DOCSLIB.ORG

Edited by Russell Shuttleworth and Teela Sanders

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Edited by Russell Shuttleworth and Teela Sanders SEX AND DISABILITY: Politics, Identity and Access Edited by Russell Shuttleworth and Teela Sanders 2010 The Disability Press Leeds First published 20010 The Disability Press Centre for Disability Studies School of Sociology and Social Policy University of Leeds Leeds LS2 9JT © 2010: The Disability Press/Russell Shuttleworth and Teela Sanders, selection and editorial matter, individual chapters. The contributors. Output from disk cover supplied and printed by University Print Services, a division of Media Services at Leeds. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. British Library Catalgouing in publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloguing in publication Data A catalogue record of this book has been requested ISBN: 0-9549026-6-1 Contents The Disability Press Acknowledgements Contributors Preface INTRODUCTION: THE STATE OF THE FIELD 1. Towards an Inclusive Sexuality and Disability Research Agenda— Russell Shuttleworth PART I - CONSTRUCTING THE SEXUALITY OF DISABLED PEOPLE 2. Sexual ‘Vulnerability’ of People with Learning Difficulties: A Self- Fulfilling Prophecy—Andrea Hollomotz 3. Members Only: The Use of Gay Space(s) by Gay Disabled Men— Craig Blyth 4. Crip Sexuality: Sk(r)ewed Media Representation—Bethany Stevens 5. Exploring the Barriers to Sex and Relationships for People with Learning Difficulties—Ruth Garbutt 6. Disability, Masculinity, and Sexuality in Post-Soviet Ukraine— Sarah Phillips 7. ‘But Rachael was Enjoying It Too, Wasn’t She?’ Cultural Norms and Alternative Approaches in a Learning Disability and Sexuality Case Study—Carol Hamilton PART II - SEXUAL CITIZENSHIP AND SEXUAL RIGHTS 8. Sexual Citizenship, Sexual Facilitation and the Right to Pleasure— Teela Sanders 9. A Sex Worker Perspective on Working with Clients with Disability and the Development of Touching Base Inc.—Rachel Wotten and Saul Isbister 10. A Psychosocial Exploration of (Trans) Gender, Sexual Citizenship and Disability: A Case Study—Zowie Davy 11. Advancing Sexual Health of Persons with Disabilities through Sexual Rights: The Challenge—Godfrey Kanguade Bibliography The Disability Press The Disability Press aims to provide an alternative outlet for work in the field of disability studies. The Disability Press draws inspiration from the work of all those countless disabled individuals and their allies who have, over the years, struggled to put this particular issue onto the political agenda. Its establishment is a testament to the growing recognition of ‘disability’ as an equal opportunities and human rights issue within the social sciences. Funding for this volume was provided by the UK’s Department for International Development. The editor wishes to record his thanks to the School of Sociology and Social Policy at the University of Leeds for its continuing support of the Disability Press. Acknowledgements There are many people I should recognise for helping this book see the light of day. Firstly, I would like to thank the editor of Disability Press, Colin Barnes, for realising the importance of putting a spotlight on marginalized topics in sexuality and disability research. I would also like to give my sincere appreciation to the International Program Development Fund (IPDF) scheme at the University of Sydney. This scheme is set up to promote international collaboration and provided funding for attendance at three international conferences. I also need to thank Dean Gwynnyth Llewellyn for providing matching funds for this IPDF from the Faculty of Health Sciences, University of Sydney. Patricia Weerakoon, the Course Director for the Graduate Program in Sexual Health has provided constant encouragement and unflagging support throughout my time working in this program and on this project among others. My colleague in this program, Gomathi Sitharthan, has also lent a supportive ear on numerous occasions and has encouraged me in this endeavour. Faculty of Health Science library liaison for the Graduate Program in Sexual Health, John Paul Cenzato, has been invaluable to the success of this project, alerting me to important texts and resources in the field. Thanks should also go out to two postgraduate students working on sexuality and disability research projects, Natalie Hamam and Vanessa Gore who assisted me in the first phase of reviewing and categorising the