People with physical disabilities are stereotyped as asexual, as lacking the same sexual and relationship needs and desires as nondisabled people. Yet people with disabilities are human beings, created in the image of God, and thus are sexual beings with the same capacity to love and be loved as any other human. In this article, the author discusses the sexuality and heterosexual experiences of adults with various physical disabilities. She explores possible effects of disabilities on sexual self-concept, romantic relationships, and sexual activities as well as describes some practical steps that can be taken to remedy specific difficulties. The author also briefly relates some personal experiences as a woman with chronic fatigue syndrome and fibromyalgia who is married to a man with cerebral palsy. Implications for clinical practice are discussed. The author encourages psychotherapists to prepare themselves to respond intelligently and comfortably to the sexual questions and issues raised by their physically disabled clients, regardless of the presenting problem.
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References
1.
American Cancer Society. (2000a). Sexuality & cancer: For the man who has cancer and his partner. [Booklet]. Atlanta: Author.
2.
American Cancer Society. (2000b). Sexuality & cancer: For the woman who has cancer and her partner. [Booklet]. Atlanta: Author.
3.
ChanceS. G. (1996). Searching for normalcy: A young man with cerebral palsy discovers the significance of God's grace.Mt. Juliet, TN: Cross Reference.
4.
ChigierE. (1980). Sexuality of physically disabled people.Clinics in Obstetrics and Gynecology, 7(2), 325–343.
5.
DanielsS. M., CorneliusD., MakasE., & ChipourasS. (1981). Sexuality and disability: The need for services.Annual Review of Rehabilitation, 2, 83–112.
6.
DeHaanC. B., & WallanderJ. L. (1988). Self-concept, sexual knowledge and attitudes, and parental support in the sexual adjustment of women with early- and late-onset disability.Archives of Sexual Behavior, 17(2), 145–161.
7.
GillC. J. (1996). Dating and relationship issues.Sexuality and Disability, 14(3), 183–190.
8.
GrentzS. (1990). Sexual ethics: A biblical perspective.Dallas: Word.
9.
GriffithE. R., TrieschmannR. B., HohmannG. W., ColeT. M., TobisJ. S., & CummingsV. (1975). Sexual dysfunctions associated with physical disabilities.Archives of Physical Medicine and Rehabilitation, 56, 8–13.
10.
HaleG. (Ed.). (1979). The source book for the disabled.New York: Paddington.
11.
HamiltonA. (1981). Sexual problems in arthritis and allied conditions.International Rehabilitation Medicine, 3, 38–42.
12.
The Holy Bible: New International Version. (1984). Grand Rapids: Zondervan.
13.
HwangK. (1997). Living with a disability: A woman's perspective. In SipskiM. L., & AlexanderC. J. (Eds.), Sexual function in people with disability and chronic illness: A health professional's guide (pp. 119–130). Gaithersburg, MD: Aspen.
14.
KrollK., & KleinE. L. (1992). Enabling romance: A guide to love, sex, and relationships for the disabled (and the people who care about them).New York: Harmony.
15.
LemonM. A. (1993). Sexual counseling and spinal cord injury.Sexuality and Disability, 11(1), 73–97.
MongaT. N., MongaU., TanG., & GraboisM. (1999). Coital positions and sexual functioning in patients with chronic pain.Sexuality and Disability, 17(4), 287–297.
18.
NadlerS. (1997). Arthritis and other connective tissue diseases. In SipskiM. L., & AlexanderC. J. (Eds.), Sexual function in people with disability and chronic illness: A health professional's guide (pp. 261–278). Gaithersburg, MD: Aspen.
19.
NeistadtM. E., & FredaM. (1987). Choices: A guide to sex counseling with physically disabled adults.Malabar, FL: Kreiger.
20.
NosekM. A., YoungM. E., RintalaD. H., HowlandC. A., FoleyC. C., & BennettJ. L. (1995). Barriers to reproductive health maintenance among women with physical disabilities.Journal of Women's Health, 4(5), 505–518.
21.
PietschR. M. (1986). A theologically oriented strategy of ministry to/with persons with mental retardation and its implications for the church. Unpublished doctoral dissertation, San Francisco Theological Seminary.
22.
RenshawD. C. (1981). Sexual problems in old age, illness, and disability.Psychosomatics, 22, 975–985.
23.
RoussoH. (1993). Special considerations in counseling clients with cerebral palsy.Sexuality and Disability, 11(1), 99–108.
24.
SchoverL. R., & JensenS. B. (1988). Sexuality and chronic illness: A comprehensive approach.New York: Guilford.
25.
ShakespeareT. (1999). The sexual politics of disabled masculinity.Sexuality and Disability, 17(1), 53–64.
26.
SidmanJ. M. (1977). Sexual functioning and the physically disabled adult.The American Journal of Occupational Therapy, 31(2), 81–85.
27.
SipskiM. L. (1997). Spinal cord injury and sexual function: An educational model. In SipskiM. L., & AlexanderC. J. (Eds.), Sexual function in people with disability and chronic illness: A health professional's guide (pp. 149–176). Gaithersburg, MD: Aspen.
28.
SmallD. H. (1974). Christian: Celebrate your sexuality.Old Tappan, NJ: Revell.
29.
SmithJ., & BulloughB. (1975). Sexuality and the severely disabled person.American Journal of Nursing, 75, 2194–2197.
30.
TepperM. S. (1999). Letting go of restrictive notions of manhood: Male sexuality, disability and chronic illness.Sexuality and Disability, 17(1), 37–52.
31.
TilleyC. M. (1996). Sexuality in women with physical disabilities: A social justice or a health issue?Sexuality and Disability, 14(2), 139–151.
VanderzalmL. (1995). Finding strength in weakness: Help and hope for families battling chronic fatigue syndrome.Grand Rapids: Zondervan.
34.
VermoteR., & PeuskensJ. (1996). Sexual and micturition problems in multiple sclerosis patients: Psychological issues.Sexuality and Disability, 14(1), 73–82.
35.
WestgrenN., & LeviR. (1999). Sexuality after injury: Interviews with women after traumatic spinal cord injury.Sexuality and Disability, 17(4), 309–319.
36.
WhippleB., RichardsE., TepperM., & KomisarukB. R. (1996). Sexual response in women with complete spinal cord injury.Sexuality and Disability, 14(3), 191–201.
