By 2023, the original model was showing its age. As the #MeToo movement and the rise of "conscious kink" changed the BDSM landscape, practitioners found the original Elise Sutton framework too rigid and potentially psychologically risky without a live therapist.
The “Elise Sutton Procedure (New)” offers a structured, ethically bounded method for exploring consensual power exchange as a tool for personal reframing and identity integration. While lacking clinical trials, its systematic approach reduces risks associated with informal BDSM role-play. Future research should evaluate its effects on shame, self-efficacy, and relational security in submissive-identified individuals. elise sutton procedure new