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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. Pubertal changes Pleasure/tension reduction Self-awareness Self-esteem Interpersonal interactions. Awareness.

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Sexuality and Developmental Disability

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  1. Sexuality and Developmental Disability Explicitly teaching some of our most intuitive experiences Lisa G. Hayutin, PhD

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

  3. 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

  4. Physiology and Anatomy • Sex organs • Internal and external • Proper and slang names • Pubertal changes • Proper care • Protection from injury • Hygiene

  5. Rights, rules, laws, and warnings • Safety from abuse • Appropriate places and times for: • Self-examination • Sexual discussion • Sexual behavior • Touching others • Responding to feedback

  6. Dating, Sex, and Relationships • Dating Rules: • Assessing interest • Asking someone out • Casual dating vs. monogamy • Sexual decision making • Frequency and intensity of contact

  7. Protection • Coercion • Saying “no” • Listening to “no” • Disease • Education about disease • Education about proper use of condoms • Contraception • Degree of autonomy

  8. Perspective-taking • Higher-level social understanding • Developing a new relationship • Maintaining a relationship • Seeking help and support • Books • Role-playing • Counseling/coaching

  9. AU/DD sexuality considerations • Cognitive level • Sensory sensitivity • Stimulation levels • Different interests/needs • Social, sexual • Perspective-taking • Medication • Contraception (guardianship?)

  10. AU/DD teaching considerations • Assume nothing • Explicit language • Multiple examples • Multi-media • Demonstration (?)

  11. Systems for Teaching • Parents as teachers?? • Other supports: • Books • Videos • Diagrams/Pictures • Counseling • Group education

  12. Systems for Independence • Rule books • Rating scales • Flow charts

  13. Community Resources • The ARC • ASNC • Division TEACCH

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. Contact Information Lisa Hayutin, PhD Child, Adolescent, and Adult Psychologist LHayutin@fppa.com (919) 233-4131

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