Η σεξουαλική εκπαίδευση και τα ψυχοσεξουαλικά προβλήματα ατόμων με νοητική υστέρηση


Δημοσιευμένα: Oct 15, 2020
Λέξεις-κλειδιά:
Νοητική υστέρηση Εκπαίδευση Σεξουαλικότητα Κακοποίηση Επιθετική συμπεριφορά
Παναγιώτης Σιαπέρας
Σπυρίδων - Γεώργιος Σούλης
Περίληψη

Με το πέρασμα των ετών, η πολιτική σχετικά με τις υπηρεσίες και τα δικαιώματα των ατόμων με νοητική υστέρηση έχει περάσει από διάφορα στάδια. Τις τελευταίες δεκαετίες, μοντέλα όπως το σκανδιναβικό μοντέλο της ομαλοποίησης (normalisation) (Nirje, 1972) έχουν βελτιώσει, παρά τα διάφορα προβλήματα, την καθημερινότητα αυτής της ομάδας του πληθυσμού. Σήμερα η πολιτική για τα άτομα με νοητική υστέρηση έχει ως βασικό στόχο να έχουν τα άτομα αυτά κανονικό τρόπο ζωής όπως οι υπόλοιποι συμπολίτες τους. Να ζουν δηλαδή αυτόνομα, είτε με την υποστήριξη της οικογένειας στο σπίτι είτε σε χώρους ημιαυτόνομης ή προστατευμένης διαβίωσης, προκειμένου να αποκτήσουν πιο ενεργό και ανεξάρτητο κοινωνικό ρόλο. Ωστόσο, παρά την πρόοδο και την αυξανόμενη γνώση σχετικά με το φαινόμενο της νοητικής υστέρησης, υπάρχουν ακόμα προβλήματα σχετικά με ζητήματα διαφυλικότητας και σεξουαλικής εκπαίδευσης. Στο άρθρο αυτό επιχειρείται να προσεγγιστούν ψυχοσεξουαλικοί προβληματισμοί, όπως βασικές αρχές σεξουαλικής αγωγής των ατόμων με νοητική υστέρηση. Παρουσιάζονται επίσης ζητήματα σεξουαλικής κακοποίησης και παραβατικής σεξουαλικής συμπεριφοράς εξαιτίας της έλλειψης πληροφόρησης και εκπαίδευσης αυτών των ατόμων.

Λεπτομέρειες άρθρου
  • Ενότητα
  • ΘΕΩΡΗΤΙΚΕΣ ΑΝΑΣΚΟΠΗΣΕΙΣ
Λήψεις
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Αναφορές
American Psychiatric Association (1994). Diagnostic
and Statistical Manual of Mental Disorders - 4th
edition (DSM-IV). Washington, DC: Author.
Balen, R. & Crawshaw, M. (2006). Sexuality and
Fertility Issues in Ill Health and Disability: From
Early Adolescence to Adulthood. London:
Jessica Kingsley Publishers.
Bancroft, J. (1991). The sexuality of sexual offending:
The social dimension. Criminal Behaviour and
Mental Health, 1, 181-192.
Bigby, C., Fyffe, C., & Ozane, E. (2007). Planning and
Support for People with Intellectual Disabilities:
Issues for case managers and other professionals.
London: Jessica Kingsley Publishers.
Chamberlain, A., Raugh, J., Passer, A., McGrath, M.,
& Burket, R. (1984). Issues in fertility control for
mentally retarded female adolescents: Sexual ac-
Η σεξουαλική εκπαίδευση ατόμων με νοητική υστέρηση 81
tivity, sexual abuse and contraception. Paediatrics,
, 445-450.
Cambridge, P. & Carnaby, S. (2005). Person Centred
Planning and Care Management with People with
Learning Disabilities. London: Jessica Kingsley
Publishers.
Charman, T. & Clare, I. (1992). Education about the
laws and social rules relating to sexual
behaviour. Mental Handicap, 20, 74-80.