research literature on this topic. These students and also Rachel Wotten, Saul Isbister, Tinashe Dune and Shane O’Dea, who are working on a range of important sexuality and disability topics, have enriched my understanding in this area of study and thus contribute to the spirit of the book. Thanks also go out to Nathan Wilson for providing his rich insight during our occasional confabs on sexuality, masculinity and disability. I especially want to thank my co-editor Teela Sanders at Leeds University, who was my international collaborator on this project, for her work in reviewing and providing feedback for some of the contributions, for assisting me in organizing our session at the biannual Disability Studies Conference, held at Lancaster University in 2008, and for her final proofing of this manuscript. Finally, I want to thank Nikki Wedgwood for assisting me with the nuts and bolts aspects of editing and formatting of the volume, as well as providing critical feedback on the introductory chapter. Contributors Craig Blyth is a lecturer in Learning Disability Studies in the School of Education at the University of Manchester. Ruth Garbutt is currently the Researcher Training and Development Officer in the Staff and Departmental Development Unit at the University of Leeds. Carol Hamilton is a senior lecturer in Disability and Inclusive Studies at the Department of Human Development and Counselling, Waikato University, New Zealand. Andrea Hollomotz is a lecturer in Social Policy at Manchester Metropolitan University. Saul Isbister is a private sex worker and sex worker rights activist based in Sydney, Australia, President and Public Officer of Touching Base Inc and also a research student at the Sexual Health Unit, Faculty of Health Sciences, University of Sydney. Godfrey Kangaude works as an independent consultant for Ipas and the Reproductive Health Unit of the Ministry of Health in Malawi advocating for reform of policy and law in order address the high incidence of maternal mortality and morbidity resulting from complications due to unsafe abortions. Sarah Phillips is Associate Professor of Anthropology at Indiana University, Bloomington. Teela Sanders is a Reader in Sociology in the School of Sociology and Social Policy at the University of Leeds. Russell Shuttleworth, a medical anthropologist by training, is lecturer in sexual health focusing on sexuality and disability and sexuality and ageing at the Faculty of Health Sciences, University of Sydney. Bethany Stevens is a faculty member and policy analyst with the Center for Leadership in Disability within the Institute of Public Health at Georgia State University. Rachel Wotton is an independent migrant sex worker and sex worker rights activist based in Sydney, Australia and Secretary of Touching Base Inc and has extensive experience and training in working with clients with both early onset and acquired disabilities. Preface This book represents one strategy to develop a more inclusive model of sexuality and disability research. It does so by recognising the importance for disabled people of a diversity of issues and the usefulness of employing a range of methodological approaches in their investigation. Following a review of the sexuality and disability research literature in which many issues and perspectives were found lacking, two international conference symposiums were organised around the theme of an inclusive sexuality and disability research agenda and a paper was presented on this theme at another international conference. Funding for the review of literature, organisation of symposia and attendance at these conferences was provided by an International Program Development Fund Award with matching funds provided by the Faculty of Health Sciences, University of Sydney. The general purpose of these funds was to promote international collaboration between universities in the World University Network. My co-editor, Teela Sanders from the University of Leeds, was an international collaborator on this award. The editors organised sexuality and disability symposia entitled, Towards an Inclusive Sexuality and Disability Research Agenda at both the 2008 Disability Studies Association Meeting held at Lancaster University in the United Kingdom and the 2008 Society for the Scientific Study of Sexuality held in San Juan, Puerto Rico. Many of the chapters in this volume were presented at these two symposia in which we specifically wanted to highlight issues and perspectives that are for the most part being overlooked by sexuality and disability researchers. We also contacted several other researchers working on marginalised topics and solicited chapters from them. Another important impetus for this edited book has been the extraordinary group of postgraduate research students in the Graduate Program in Sexual Health, Faculty of Health Sciences, University of Sydney. Several of these students
