Sexual Aspects of Rehabilitation: The Client's Perspective

Abstract

This paper outlines the findings of a small-scale study that explored disabled people's experiences of the sexual aspects of rehabilitation. It focuses on whether this should be the role of the occupational therapist or not. Sexuality is a complex area that encompasses many facets of the individual and is different to sexual functioning. The literature demonstrates that disability in any form may potentially result in problems with respect to sexuality as well as sexual functioning. Seven in-depth interviews were carried out with disabled people aged between 30 and 50 years. Although the sexual functioning of six participants was affected, only two had received information on sexual aspects of rehabilitation. All believed that they should receive advice and information on the sexual aspects of their rehabilitation, but were uncertain as to who should take responsibility for this role. The findings from this study suggest that any health professional would be appropriate for this responsibility, including occupational therapists, but that they would need specialist training. Undergraduate education and training for occupational therapists should address basic issues of sexuality and disability, and provide opportunities for individuals to explore their own values and beliefs so that they feel confident in discussing sexual issues with clients. Health professionals who work with clients with specific sexual needs are likely to require additional training in this sensitive area.