Clare, I. & Murphy, G. (1998). Working with offenders
or alleged offenders with learning disabilities. In
E. Emerson, C. Hatton, J. Bromley & A. Caine
(Eds.), Clinical psychology and people with
intellectual disabilities. Chichester: John Wiley
and Sons, Ltd.
Cooke, L. (1990). Abuse of mentally handicapped
adults. Psychiatric Bulletin, 14, 608-609.
Craft, A. (1994). Practice issues in sexuality and
learning disabilities. London: Routledge.
Craft, A. & Craft, M. (1981). Sexuality and mental
handicap: A review. British Journal of Psychiatry,
, 495-505.
Davison, G. C. & Neale, J. M. (2001). Abnormal
psychology. New York: John Wiley & Sons.
Day, K. (1994). Male mentally handicapped sexoffenders.
British Journal of Psychiatry, 165, 630-
Day, K. (1997). Sex offenders with learning disabilities.
In S. G. Read (Eds.), Psychiatry in learning
disabilities (Chapter 12). London: W.B. Saunders.
Elvick, S. L., Berkowitz, C. D., Nicholas, E., Lipman,
J. L., & Inkelis, S. H. (1990). Sexual abuse in
developmentally disabled. Dilemmas of
diagnosis. Child Abuse and Neglect, 14, 497-502.
Emerson, E., Hatton, C., Bromley, J., & Caine, A.
(1998). Clinical psychology and people with
intellectual disabilities. Chichester: Wiley.
Fikelhor, D., Hotaling, G., Lewis, I. A., & Smith, C.
(1990). Sexual abuse in a national survey of adult
men and women: Prevalence, characteristics
and risk factors. Child Abuse and Neglect, 14, 19-
Gates, B. (2003). Learning Disabilities. Towards
Inclusion. London: Elsevier Science Limited.
Gilby, R., Wolfe, L., & Goldberg, B. (1989). Mentally
retarded adolescent sex-offenders. A survey, and
pilot study. Canadian Journal of Psychiatry, 34,
-548.
Haracopos, D. (1988). What about me? Autistic
children and adults. Copenhagen, Denmark:
Andonia.
Haracopos, D. & Pedersen, L. (1992). Sexuality and
autism. A nation wide survey in Denmark. Danish
Report.
Henault, I. (2005). Asperger’s Syndrome and
Sexuality: From Adolescence through Adulthood.
London: Jessica Kingsley Publishers.
Howlin, P. & Clements, J. (1995). Is it possible to
assess the impact of abuse in children with
pervasive developmental disorders? Journal of
Autism and Developmental Disorders, 25, 337-
Lawson, W. (2005). Sex, Sexuality and the Autism
Spectrum. London: Jessica Kingsley Publishers.
Lindsay, W. R., Hastings, R. P., Griffiths, D. M., &
Hayes, S. C. (2007). Trends and challenges in
forensic research on offenders with intellectual
disability. Journal of Intellectual & Developmental
Disability, 32, 55-61.
Marshall, W. L. (1989). Intimacy, loneliness and
sexual offenders. Behaviour Research and
Therapy, 27, 491-503.
Martorella, A. N. & Portugues, A. N. (1998). Prevention
of sexual abuse in children with learning disabilities.
Child Abuse Review, 7, 355-359.
McCarthy, M. & Thompson, D. (1991). The politics
of sex education. Community Care, 3, 120-124.
McCarthy, M. & Thompson, D. (1994). HIV/AIDS and
safer sex work with people with learning
disabilities. In A. Craft (Eds.), Practice issues in
sexuality and learning disabilities (Chapter 10).
London: Routledge.
Mitchell, L. K., Doctor, R. M., & Butler, D. C. (1978).
Attitudes of caretakers towards the sexual behaviour
of mentally retarded persons. American
Journal of Mental Deficiency, 83, 289-296.
