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If not the Disability, then what? Barriers to Reclaiming Sexuality Following Spinal Cord Injury

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Abstract

Human sexuality has been medicalized and largely reduced to its physical components. This has led to a focus on the performative part of sexuality, and to a lack of interest in its social component. Men with spinal cord injury often report an unsatisfying sexual life, with limited chances to express their sexuality. This study shows that sociocultural barriers may be as disabling as physical impairment. The participants of this qualitative study felt that several barriers compromised their right to a satisfying sexual life, including certain social beliefs and attitudes (e.g. social disapproval and exclusive notion of sexuality), lack of employment, inappropriate personal assistance and inaccessibility among others. Impairment per se was not viewed as a barrier, since the new situation assumed status of normality. It is suggested that changes in education as well as the removal of physical barriers may positively influence societal attitudes and make sexuality more “accessible” to disabled people.

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References

  1. Hahn, H.: The social component of sexuality and disability: Some problems and proposals. Sex Disability 4, 220–233 (1981)

    Article  Google Scholar 

  2. Milligan, M., Neufeldt, A.: The myth of asexuality: a survey of social and empirical evidence. Sex Disability 19, 91–109 (2001)

    Article  Google Scholar 

  3. Tepper, M.: Letting go of restrictive notions of manhood: Male sexuality, disability and chronic illness. Sex Disability 17, 37–52 (1999)

    Article  Google Scholar 

  4. Tepper, M.: Sexuality and disability: The missing discourse of pleasure. Sex Disability 18, 283–290 (2000)

    Article  Google Scholar 

  5. Stroman, D.: The Disability Rights Movement. Lanham, Maryland, University Press of America (2003)

  6. Shakespeare, T., Watson, N. (2001) Making the difference: disability, politics and recognition. In: Albrecht, G., Seelman, K., Bury, M. (eds.) The Handbook of Disability Studies, pp. 546–564. Sage Publications, Inc, Thous and Oaks California

    Google Scholar 

  7. Braddock, D., Parish, S.: An institutional history of disability. In: Albert, G., Seelman, K., Bury, M. (eds.) The Handbook of Disability Studies, pp. 11–67. Sage Publications, Inc, Thous and Oaks California (2001)

    Google Scholar 

  8. Stalker, K., Jones, C.: Normalization and critical disability theory. In: Jones, D., Blair, S., Hartery, T., Jones, R. (eds.) Sociology and Occupational Therapy, pp. 171–183. Churchill Livingstone, Edinburgh (1998)

    Google Scholar 

  9. Drench, M.: Impact of altered sexuality and sexual function in spinal cord injury: a review. Sex Disability 10, 3–14 (1992)

    Article  Google Scholar 

  10. Murphy, R.: The Body Silent. W. W. Norton, New York (1990)

    Google Scholar 

  11. Shakespeare, T.: The sexual politics of disabled masculinity. Sex Disability 17, 53–64 (1999)

    Article  Google Scholar 

  12. Weinberg, J.S.: Human sexuality and spinal cord injury. Nursing Clinics North Am. 17, 407–419 (1982)

    Google Scholar 

  13. Hammell, K.: Spinal Cord Injury Rehabilitation. Chapman and Hall, London (1995)

    Google Scholar 

  14. Mah, K., Binik, Y.: Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction. J. Sex Marital Ther. 31, 187–200 (2005)

    Article  PubMed  Google Scholar 

  15. Cole, J.: Still Lives. The MIT Press, Cambridge Massachusetts (2004)

    Google Scholar 

  16. Guldin, A.: Self claiming sexuality: mobility impaired people and Americanculture. Sex Disability 18, 233–238 (2000)

    Article  Google Scholar 

  17. Sakellariou, D.: Sexuality of men with spinal cord injury: a phenomenological study. Unpublished MSc Dissertation. Sapporo, Sapporo Medical University (2005)

  18. Sakellariou, D., Sawada, Y.: Sexuality after spinal cord injury: the Greek male’s perspective. Am. J. Occup. Ther. 60, 311–319 (2006)

    PubMed  Google Scholar 

  19. Sakellariou, D., Simó Algado, S.: Sexuality and disability: a case ofoccupational injustice. Br. J. Occup. Ther. 69, 69–76 (2006)

    Google Scholar 

  20. Moustakas, C.: Phenomenological Research Methods. Sage Publications, London (1994)

    Google Scholar 

  21. van Manen, M.: Researching Lived Experience. The Althouse Press, London Ontario (1990)

    Google Scholar 

  22. Taleporos, G., McCabe, M.: Relationships, sexuality and adjustment among people with physical disability. Sex Relation Ther. 18, 25–43 (2003)

    Article  Google Scholar 

  23. Laumann, E., Gagnon, J.: A sociological perspective on sexual action. In: Parker, R., Gagnon, J. (eds.) Conceiving Sexuality, pp. 183–214. Routledge, New York (1995)

    Google Scholar 

  24. Shakespeare, T., Gillespie–Sells, K., Davies, D.: The Sexual Politics of Disability. Cassell, London (1996)

    Google Scholar 

  25. Good, B.: Medicine, Rationality, and Experience. Cambridge University Press, Cambridge (1994)

    Google Scholar 

  26. McCabe, M., Taleporos, G.: Sexual esteem, sexual satisfaction and sexual behavior among people with physical disability. Arch. Sex Behav. 32, 359–369 (2003)

    Article  PubMed  Google Scholar 

  27. Sakellariou, D.: The disabler, the disablee and their context: a tripartite view of disability. Br. J. Occup. Ther. 69, 49 (2006)

    Google Scholar 

  28. Gagnon, J., Parker, R.: Introduction. In: Parker, R., Gagnon, J. (eds.) Conceiving Sexuality, pp. 3–18. New York, Routledge (1995)

    Google Scholar 

  29. Weeks, J.: History, desires, and identities. In: Parker, R., Gagnon, J. (eds.) Conceiving Sexuality, pp. 33–50. Routledge, New York (1995)

    Google Scholar 

  30. Connell, R.W.: Masculinities. University of California Press, Berkeley and Los Angeles California (1995)

    Google Scholar 

  31. Linschoten, J.: Aspects of the sexual incarnation. In: Kockelmans, J. (ed.) Phenomenological Psychology: The Dutch School, pp. 149–194. Dordrecht, Martinus Nijhoff Publishing (1969/1987)

  32. Shakespeare, T.: “I haven’t seen that in the Kama Sutra”: The sexual stories of disabled people. In: Weeks, J., Holl, J., Waites, M. (eds.) Sexualities and Society: A Reader. Polity Press, Cambridge (2003)

    Google Scholar 

  33. Eagle, M.: Challenging society’s perceptions of disability. Br. J. Occup. Ther. 6, 135 (2003)

    Google Scholar 

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Correspondence to Dikaios Sakellariou.

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Sakellariou, D. If not the Disability, then what? Barriers to Reclaiming Sexuality Following Spinal Cord Injury. Sex Disabil 24, 101–111 (2006). https://doi.org/10.1007/s11195-006-9008-6

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