Charlotte Whittle1, Catherine Butler2. 1. Department of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK. Electronic address: C.Whittle@bath.ac.uk. 2. Department of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK. Electronic address: C.A.Butler@bath.ac.uk.
Abstract
BACKGROUND: The normalisation movement calls for more recognition of the sexual rights of people with intellectual disabilities to challenge classically paradoxical cultural beliefs: 'hypersexual' versus 'asexual'. AIMS: This meta-ethnographic qualitative synthesis aimed to explore the voices of people with intellectual disabilities in regards to their experiences and perceptions of sexuality using a Coordinated Management of Meaning framework to derive new conceptual understandings of how their sexuality exists within multiple contexts. METHODS AND PROCEDURES: A systematic literature search and quality assessment yielded 16 studies that met the inclusion criteria and were synthesised following the method of meta-ethnography. OUTCOMES AND RESULTS: Four core themes were identified; 'Sociocultural Norms'; 'Under Others Power'; 'Sexual Identity' and 'Sexual Experience'. CONCLUSIONS AND IMPLICATIONS: Application of the hierarchical Coordinated Management of Meaning model suggested caregivers contextual beliefs about people with intellectual disabilities' sexuality inhibited or facilitated positive expressions of sexuality over and above individual needs and desires. Rights-based cultural messages provided the only context that led to positive sexuality outcomes and research that explores sexuality within this context is much needed. The Coordinated Management of Meaning model identified by this research may act as a framework to support the reflective-practice of caregivers.
BACKGROUND: The normalisation movement calls for more recognition of the sexual rights of people with intellectual disabilities to challenge classically paradoxical cultural beliefs: 'hypersexual' versus 'asexual'. AIMS: This meta-ethnographic qualitative synthesis aimed to explore the voices of people with intellectual disabilities in regards to their experiences and perceptions of sexuality using a Coordinated Management of Meaning framework to derive new conceptual understandings of how their sexuality exists within multiple contexts. METHODS AND PROCEDURES: A systematic literature search and quality assessment yielded 16 studies that met the inclusion criteria and were synthesised following the method of meta-ethnography. OUTCOMES AND RESULTS: Four core themes were identified; 'Sociocultural Norms'; 'Under Others Power'; 'Sexual Identity' and 'Sexual Experience'. CONCLUSIONS AND IMPLICATIONS: Application of the hierarchical Coordinated Management of Meaning model suggested caregivers contextual beliefs about people with intellectual disabilities' sexuality inhibited or facilitated positive expressions of sexuality over and above individual needs and desires. Rights-based cultural messages provided the only context that led to positive sexuality outcomes and research that explores sexuality within this context is much needed. The Coordinated Management of Meaning model identified by this research may act as a framework to support the reflective-practice of caregivers.
Authors: Tamara Guenoun; Barbara Smaniotto; Christophe Clesse; Marion Mauran-Mignorat; Estelle Veyron-Lacroix; Albert Ciccone; Aziz Essadek Journal: Int J Environ Res Public Health Date: 2022-04-14 Impact factor: 3.390
Authors: Michael Brown; Edward McCann; Maria Truesdale; Mark Linden; Lynne Marsh Journal: Int J Environ Res Public Health Date: 2020-10-18 Impact factor: 3.390