Load more

Recommended publications
  • Improving the Quality of Life of the Elderly and Disabled
    IMPROVING THE QUALITY OF LIFE OF THE ELDERLY AND DISABLED PEOPLE IN HUMAN SETTLEMENTS IMPROVING THE QUALITY OF LIFE OF ELDERLY AND DISABLED PEOPLE IN HUMAN SETTLEMENTS VOLUME I A Resource Book of Policy and Programmes from around the World United Nations Centre for Human Settlements (Habitat) Nairobi, 1993 HS/284/93E ISBN 92-1-131208-6 FOREWORD The world's population is ageing dramatically. The total number of people aged 60 and older grew from 200 million in 1950 to 400 million in 1982. Their number is expected to increase to 600 million in the year 2001 when 70 per cent of them will live in developing countries. This demographic revolution has major consequences on the way human settlements are designed, managed and used. The United Nations and its agencies have undertaken many activities that recognize this reality. The General Assembly adopted the World Programme of Action concerning Disabled Persons and proclaimed 1981 the International Year of Disabled Persons. In 1982, 124 Member States adopted the International Plan of Action on Aging at the World Assembly on Aging. These two landmark events launched a variety of activities and studies during the United Nations Decade of Elderly and Disabled Persons. The United Nations Centre for Human Settlements (Habitat) launched the decade with two important documents. Designing with Care - a Guide to Adaptation of the Built Environment for Disabled Persons was published as the result of cooperation between the United Nations, UNCHS (Habitat) and the Swedish International Development Agency (SIDA). This guide pointed out that implementation of suggested design guidelines and related policies and programmes would have to be undertaken by authorities, taking into consideration the economic, social and climatic conditions of the human settlement concerned.
    [Show full text]
  • United Nations Entity for Gender Equality and the Empowerment of Women (UN Women)
    UNAIDS 2019 United Nations Entity for Gender Equality and the Empowerment of Women (UN Women) Unified Budget Results and Accountability Framework (UBRAF) 2016-2021 Organizational report 2018 2 Contents Key strategies and approaches 2 Highlights of results 2 Key achievements by SRA 4 Financial information 10 Case study: addressing gender-based violence and enhancing HIV resilience in South Africa 12 Knowledge products 13 1 Key strategies and approaches UN Women was created in July 2010 to promote gender equality not only as an inalienable human right but also as a central tenet of social, economic and cultural development. UN Women provides a consistent and resonant voice for women and girls at local, regional and global levels and stands behind women’s equal participation in all aspects of life, focusing on five high-priority areas: increasing women’s leadership and participation; ending violence against women; engaging women in peace and security processes; enhancing women’s economic empowerment; and making gender equality central to national development planning and budgeting. UN Women is a Cosponsor of UNAIDS. Its strategic approach to HIV addresses the challenges that stem from unequal power relations between women and men. UN Women provides technical and financial support to Member States and women’s organizations, particularly organizations of women living with HIV, to: ▪ integrate gender equality into the governance of the HIV response, ensuring national HIV strategies are informed by sex- and age-disaggregated data and gender analyses and are inclusive of gender-responsive actions, budgets and monitoring and evaluation frameworks; ▪ amplify the voice and leadership of women and girls in all their diversity to meaningfully engage in decision-making in HIV responses at all levels; ▪ scale up what works in tackling the root causes of gender inequalities, including addressing the intersections between HIV and violence against women and promoting women’s economic empowerment to prevent HIV and mitigate its impact.
