Issues and challenges in sexuality and sex education in Intellectually Disabled

All human beings are sexual from birth to death, and the Intellectually Disabled (ID) are not exempt from this. The issues of sexual needs and sexual behaviour of the ID have been a sensitive and controversial topic. Perhaps because of the taboos associated with Intellectual Disability and sexuality, individually or in combination, very little is known about the sexuality of people with ID, but research studies do indicate that it is much the same as the general population, although opportunities for sexual expression are limited. This article provides an overview of sexuality issues in ID, with regard to sexual rights, sexual development and maturation, menstruation and menstrual hygiene, masturbation, petting, sexual activity, marriage, pregnancy, parenting, sexual abuse, fertility and birth control, menopause, and the progress and issues in sexuality education for ID. Prior research shows that individuals with ID show secondary sexual characteristics and development similar to that of intellectually averaged peers; those in the lower range of functioning develop those characteristics at a slower pace. ID children often neglect menstruation and are non-co operative in menstrual grooming due to poor understanding, irritability, fatigue and increased seizure. Research reports vaginal hysterectomy as management of this. They show a lower rate of offspring production than the non retarded. It is estimated that ID children are sexually victimized at 4-10 times the rate of the general population, 39-83% of girls and 16-32% of boys experience sexual abuse before they reach the age of 18. Parents and professionals are pessimistic in the sexual needs of people with IDD and consider them as asexual. There is an urgent need for development of methods to teach them about sexuality and sexual abuse prevention, since research on sex education revealed poor generalization of skills to real life situations. In situ training revealed better generalization, but has the issue of causing emotional distress and dissonance among ID

Effectiveness of Behavioral Skills Training (BST) on Knowledge of Sexual Abuse and Resistance Ability among Children with Intellectual Disability: a pilot study

Sexual abuse among children with Intellectual Disability is 2-4 times the rate of the general population. 39% - 83% of girls and 16% - 32% of boys with Intellectual Disability typically experience sexual abuse by the time they reach the age of 18. In order to protect themselves, children with Intellectual Disability must have the skills to independently recognize potentially abusive situations and respond appropriately. The current study focused on assessing the effectiveness of Behavioural Skills Training on knowledge of sexual abuse and resistance ability among children with Intellectual Disability. A true experimental, pre-test post-test control group design was adopted. Study was conducted among 14 children with mild or moderate disability (7 in the experimental and control groups respectively), randomly selected from a selected special school. Pre-assessment of subjects was done using the Personal Safety Questionnaire (PSQ), and video based modified What If Situation test (WIST). BST was administered for one month (12 sessions). Post-assessment was done one week after the intervention. The Experimental Group demonstrated greater knowledge regarding sexual abuse (t=3.27, p=0.008) and resistance ability (WIST female t=5.85, p< 0.001, WIST male t=4.47, p=0.001) when compared to the control group. Current study findings suggest that BST is effective for children with mild or moderate Intellectual Disability in the experimental group. Further research with the same protocol to gain more subjects, Is suggested in order to confirm the result before being applied as a primary prevention intervention for child sexual abuse in children with Intellectual Disability