH SAR Participant, 2017

This is the first training that I’ve been to where I was allowed to be a full person….I was allowed to have a range of emotions and feelings and I had the space to discuss them if I felt comfortable. It is one of the first professional spaces that I’ve been in where discomfort was welcome. I’m really glad I attended because it helped me reflect on my thoughts about how I view sexuality. It made me wrestle with what I praised and accepted, what I was unmoved about, and what I thought was taboo. I already see this as something that has changed my work.

CSPH SAR Participant, 2017

I’m grateful for the opportunity for my sexual journey to include being more open, knowledgeable, and accepting of the diverse and intersectional sexual realities all around me, including my own. The range of ages, identities, sexual perspectives, and professional backgrounds in the room was great. Throughout the training, I felt fully supported to be myself and also sure that I would be held accountable when necessary. Thank you for creating a learning environment that was so alive and truly made space for us to evolve.

CSPH SAR Participant, 2017

The SAR was an incredible experience for me! It was difficult and eye-opening and supportive in all the ways I hoped it would be. Both Kira and Aida created the conditions for us to explore each topic at our own pace and get to a deeper understanding individually and collectively. It was moving and powerful and I’m deeply grateful for the opportunity.

CSPH SAR Participant, 2017

During the SAR I learned quite a bit about sexuality, but more importantly I feel that I learned quite a bit about myself as a person. (1)Being a naturally sensitive and emotional person, I went into the SAR a little nervous about what to expect. As emotional and challenging as some of the topics were to process, what I gained from the SAR was even greater. I left with a plethora of knowledge about a wide variety of topics (even some that I thought I knew a lot about!) and had the amazing opportunity to learn about these topics through discussions with a group of non-judgmental and supportive individuals. I left on Sunday night with a much clearer awareness of the people that I hope to work with as a sex therapist, and a greater insight into the topics that truly move me. I believe that the education I received from the SAR will help me in many aspects of my life–not just in a future career.

CSPH SAR Participant


Participating in The CSPH SAR was one of the most rewarding, thought-provoking seminar experiences of my life. I was stimulated and challenged both intellectually and emotionally, and was really encouraged to understand my feelings, values, and beliefs in a safer space designed for this type of self-reflection. The use of multimedia was especially effective, and at the end of each day, I found myself brimming with information. It was overwhelming, exhausting, and emotional, and I would repeat the experience in a heartbeat.

CSPH SAR Participant

The SAR brought my attention to issues that I had not previously considered, let alone thought I would react to physically and/or emotionally. It was remarkable experiencing this type of learning and self-discovery in a room of like-minded individuals who were experiencing the same things I was. Along these lines, it was incredible seeing how people reacted to different things – which really illustrated how different things impact different people.

CSPH SAR Participant

[The CSPH SAR] forced me to address, analyze, and critique why I hold some of my strongest views about sexuality and decide whether I have a valid defense for my beliefs. With that, it did not only improve my skills as a sexuality professional, but it has made me a better advocate for every stance I choose to maintain.

CSPH SAR Participant

In the SAR environment, I had to adjust to being able to be aware of my own reactions and consider their implications. For a little while, it felt like a step back. After all, I had been working on my poker face for three years. But to see other participants cry and scream and struggle openly helped me to remember that while I am a counselor, I am also a person. The experience made me a significantly better and more informed educator.

CSPH SAR Participant

Before walking into the SAR, I assumed I knew what I thought about sexuality, about my hang-ups, about the areas that I’m passionate about or those that completely uninterested me. Walking out of the SAR Sunday night, I was a different person. I had discovered new possibilities for my professional focus and crystallized or utterly reformed my positions on so many topics I had previously never questioned. The structure of this SAR, with its intensive topic immersion and group discussion, was key to this transformation. It allowed us to really form trust amongst participants, to build a community that could support each other as we found our triggers and challenge each other when we were on the verge of a true emotional connection. If you are a sexuality professional going for certification, I would highly recommend this SAR. I don’t know how any format that provides any less—be it time, information, or emotional intensity—could provide anywhere near the depth or introspection required to help us become open-minded, nonjudgmental, and empathetic counselors, educators, and therapists.

CSPH SAR Participant

Going into the SAR, I already felt fairly knowledgeable about most of the topics we would broach. I was eager and excited to discuss them but wondered if I would really learn anything new. I was so pleasantly surprised that by the end of the three-day experience, it wasn’t the new things I had learned that had affected me so, but the new connections I had made and the new perspectives I saw on some familiar (and some not so familiar) topics. I was able to better understand how certain subject matter is interpreted by a variety of people who have been exposed to very different things, which was incredibly eye-opening. I met and discussed very personal and often intimidating topics with people who initially felt like strangers, who I ultimately felt very comfortable with. I trusted them with the treatment and care of my inner-most thoughts. It was a very bonding experience and it helped me see this field through some fresh eyes, which is always so valuable.

CSPH SAR Participant
During the SAR I learned quite a bit about sexuality, but more importantly I feel that I learned quite a bit about myself as a person. (2)


Do you offer any kind of financial assistance?

We understand how trainings such as these may be cost-prohibitive, especially for individuals in the early stages of their professional development and for historically marginalized groups. Towards this end we have created a limited number of scholarships for members of the Women of Color Sexual Health Network (WOCSHN), to support and promote meaningful inclusion, equity, and the professional development of people of color in the sexuality field. If you identify as a woman of color and are not yet part of WOCSHN, please fill out their membership application and request access to the closed Facebook group.

We are hoping to expand our scholarship offerings to other groups and communities in the future, but this is our starting point.

For individuals who may not qualify for the WOCSHN scholarships, but have some financial hardship, we offer a payment plan in three installments. Please contact kayla@thecsph.org if you are interested in this option.


