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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

Sexuality and Developmental Disability

Explicitly teaching some of our most intuitive experiences

Lisa G. Hayutin, PhD

sexuality is part of development
Sexuality is part of development
  • Pubertal changes
  • Pleasure/tension reduction
  • Self-awareness
  • Self-esteem
  • Interpersonal interactions
awareness
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

physiology and anatomy
Physiology and Anatomy
  • Sex organs
    • Internal and external
    • Proper and slang names
  • Pubertal changes
  • Proper care
    • Protection from injury
    • Hygiene
rights rules laws and warnings
Rights, rules, laws, and warnings
  • Safety from abuse
  • Appropriate places and times for:
    • Self-examination
    • Sexual discussion
    • Sexual behavior
  • Touching others
  • Responding to feedback
dating sex and relationships
Dating, Sex, and Relationships
  • Dating Rules:
    • Assessing interest
    • Asking someone out
    • Casual dating vs. monogamy
  • Sexual decision making
  • Frequency and intensity of contact
protection
Protection
  • Coercion
    • Saying “no”
    • Listening to “no”
  • Disease
    • Education about disease
    • Education about proper use of condoms
  • Contraception
    • Degree of autonomy
perspective taking
Perspective-taking
  • Higher-level social understanding
    • Developing a new relationship
    • Maintaining a relationship
  • Seeking help and support
    • Books
    • Role-playing
    • Counseling/coaching
au dd sexuality considerations
AU/DD sexuality considerations
  • Cognitive level
  • Sensory sensitivity
  • Stimulation levels
  • Different interests/needs
    • Social, sexual
  • Perspective-taking
  • Medication
  • Contraception (guardianship?)
au dd teaching considerations
AU/DD teaching considerations
  • Assume nothing
    • Explicit language
    • Multiple examples
    • Multi-media
    • Demonstration (?)
systems for teaching
Systems for Teaching
  • Parents as teachers??
  • Other supports:
    • Books
    • Videos
    • Diagrams/Pictures
    • Counseling
    • Group education
systems for independence
Systems for Independence
  • Rule books
  • Rating scales
  • Flow charts
community resources
Community Resources
  • The ARC
  • ASNC
  • Division TEACCH
web resources
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

books general
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
books general18
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
books dd
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
books as hfa
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
contact information
Contact Information

Lisa Hayutin, PhD

Child, Adolescent, and Adult Psychologist

[email protected]

(919) 233-4131

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