    [Show full text]
  • Alternative Sexual Culture in Personal Narratives of Queer Disabled Sex
    Georgia State University ScholarWorks @ Georgia State University Institute for Women's, Gender, and Sexuality Women's, Gender, and Sexuality Studies Theses Studies Spring 4-16-2021 Praxis of Lust: Alternative Sexual Culture in Personal Narratives of Queer Disabled Sex Caroline Jackson Follow this and additional works at: https://scholarworks.gsu.edu/wsi_theses Recommended Citation Jackson, Caroline, "Praxis of Lust: Alternative Sexual Culture in Personal Narratives of Queer Disabled Sex." Thesis, Georgia State University, 2021. https://scholarworks.gsu.edu/wsi_theses/82 This Thesis is brought to you for free and open access by the Institute for Women's, Gender, and Sexuality Studies at ScholarWorks @ Georgia State University. It has been accepted for inclusion in Women's, Gender, and Sexuality Studies Theses by an authorized administrator of ScholarWorks @ Georgia State University. For more information, please contact [email protected]. Praxis of Lust: Alternative Sexual Culture in Personal Narratives of Queer Disabled Sex by Caroline Emily Jackson Under the Direction of Susan Talburt, PhD A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts in the College of Arts and Sciences Georgia State University 2021 ABSTRACT This thesis focuses on emotions to analyze personal narratives of queer disabled sex to understand how queer disabled people talk about sex with the goal of identifying their constructions of their sexualities and sexual practices. By analyzing how the role of discourses on disability affect how these narrators and their partners feel about disabled sex, this thesis explores how sex can be used to combat negative emotions fueled by dominant ableist discourses that cause shame and self-disgust.
    [Show full text]
  • Donna Walton's “What's a Leg Got to Do with It?”
    BARBARA FAYE WAXMAN FIDUCCIA PAPERS ON WOMEN AND GIRLS WITH DISABILITIES CENTER FOR WOMEN POLICY STUDIES February 2011 What’s A Leg Got To Do With It?: Black, Female and Disabled in America by Donna R. Walton, Ed.D. Introduction : Over a decade ago, Eddie Glenn called attention to the disparate treatment of African American women with disabilities, suggesting that a triple jeopardy syndrome puts them at a further disadvantage because they are victims of race, gender, and disability bias in our society. Her research explored what it means to be an African American and live with a disability. She also found that African American women with disabilities contribute disproportionately to the population of under educated American women and are least likely to have a high school diploma, do not vigorously participate in the labor force because of the severity of the disability, and are least likely to be married or living in a family arrangement. The impact of triple jeopardy, she found, is observed in several aspects of the lives of African American women with disabilities, including support and family relationships, education, participation in the rehabilitation process, and employment and income (Glenn, 1992). The 1980s saw a flurry of interest in women with physical disabilities (for example, amputees, paraplegics, quadriplegics), but little attention was devoted to the subject in the 1990s, (Danek, 1992). Today, even though a body of literature exists that examines and criticizes rehabilitation services for African Americans with disabilities, there remains a scarcity of literature dedicated to examining the lived experiences of African American women with disabilities, particularly related to self-esteem, self-efficacy and sexual identity.
    [Show full text]
  • The Sexual Health Knowledge of People with Learning
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UEL Research Repository at University of East London Running page: REVIEW OF SEXUAL HEALTH KNOWLEDGE 1 The sexual health knowledge of people with intellectual disabilities: A review. Authors: Mrs Magdalena Borawska-Charko MA, PhD candidate, Department of Psychology, Anglia Ruskin University Dr Poul Rohleder, Reader in Psychology, School of Psychology, University of East London Dr Mick W.L. Finlay, Reader in Psychology, Department of Psychology, Anglia Ruskin University Accepted 18 October 2016 for publication in Sexuality Research and Social Policy This article may not exactly replicate the final version published in the journal REVIEW OF SEXUAL HEALTH KNOWLEDGE 2 Abstract There is a growing recognition that people with disabilities have the same sexual needs and rights as people without disabilities. However, less attention is paid to the sexuality of people diagnosed with intellectual disabilities. This narrative review summarises what is currently known about the level of sexual health knowledge of people with intellectual disabilities. A literature review was conducted of the published literature using Google Scholar, PubMed, PsychInfo, EBSCOhost, and Science Direct. Forty eight articles were identified that addressed the question about the level of sexual health knowledge of people with intellectual disabilities. Overall, studies demonstrate that people with intellectual disabilities are highly variable in levels of sexual knowledge, but on average have a range of deficits in knowledge compared to non-disabled individuals. More tailored education and support in accessing formal and informal sources of information are needed. Keywords: intellectual disability, sexual knowledge, sex education, learning disability, sexuality.