Moss, J. (1998). Working with issues of sexual
abuse. In E. Emerson, C. Hatton, J. Bromley & A.
Caine (Eds.), Clinical psychology and people
with intellectual disabilities. Chichester: Wiley.
Murphy, G. & Mason, J. (1999). People with developmental
disabilities who offend. In N. Bouras
(Ed.), Psychiatric and behavioural disorders in
developmental disabilities and mental retardation.
Cambridge: Cambridge University Press.
Murphy, G. & Mason, J. (2007). People with intellectual
disabilities who are at risk of offending. In N.
Bouras & G. Holt (Eds.), Psychiatric and behavioural
disorders in intellectual and developmental
Παναγιώτης Σιαπέρας και Σπυρίδων-Γεώργιος Σούλης
disabilities (pp. 173-202). Cambridge: Cambridge
University Press.
Murphy, G., Powell, S., Guzman, A. M., & Hays, S.
J. (2007). Cognitive-behavioural treatment for
men with intellectual disabilities and sexually
abusive behaviour: A pilot study. Journal of
Intellectual Disability Research, 51, 902-912.
Nirje, B. (1972). The right to self-determination. In W.
Wolfensberger (Ed.), The principle of normalisation
in human services. Toronto: NIMR.
O’Brien, G. (2002). Behavioural phenotypes in clinical
practice. London: Cambridge University Press.
O’Callagan, A. C., Murphy, G., & Clare, I. C. H. (2003).
The impact of abuse on men and women with severe
learning disabilities and their families. British
Journal of Learning Disabilities, 31, 175-180.
Perske, R. (1972). The dignity of risk and the mentally
retarded. Mental Retardation, 10, 25-27.
Read, S. G. (1997). Psychiatry in learning disabilities.
London: Saunders.
Rioux, J. (2004). Knowing where you stand: A training
program for providing sexuality education to individuals
with intellectual disabilities. Fredericton:
Planned Parenthood.
Sellars, C. (2002). Risk assessment in people with
learning disabilities. Oxford: BPS Blackwell.
Sgroi, S. (1993). Vulnerable population: Sexual abuse
treatment for children, adults Survivors, offenders
and persons with mental retardation. Toronto:
Lexington Books.
Sharma, D. (2004, February 4). Sex offenders with
learning disabilities. The Guardian Newspaper, p.
Sobsey, D. (1998). Violence and abuse in the lives of
people with disabilities: The end of silent acceptance?
Baltimore: P.H. Brookes.
Sundram, J. S. & Stavis, F. P. (1994). Sexuality and
mental retardation: Unmet challenges. Mental
Retardation, 32(4), 255-264.
Swason, S. C. & Garwick, G. B. (1990). Treatment for
low functioning sex-offenders: Group therapy
and interagency coordination. Mental Retardation,
, 155-161.
Thomas, D. & Wood, H. (2003). Working with People
with Learning Disabilities. Theory and Practice.
London: Jessica Kingsley Publishers.
Thompson, S. B. N. (1991). Sexuality training in
occupational therapy for people with a learning
difficulty. British Journal of Occupational Therapy,
(8), 303-305.
Thompson, S. B. N. (1994). Sexuality training in
occupational therapy for people with a learning
disability, four years on: Policy guidelines. British
Journal of Occupational Therapy, 57(7), 255-258.
Turk, V. & Brown, H. (1993). The sexual abuse of
adults with learning disabilities: Results of a two
years incidence survey. Mental Handicap
Research, 6(3), 193-216.
Vizard, E. (1989). Child sexual abuse and mental
handicap: A child psychiatrist’s perspective. In H.
Brown & A. Craft (Eds.), Thinking the unthinkablepapers
on sexual abuse and people with learning
difficulties. London: FPA Education.
Wheatley, H. (2005). Sex, sexuality and relationships
for young people with learning disabilities.
Current Paediatrics, 15(3), 195-199.