After finishing high school, he entered the Jesuit order where he spent ten years studying, teaching and preparing to become a Catholic priest.

[3][4][5] In 1976, after leaving the Jesuits, Kramer moved to New York City to integrate his call to be a teacher, his Catholicism and his recent identification as a gay man.

[8] Responding to the fear of sex among gay and bisexual men during the AIDS crisis, Kramer began developing and teaching Taoist Erotic Massage classes in 1986 as a safe way to sexually connect with others.

[12][13] The touch portion of the massage ended with a Big Draw, where the receivers clenched all the muscles of their bodies and held their breath for thirty seconds, then relaxed into a fifteen-minute period of quiet often marked by joy, peacefulness, wonder and clarity.

[17][18] In the midst of the AIDS crisis, Kramer recognized the need for an erotic healing profession that offered pleasurable touch to both the living and the dying.

Their commitment, in the words of Sacred Intimate Don Shewey, is to “help people to wake up to the joy of life in a body.”[20][21] Because Sacred Intimates and other practitioners offering Taoist Erotic Massage did not have legal status in the United States, Kramer approached the Institute for the Advanced Study of Human Sexuality in San Francisco about offering a professional training for Sexological Bodyworkers.

[27] Sexological Bodywork was featured in Gwyneth Paltrow's Netflix series, “Sex, Love and Goop” (2021) bringing new levels of attention to the profession.