    [Show full text]
  • Women in Times of Change, 1989-2009 the Publication Was Elaborated Within the Framework of the Regional Program “Gender Democracy/ Women’S Politics”
    Poland, Czech Republic, The twentieth anniversary of the 1989 breakthrough is an occasion for summaries. In spite of the twenty years of democratic transformation, Slovakia, women did not manage to reduce their distance from men enough for East Germany their voice to be clearly heard in public debate. Furthermore, the account of the past two decades, as seen from the women's perspective, is not 1989-2009 and Ukraine exactly in tune with the celebratory anniversary atmosphere. It is a para- dox that for women in the former Eastern Bloc the freedom regained in 1989 was often combined with significant limitations of economic, social and reproductive rights. In the face of the lack of public debate on the role of women in the time of transformation, the publication of the Heinrich Böll Foundation in Warsaw attempts to present a multidimensional dialogue about the transformation experiences, giving voice to women. The Authors of the publication judge Women in Times the past twenty years of reforms from the point of view of women from the former countries of the Eastern Bloc: the Czech Republic, Poland, Slovakia, of Change, 1989-2009 Ukraine and former East Germany, and in this context, from the perspec- tive of personal experiences. At the same time, the publication constitutes a platform for inter-generational dialogue. In the publication, personal texts meet more theoretical reflections, and literary accounts often complement more objective attempts to describe the past twenty years. Women in Times of Change, Heinrich Böll Foundation Regional Office Warsaw ul. Żurawia 45, 00-680 Warsaw, Poland phone: + 48 22 59 42 333, e-mail: [email protected] Heinrich Böll Foundation Poland, Czech Republic, Slovakia, East Germany and Ukraine Women in Times of Change, 1989-2009 The publication was elaborated within the framework of the Regional Program “Gender Democracy/ Women’s Politics”.
    [Show full text]
  • Full Study (In English)
    The Long Shadow of Donbas Reintegrating Veterans and Fostering Social Cohesion in Ukraine By JULIA FRIEDRICH and THERESA LÜTKEFEND Almost 400,000 veterans who fought on the Ukrainian side in Donbas have since STUDY returned to communities all over the country. They are one of the most visible May 2021 representations of the societal changes in Ukraine following the violent conflict in the east of the country. Ukrainian society faces the challenge of making room for these former soldiers and their experiences. At the same time, the Ukrainian government should recognize veterans as an important political stakeholder group. Even though Ukraine is simultaneously struggling with internal reforms and Russian destabilization efforts, political actors in Ukraine need to step up their efforts to formulate and implement a coherent policy on veteran reintegration. The societal stakes are too high to leave the issue unaddressed. gppi.net This study was funded by the Konrad Adenauer Foundation in Ukraine. The views expressed therein are solely those of the authors and do not reflect the official position of the Konrad Adenauer Foundation. The authors would like to thank several experts and colleagues who shaped this project and supported us along the way. We are indebted to Kateryna Malofieieva for her invaluable expertise, Ukraine-language research and support during the interviews. The team from Razumkov Centre conducted the focus group interviews that added tremendous value to our work. Further, we would like to thank Tobias Schneider for his guidance and support throughout the process. This project would not exist without him. Mathieu Boulègue, Cristina Gherasimov, Andreas Heinemann-Grüder, and Katharine Quinn-Judge took the time to provide their unique insights and offered helpful suggestions on earlier drafts.
