Sexuality

Stein, Sorah; Tepper, Mitchell S.

doi:10.1007/978-3-319-18096-0_110

Cited by 3 publications

(14 citation statements)

References 47 publications

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“…Sexuality is a holistic concept encompassing sex, gender identity, orientation, eroticism, intimacy, and reproduction [ 3 ]. It is influenced by physical, psychological, social, financial, cultural, legal, historical, and spiritual factors [ 3 ]. Sexuality includes sexual expression.…”

Section: Introductionmentioning

confidence: 99%

“…A placeholder definition of consent requires that a person communicates a “knowing, intelligent, and voluntary agreement to engage in a given activity” [ 8 , 9 ]. Assessments that measure consensual ability for a sexual relationship are often based on a person being able to satisfy all three of the following criteria [ 3 , 7 , 10 , 11 ]:…”

Section: Introductionmentioning

confidence: 99%

“…These rights include several categories, including those related to family matters [ 7 ] and sexual self-determination [ 4 ]. Although it may seem obvious that people have default rights to privacy, sexuality education, and freedom of choice for sexual expression [ 3 , 25 ], these rights can be restricted by either informal or formal control systems. Informal control systems such as civil liability [ 26 ], immutable family policy [ 22 ], and residential policy [ 4 , 27 , 28 ] may interfere with a resident’s rights to sexual expression, whereas restrictions from formal control systems may be decided by clinical, ethical, and legal issues [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…Sexual abuse occurs when one person forcefully or covertly performs nonconsensual sexual acts, including touching, kissing, oral sex, and anal or vaginal intercourse [ 3 , 34 ]. Sexual abuse may also involve threatening, coercing, tricking, or manipulating another person into unwanted sexual contact or into such contact in which the other person does not have the capacity to consent [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…People with cognitive disabilities have a greater risk of being sexually abused [ 3 , 25 ]. Although the statistics on sexual abuse are difficult to determine, one report predicts that 39% to 68% of female children and 16% to 30% of male children with cognitive disabilities will be sexually abused before they are aged 18 years in North America [ 35 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review

Esmail¹,

Concannon²

2022

Interact J Med Res

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Background This review focused on how sexual consent ability was determined, managed, and enhanced in people with cognitive disabilities, with the aim of better understanding the recurring themes influencing the design and implementation of these approaches. If a person’s consensual ability becomes compromised, owing to either an early or late-onset cognitive disability, the formal systems involved must establish plans to balance the individual’s rights and restrictions on sexual expression. This review identified these plans, focusing on how they promoted the intimacy rights of the individual. Objective This study aims to identify approaches that determine sexual consent ability in people with cognitive disabilities, identify the means of managing and enhancing sexual consent ability in people with cognitive disabilities, and note the recurring themes that influence how these approaches and management systems are designed and implemented. Methods A systematic literature review was performed using EBSCOhost (Social Gerontology, CINAHL Plus, MEDLINE, and SocINDEX), Embase, PsyInfo, and Scopus to locate reports on terms expanded on sexual consent and cognitive disability. Results In all, 47 articles were identified, featuring assessment practices, legal case studies, and clinical standards for managing sexual consent capacity in people with cognitive disabilities. A total of 8 studies (5/8, 63% qualitative and 3/8, 38% quantitative) were included out of the 47 articles identified. Approaches for determining sexual consent included functional capacity and person-centered, integrated, and contextual approaches. Management of sexual consent ability included education, attitude, and advanced directives and support networks. The recurring themes that influenced these approaches included the 3 legal criteria of consent, American Bar Association and American Psychological Association Model, Lichtenberg and Strzepek Instrument, Ames and Samowitz Instrument, Lyden approach, Mental Capacity Act of 2005, and Vancouver Coastal Health Authority of 2009. Conclusions Determining sexual consent takes a holistic approach, with individuals judged in terms of their adaptive abilities, capacities, and human rights. The attitudes of those using this holistic approach need to be balanced; otherwise, the sexual rights of assessed people could be moved either in favor or against them. The ideal outcome, after person-centered considerations of those living with cognitive disabilities includes the people themselves being involved in the process of personalizing these approaches used to facilitate healthy intimate relationships.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review

Esmail¹,

Concannon²

2022

Interact J Med Res

View full text Add to dashboard Cite

show abstract

Systematized Review and Meta-synthesis of the Sterilization of Women with Disabilities in the Field of Social Science: from Macroeugenics to Microeugenics

2020

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Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review (Preprint)

Esmail¹,

Concannon²

2021

Preprint

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BACKGROUND This review focused on how sexual consent ability was determined, managed, and enhanced in people with cognitive disabilities, with the aim of better understanding the recurring themes influencing the design and implementation of these approaches. If a person’s consensual ability becomes compromised, owing to either an early or late-onset cognitive disability, the formal systems involved must establish plans to balance the individual’s rights and restrictions on sexual expression. This review identified these plans, focusing on how they promoted the intimacy rights of the individual. OBJECTIVE This study aims to identify approaches that determine sexual consent ability in people with cognitive disabilities, identify the means of managing and enhancing sexual consent ability in people with cognitive disabilities, and note the recurring themes that influence how these approaches and management systems are designed and implemented. METHODS A systematic literature review was performed using EBSCOhost (Social Gerontology, CINAHL Plus, MEDLINE, and SocINDEX), Embase, PsyInfo, and Scopus to locate reports on terms expanded on sexual consent and cognitive disability. RESULTS In all, 47 articles were identified, featuring assessment practices, legal case studies, and clinical standards for managing sexual consent capacity in people with cognitive disabilities. A total of 8 studies (5/8, 63% qualitative and 3/8, 38% quantitative) were included out of the 47 articles identified. Approaches for determining sexual consent included functional capacity and person-centered, integrated, and contextual approaches. Management of sexual consent ability included education, attitude, and advanced directives and support networks. The recurring themes that influenced these approaches included the 3 legal criteria of consent, American Bar Association and American Psychological Association Model, Lichtenberg and Strzepek Instrument, Ames and Samowitz Instrument, Lyden approach, Mental Capacity Act of 2005, and Vancouver Coastal Health Authority of 2009. CONCLUSIONS Determining sexual consent takes a holistic approach, with individuals judged in terms of their adaptive abilities, capacities, and human rights. The attitudes of those using this holistic approach need to be balanced; otherwise, the sexual rights of assessed people could be moved either in favor or against them. The ideal outcome, after person-centered considerations of those living with cognitive disabilities includes the people themselves being involved in the process of personalizing these approaches used to facilitate healthy intimate relationships.

show abstract

Sexuality

Cited by 3 publications

References 47 publications

Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review

Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review

Systematized Review and Meta-synthesis of the Sterilization of Women with Disabilities in the Field of Social Science: from Macroeugenics to Microeugenics

Approaches to Determine and Manage Sexual Consent Abilities for People With Cognitive Disabilities: Systematic Review (Preprint)

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