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Sexuality and Developmental Disability. Explicitly teaching some of our most intuitive experiences. Lisa G. Hayutin, PhD. Sexuality is part of development. Pubertal changes Pleasure/tension reduction Self-awareness Self-esteem Interpersonal interactions. Awareness.

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Sexuality and developmental disability l.jpg

Sexuality and Developmental Disability

Explicitly teaching some of our most intuitive experiences

Lisa G. Hayutin, PhD


Sexuality is part of development l.jpg
Sexuality is part of development

  • Pubertal changes

  • Pleasure/tension reduction

  • Self-awareness

  • Self-esteem

  • Interpersonal interactions


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Awareness

Perspective-taking, compromise, etc.

Protection: coercion, disease, and pregnancy

Dating, Sex, and Romantic Relationships

Appropriate Self-Stimulation

Rights, Rules, Laws, and Warnings

Feelings & Impulses

Physiology/Anatomy


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Physiology and Anatomy

  • Sex organs

    • Internal and external

    • Proper and slang names

  • Pubertal changes

  • Proper care

    • Protection from injury

    • Hygiene


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Rights, rules, laws, and warnings

  • Safety from abuse

  • Appropriate places and times for:

    • Self-examination

    • Sexual discussion

    • Sexual behavior

  • Touching others

  • Responding to feedback


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Dating, Sex, and Relationships

  • Dating Rules:

    • Assessing interest

    • Asking someone out

    • Casual dating vs. monogamy

  • Sexual decision making

  • Frequency and intensity of contact


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Protection

  • Coercion

    • Saying “no”

    • Listening to “no”

  • Disease

    • Education about disease

    • Education about proper use of condoms

  • Contraception

    • Degree of autonomy


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Perspective-taking

  • Higher-level social understanding

    • Developing a new relationship

    • Maintaining a relationship

  • Seeking help and support

    • Books

    • Role-playing

    • Counseling/coaching


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AU/DD sexuality considerations

  • Cognitive level

  • Sensory sensitivity

  • Stimulation levels

  • Different interests/needs

    • Social, sexual

  • Perspective-taking

  • Medication

  • Contraception (guardianship?)


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AU/DD teaching considerations

  • Assume nothing

    • Explicit language

    • Multiple examples

    • Multi-media

    • Demonstration (?)


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Systems for Teaching

  • Parents as teachers??

  • Other supports:

    • Books

    • Videos

    • Diagrams/Pictures

    • Counseling

    • Group education


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Systems for Independence

  • Rule books

  • Rating scales

  • Flow charts


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Community Resources

  • The ARC

  • ASNC

  • Division TEACCH


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Web resources

http://www.med.umich.edu/1libr/yourchild/disabsex.htm

http://www.nichcy.org/pubs/outprint/nd17txt.htm

http://www.siecus.org/siecusreport/volume29/29-3.pdf

http://www.tr.wou.edu/dblink/pdf/sex-ed.pdf


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Books: General

  • The “What’s Happening to My Body?” Book for Boys/Girls.Lynda Madaras

  • My Body Myself: For Boys/Girls. Lynda Mararas & Area Madaras


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Books: General

  • The Hidden Curriculum: Practical Solutions for Understanding Unstated Rules in Social Situations.Brenda Smith Myles, Melissa Trautman, Ronda Schlevan

  • A 5 is Against the Law! Social Boundaries Straight Up!: An Honest Guide for Teens and Young Adults


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Books: DD

  • A Curriculum on Sex Education and Social Skills Training for Persons with Developmental Disabilities.Toni James-Manus & Raymond D. Newnam

  • Growing up: A Social and Sexual Education Picture Book for Young People with Mental Retardation.Victoria Shea & Betty Gordon


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Books: AS/HFA

  • Life and Love: Positive Strategies for Autistic Adults.Zosia Zaks

  • Asperger’s Syndrome in Adolescents: Living with the Ups, Downs, and Things In-Between.Liane Holliday Willie

  • Asperger’s Syndrome and Sexuality: From Adolescence Through Adulthood.Isabelle Henault


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Contact Information

Lisa Hayutin, PhD

Child, Adolescent, and Adult Psychologist

[email protected]

(919) 233-4131


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