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Sexuality and Disability

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Cristina Patulli

on 25 February 2016

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Transcript of Sexuality and Disability

Education
Sexual
Abuse
uality & Disability
Adaptation
Let's Define
Sex(uality)

Myth

or
True?

Myth
True
Myth
True
Myth
True
Children & Adolescent Sexuality
Congenital
vs
Acquired Disabilities
Women & Reproduction
Contraception
Access to Services
Older Adults
Arthritis
Relationships
Benefits
Sexuality across the
Life Span

Sexuality in the field
As a practitioner...
Be
Patient-centered

&

Sensitive
Be
Non-judgmental
Assure
Confidentiality
Assure
Privacy
Case #1
TR Practice
Facilitate partnership & Intimacy
Case #2
TR Practice
Age specific
Information sessions for clients and staff
Agency Protocols and Regulations
TR Practice
Case # 3
Thank
you!
People with a disability are asexual
People with a disability are not able to find a romantic partner
People with a cognitive disability can learn about sex and how to practice safe sex
(Milligan & Neufeldt, 2001)
Myth
True
Sex is only experienced through penetration
(Naphtali, MacHattie, & Elliot, 2010)
True
People with a cognitive disability are impulsive in regards to sex
Myth
Positions
Devices
Other techniques
Finding a partner
Positions
Positioning Pillows
:
Used to elevate your back to provide comfort and support.

Lying on the side:
Ideal for individuals with arthritis and degenerative joint disease.
Less painful for individuals who have weak bones and joints.
The position requires less endurance.

Partner on top:

Ideal when 1 partner is in a wheelchair.
More comfortable to remove the wheelchair armrests.
Devices
Universal Cuff:
For individuals with limited functioning in their hands.
Velcro strap around hand that can hold sexual devices
Intimate Rider:
Device for males who are paraplegic.
Creates a rocking motion to be able to stimulate your partner.
Finger vibrator:
Device for individuals with limited mobility in their fingers or hands.
used to stimulate partner


(Ulrich, 2000)

(Kaufman, Silverberg, & Odette, 2003)
Stimulating Other Body Parts
Sex is more than penetration

Sensation in earlobes, breasts, & hands.
Finding a Partner
Sex Workers and Sex Therapies
How would you define
abuse
?
Types of Abuse
Physical
Sexual
Psychological
Emotional
Economic/financial
Neglect
Systemic & Institutional Abuse
Characteristics of Abuse
Why do you think People with Disabilities are more at risk for sexual abuse?
Indicators of Abuse
How many people with disabilities are abused worldwide?
Let's list different people that can be sexual abusers...
Barriers to Disclosure
Preventing Sexual Abuse
Education
First experiences
Public vs Private
Differences & Similarities
Head & Spinal Cord Injuries
Young Adults
Hidden Impairments
Self Image
Avoiding Social Situations
Arthritis
Cognitive Disabilities & Sexuality
History
Areas of the brain & effect on sexuality
Todays Agenda
Myths & Adaptations

Sexuality and Education

Sexual Abuse

15 Minute Break

Sexuality Across the Lifespan

Sexuality & Disability + TR

Q+ A
Visual Impairment
Tools:
Use of other senses
Opportunities for social learning
Reinforcement from peers & socialization to generalize and validate information learned
Talking books, large print books, books in braille
Autism Spectrum Disorder (PDD)
Functional & practical situations (incidental teaching)

Example, an individual reaches out and touches a female’s breasts while gesturing or speaking
Show a picture book with illustrations of his social/sexual circle for inappropriate touch

Role Play

Generalization is often a problem

Modeling

Augmentative communication
Spinal Cord Injury
Many men and women are counseled to focus on improving their sexual arousal rather than on achieving orgasm.
Physical Signs
Behavioral Signs
Tepper, S. M. (1999). Letting go of restrictive notions of manhood: Male sexuality, disability, and chronic illness. Sexuality and Disability. 17(1). Retrieved from Retrieved from http:// download.springer.com/static/pdf/114/art%253A10.1023%252FA %253A1021451712988.pdf?auth66=1385657703_ac1de6efbff1199 17a29b64476046aa1&ext=.pdf
Q & A
Full transcript