Is there a student rate?

There is no student rate for our SARs at this time. However, we do offer payment plans in three installments. Please contact kayla@thecsph.org if you are interested in this option.


What is included in my registration fee?

The registration fee covers program tuition, light afternoon snacks, coffee/tea, and water, and an assortment of bagels and fruit. Please indicate whether you have any food allergies, sensitivities, or restrictions on your registration form. We will do our best to accommodate them.

There are continuing education credits available through AASECT for no additional charge. Housing and meals are not included. For your convenience, we have compiled a list – here – of nearby hotels where you may find accommodations.

What is your refund and cancellation policy?

Refunds will be issued for cancellations up to 30 days before the scheduled workshop, minus a $10 processing fee. Cancellations received within 30 days of the scheduled workshop will not be refundable. If you must cancel your registration, please email info@thecsph.org as soon as possible.

What are the hours and expectations for the SAR?

Depending on which SAR you attend, the hours will vary. The CSPH runs SARs in three formats: one, two, and three days. Please review the Program Outline tab or e-mail learn@thecsph.org for the exact hours of the program you are inquiring about. There is an hour lunch break, which participants can enjoy on their own at nearby restaurants, or may bring their own food (but please note – there is not a refrigerator available). Shorter 15-minute breaks are scheduled for both the morning and afternoon sessions.

We request that participants come “scent-free” (i.e. avoid using heavily fragranced products), to create an environment welcoming to those with chemical sensitivities. Participants are expected to engage fully in all course activities, which are designed with various learning styles in mind.


Is the SAR offered online?

The SAR is an interactive, experiential seminar that does not translate into an online format. It is an intrapersonal and interpersonal exploration of values, attitudes, and beliefs. Because small group processing is an integral part of the course, AASECT will not permit a SAR to be offered via distance learning.


What are the course completion requirements to receive CEs? When and how will I receive my CE certificate?

Participants must attend the entire duration of the Sexual Attitude Reassessment, sign-in and sign-out upon arrival and departure, and complete an evaluation of the in-person training in order to receive CEs. CE certificates are emailed to participants as a PDF document within 30 days after completion of the training.

I have a disability. Will this training be accessible to me?

Accommodations for individuals with disabilities can be requested on our program registration form. Our meeting space is located on the ground floor of a physically accessible building. Additionally, we have the ability to make other accommodations, such as enlarging the font on hand-outs, creating a space welcoming to those with chemical sensitivities, etc. Please contact kayla@thecsph.org if you wish to discuss your accessibility concerns in greater detail.


What is “intersectionality” and why is it important for this training?

Intersectionality, a theory coined by Kimberle Crenshaw, a Black civil rights advocate and legal scholar, is a way of thinking about identity (e.g. race, class, gender, sexual orientation, etc.) and its relationship to power and privilege.  Formulated in the late 1980’s, it challenged the dominant feminist narrative, which focused primarily on gender as a source of oppression while ignoring  factors such as race and class. Intersectionality highlights how marginalized identities are often multidimensional and inform how people experience social inequality and discrimination.

The CSPH recognizes that privilege and access have heavily influenced the prominence of primarily White, cisgender, heterosexual, Judeo-Christian, socioeconomically advantaged voices in the field of sexuality (and US society in general). The SAR consciously integrates course material that promotes visibility of historically underrepresented groups. The CSPH will challenge SAR participants to critically analyze power and privilege within the field of sexuality, reflect on various aspects of their own identity, and hold space for a diverse representation of cultural backgrounds.

Grievance Policy

The Center for Sexual Pleasure and Health grievance policy and procedure

The Center for Sexual Pleasure and Health, referred to hereafter as The CSPH, is fully committed to conducting all educational activities and events in a respectful, ethical, and non-discriminatory manner. Program participants may file a grievance if they believe that: a) course facilitator(s) have acted in violation of professional ethics, specifically those of AASECT or NASW  b) discriminatory actions have occurred, or c) they wish to report a problem related to course content and/or program administration.

Program participants may communicate these concerns without fear of retribution, discomfort, or punishment, as the CSPH strives for continuous quality improvement.

The CSPH Direct Resolution Protocol:

Participants are encouraged to speak directly to The CSPH staff to address their concerns. If a grievance is shared during a CSPH sponsored educational program, course facilitators will immediately attempt to identify the exact nature and source of the participant’s complaint, and, if appropriate, clarify any misunderstanding that may have contributed to said grievance. The incident will be documented and discussed among program facilitators and shared with The CSPH continuing education committee. If this level of intervention does not lead to resolution the following protocol will be adopted:

The CSPH Organizational Grievance Protocol:

  1. Participant will submit a written complaint to the Continuing Education Coordinator, Dr. Lexx Brown-James – lexx@thecsph.org
  2. The Continuing Education Coordinator will review the complaint with team members who were involved in planning the course or workshop, including our social work consultant and the course facilitator(s).
  3. If the participant would like to attend this meeting in person, or by phone, that opportunity will be made available. If not then the complaint will be reviewed in writing.
  4. If further discussion is needed with the Board of Directors or legal counsel that will occur.
  5. Within 30 days a written response will be provided, detailing specific actions that will be made to improve future courses.
  6. If a participant believes the grievance has not been adequately resolved they may submit a complaint to their licensing board or professional association (AASECT, NASW, AAMFT, etc.).

Furthermore, if a participant does not feel the course fulfilled the description as advertised and would like to request a refund, please send a written complaint to Dr. Lexx Brown-James, Continuing Education Coordinator, The Center for Sexual Pleasure and Health, The Grant Building, Unit 1/Box 11, 250 Main Street, Pawtucket, RI 02860. A full refund will be provided and no continuing education credits will be awarded.