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I have been brooding about this thread since yesterday afternoon. I want to be careful – more careful than I was yesterday – to be respectful of the experiences and instincts of the parents of disabled teens and young adults who are posting here. And I know from real life that the issue of how to handle a Down’s Syndrome child’s sexuality is always an area of concern and anxiety for their families. But this rhetorical question really crystalizes the dilemma for me. I am certain that scansmom asked the question because she thought the answer was obvious, but the answer isn’t obvious to me at all, especially as one moves up the cognitive scale from 5 to 9 and beyond.</p>
<p>So here’s my question, which is a real question, not a rhetorical one: I assume that for most people with serious disabilities, there are many things they will never be able to do, or never able to do well. But sex itself may not be one of those things. Sex may be something many of them are capable of performing and enjoying to more or less the same degree as anyone else – maybe more, since there may be fewer claims on their attention or focus. Why should their relative immaturity/disability in other areas mean that they should be denied access to this? (Or if not “denied”, since I don’t think anyone is really taking that position, then certainly discouraged, distracted, not facilitated, de-prioritized?)</p>
<p>With “normal” kids, all of us, pretty much, try to encourage them to delay sex until they have an appropriate level of emotional development (although there may be a range of such levels that different people define as “appropriate”, from “thoughtful” to “married”). Sex is bound up with lots of emotional complication, and competes for energy and attention with other important areas of development. It may affect future careers and prospects. It also brings with it risks of pregnancy, STDs, and abuse, as well as risks to social status.</p>
<p>For children with significant disabilities, those concerns have to apply in very different ways, and some of them may not be applicable at all. If a person may never have the fully-developed emotional life, or education, or training, or career and social status, or parenthood we expect of/hope for independent adults, does it still make sense to delay sexual activity? According to the study, the risk of Down’s Syndrome males impregnating anyone is negligible, and pregnancy risk for females can be controlled. So can STD and abuse risk for both sexes, although this may require more active involvement by caregivers than feels natural in other types of relationships.</p>
<p>How much of the reluctance to support sexual activity is generated by us, the parents, and how much by them, the children, and their needs? Why isn’t sexuality part of every child’s home IEP? How do parents plan to assist their children to achieve a healthy sexual life, if the children need more assistance than some other children?</p>
<p>The survey linked by 2boysima above addresses many questions, but doesn’t begin to answer this one. It does, however, say two things that I think are abundantly clear:
and
We know how Hooker-Hiring Mom in England is proposing to bridge that gap, and to varying degrees we all find that problematic (to say the least). But how are others bridging the gap more creatively and responsibly?</p>