    [Show full text]
  • Paralympics and Para- Sports
    PARALYMPICS AND PARA- SPORTS THE RISE OF PARA-SPORTS, THE GROWTH OF THE PARALYMPIC GAMES AND THE OPPORTUNITIES FOR FANS AND BRANDS. 2016 NIELSEN SPORTS REPORT AT A TIME WHEN PARALYMPICS MANY BRANDS ARE SEEKING TO ATTACH GLENN LOVETT President, Global Strategy Over the past decade or so the Paralympic Games has established itself THEMSELVES TO Nielsen Sports as a major sporting event in its own right. Each edition delivers hundreds of compelling stories created by thousands of athletes in front of millions SOCIAL CAUSES, THE of viewers. OPPORTUNITY AROUND By almost any measure, London 2012 was the most successful edition yet, building on another successful summer Games in Beijing four years THE PARALYMPIC GAMES earlier: more viewers, more recognition for athletes and more interest IS UNDENIABLE. in para-sports. That has also stimulated new commercial opportunities for brands at either a global or national level, a chance to associate themselves with great athletes, growing profiles, and events that are GLENN LOVETT growing in stature. But the Paralympic Games is about more than sport, and it is here where the International Paralympic Committee believes it has its unique selling point: as London 2012 showed, the Games can be a driver of social change that goes far beyond a stadium, helping to shift attitudes towards those with an impairment. In fact IPC President Sir Philip Craven believes today the Paralympic Games are the world’s number CONTENTS one sports event for driving social inclusion. 1 This Nielsen Sports report therefore examines not only the rising interest in the Paralympics, its growing status as a media product 4 I LONDON 2012 TO RIO 2016 and how the Games already works for partners, but also notes the For the past four years the International Paralympic opportunity it provides to change attitudes – and, critically, what that Committee has been working to capitalise on the might mean for current and future para-sports sponsors.
    [Show full text]
  • DOCUMENT RESUME Essential Skills for the Care Team. A
    DOCUMENT RESUME ED 419 937 CE 076 574 TITLE Essential Skills for the Care Team. A Program for New Employees in Residential and Home Care. INSTITUTION State Univ. of New York, Albany. Rockefeller Coll.; Eddy/Northeast Health, Troy, NY. SPONS AGENCY Office of Vocational and Adult Education (ED), Washington, DC. National Workplace Literacy Program. PUB DATE 1998-00-00 NOTE 456p.; For a related document, see CE 076 575. CONTRACT V198A40098-96 PUB TYPE GuideS Classroom Teacher (052) EDRS PRICE MF01/PC19 Plus Postage. DESCRIPTORS Adult Basic Education; Allied Health Occupations Education; Classroom Techniques; Competence; Competency Based Education; *Home Health Aides; *Nurses Aides; *On the Job Training; Postsecondary Education; Teaching Methods; Units of Study; *Workplace Literacy ABSTRACT This document contains modules for two types of training. It provides 20 hours of training to newly hired Nursing Assistant Trainees (NATs) in residential care settings preparing to become state Certified Nursing Assistants (CNAs), using eight stand-alone modules supported by training process guides. It also includes 7 hours of training for newly hired NATs in the home care settings preparing to become state certified Home Health Aides (HHAs), using five stand-alone modules with training process guides. The materials are suitable for workplace literacy programs for adults with low levels of English literacy skills. A learning strategies module serves as an introduction to both programs. The CNA program contains the following modules: understanding your
    [Show full text]
  • White Paper State of Affairs in Sex Education for People With
    White Paper State of Affairs in Sex Education for People with Intellectual and Developmental Disabilities (IDD) Prepared for Planned Parenthood League of Massachusetts By Nechama F. Sammet Moring, CPM, MA Rebel Girl Research Communications PPLM 2019 Contents Acknowledgements ......................................................................................................................... 3 Executive Summary ......................................................................................................................... 4 Background and Preparation .......................................................................................................... 6 Findings ........................................................................................................................................... 7 Comprehensive Sex Education.................................................................................................... 7 Sexual Violence Prevention and Consensual Sexuality .............................................................. 8 Non-Compliance is a Social Skill: Ensuring People with IDD Can Say ‘No’ and ‘Yes’ .................. 9 Protecting Rights and Understanding Guardianship ................................................................ 10 Inclusion and Disability Justice: “Nothing About Us Without Us” and “Nothing Without Us” 11 Networking, Overcoming Siloes, and “Discovering” Existing Resources .................................. 12 The System Wasn’t Built for Us: Unmet Needs and Gaps .......................................................
    [Show full text]
  • Sexuality, Ethics, and Intellectual Disability
    Sexuality, Ethics, and Intellectual Disability: The Path to the Present and Roads to the Future Jason Buckles, PhD, LPCC UNM Continuum of Care 505-615-2223 [email protected] Quick Exercise: Write down the most ‘edgy’, ‘embarrassing’, or ‘fulfilling’ sexual experience (real or imagined) that you have ever had. Take some time to think about it. Now – share it with the group of people around you and see what they think about your choices. JUST KIDDING…NOT SERIOUSLY…OK – You can stop now…TMI… BUT – CONSIDER THE FACT THAT WE ASK MANY OF THE PEOPLE WE SUPPORT TO DO JUST THAT – ALL THE TIME What would this do to your own concepts of sex/privacy/‘appropriate’? Goals and Objectives A brief history of sexuality in ID services in the US Current concerns regarding abuse and educational efforts Ethical Considerations ‘Healthy Sexuality’ Healthy Systems Dignity of Risk/Duty of Care Example vignettes – small group discussions History - How did we get here and where are we going? HISTORY Since the 1800s and continuing to today, perspectives on sexuality have played a key role in the formation of our systems of supports for people with intellectual disability (ID). (Scheerenberger, 1983; Trent, 1994) “The past is never dead…it’s not even past” – William Faulkner HISTORY “[O]ur culture’s inability or refusal to deal with very real sexual needs of [people with ID] has been the primary impediment to every farsighted ideological proposal since Wilbur’s advocacy of community placement in the 1850s” (Conway, 1976, p. 62). StudentsWardsThreat to Society Society as a Threat to ‘Them’ Advocacy/Human Rights Risk In American historical context: “Because of the negative history experienced by people with disabilities, it is not possible to discuss any sexual behavior of persons with a disability without also discussion the environment in which they live or have lived “ (Hingsburger & Tough, 2002, p.
    [Show full text]
  • Eating Disorders
    What to Expect… Medical Stabilization Program for Eating Disorders CHOC has developed a multidisciplinary approach in the treatment of acute medical instability related to eating disorders. Admission is designed to: Assess and treat medical disorders resulting from abnormal eating. Provide nutritional rehabilitation Prevent long-term and life threatening complications The patient’s stay depends on the level of medical instability. Once medically stable, we will help facilitate treatment arrangements to continue treatment for the eating disorder following discharge. Treatment includes: Complete physical examination and laboratory testing Individualized medical treatment plan including vitamin and mineral supplements Cardio-respiratory monitoring Nutritional assessment and management Growth and development evaluation Psychological evaluation and monitoring Psychiatric medication evaluation and monitoring as needed What to expect during hospitalization: Patients will receive one-to-one supervision of activity at all times, including meals and snacks and bathroom privileges. Visitors limited to parents, unless otherwise authorized by the multidisciplinary team. Activity level based on vitals o Strict medical bedrest: complete bedrest with commode at bedside. May stand only for daily weight and vitals; sit in chair for linen change; bed bath only, no shower. o Bedrest with wheelchair privileges: If vital signs stable, may be pushed in a wheelchair by staff on the floor; may take seated shower, use toilet in bathroom, sit at sink. o Bedrest with ambulation privileges – may use toilet in bathroom and may shower. If vital signs stable, may be pushed in a wheelchair by staff on the floor and may be up in room for short periods, otherwise on bedrest. Outside foods are not allowed unless approved by Nutrition.
    [Show full text]