Spinal cord injuries and other acquired severe neurological disabilities of the spinal cord and peripheral nervous systems can be devastating to people who experience them. People experience changes in mobility and in bowel and bladder function. Sensory, tactile losses are common and physical independence may be compromised. Protracted hospitalizations and rehabilitation may be necessary to develop or regain physical skills and maximize independence. An extremely important, but often neglected, aspect of any comprehensive approach in the rehabilitation of persons affected by severe neurological disabilities is sexual education and counseling. As with any rehabilitation concern, a sexuality program should be approached in a systematic and comprehensive manner. This paper describes one such approach. Originally developed for persons with spinal cord injuries, this approach has been expanded to serve persons with other severe non-cognitive physical disabilities.
{"title":"A Holistic Social Work Approach to Providing Sexuality Education and Counseling for Persons with Severe Disabilities","authors":"Dsw Romel W. Mackelprang Msw","doi":"10.1300/J291V08N02_04","DOIUrl":"https://doi.org/10.1300/J291V08N02_04","url":null,"abstract":"Spinal cord injuries and other acquired severe neurological disabilities of the spinal cord and peripheral nervous systems can be devastating to people who experience them. People experience changes in mobility and in bowel and bladder function. Sensory, tactile losses are common and physical independence may be compromised. Protracted hospitalizations and rehabilitation may be necessary to develop or regain physical skills and maximize independence. An extremely important, but often neglected, aspect of any comprehensive approach in the rehabilitation of persons affected by severe neurological disabilities is sexual education and counseling. As with any rehabilitation concern, a sexuality program should be approached in a systematic and comprehensive manner. This paper describes one such approach. Originally developed for persons with spinal cord injuries, this approach has been expanded to serve persons with other severe non-cognitive physical disabilities.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133153222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is the authors' observation that the values and generic skills of social work make it an obvious and competent profession to address the societal and individual problems of child sexual abuse. Yet social workers have often overlooked and minimized the extent and effects of this rampant form of child abuse. This chapter will: examine the reluctance of social workers to become involved in treatment and prevention of this problem; describe the extent and dynamics of child sexual abuse; and recommend educational efforts so that social workers in the future are prepared to intervene more effectively on behalf of sexually abused children. These observations and recommendations are based on the authors' seven years of clinical experiences treating sexually abused children of all ages.
{"title":"CLINICAL ISSUES IN CHILD SEXUAL ABUSE","authors":"Lucy Berliner Msw, Acsw Doris Stevens Ma","doi":"10.1300/J291V01N01_06","DOIUrl":"https://doi.org/10.1300/J291V01N01_06","url":null,"abstract":"It is the authors' observation that the values and generic skills of social work make it an obvious and competent profession to address the societal and individual problems of child sexual abuse. Yet social workers have often overlooked and minimized the extent and effects of this rampant form of child abuse. This chapter will: examine the reluctance of social workers to become involved in treatment and prevention of this problem; describe the extent and dynamics of child sexual abuse; and recommend educational efforts so that social workers in the future are prepared to intervene more effectively on behalf of sexually abused children. These observations and recommendations are based on the authors' seven years of clinical experiences treating sexually abused children of all ages.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124015674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adults with mental retardation living in the community are marrying and having children. Many are experiencing significant problems in their role as parents. Legal, professional and programmatic supports for some adults lag behind need. This article reviews legal and ethical issues surrounding this growing population. The experience of a model pilot parenting program is presented. Finally, recommendations for future efforts in this area are presented.
{"title":"The Parent with Mental Retardation","authors":"B. Whitman, P. Accardo","doi":"10.1300/J291V08N02_07","DOIUrl":"https://doi.org/10.1300/J291V08N02_07","url":null,"abstract":"Adults with mental retardation living in the community are marrying and having children. Many are experiencing significant problems in their role as parents. Legal, professional and programmatic supports for some adults lag behind need. This article reviews legal and ethical issues surrounding this growing population. The experience of a model pilot parenting program is presented. Finally, recommendations for future efforts in this area are presented.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131220027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sexual messages bombard us daily, yet in professional settings the topic of sexuality is often ignored or is a cause for discomfort. Illness or disability can cause people to feel unattractive and sexually undesirable, but social workers can be instrumental in helping patients and clients by affirming their sexuality. This paper addresses sexual issues facing persons with disabilities and illness and discusses strategies for social workers to assist these clients with their sexual concerns.
{"title":"Responding to the Sexual Concerns of Persons with Disabilities","authors":"Acsw Carol Sandowski Lcsw","doi":"10.1300/J291V08N02_02","DOIUrl":"https://doi.org/10.1300/J291V08N02_02","url":null,"abstract":"Sexual messages bombard us daily, yet in professional settings the topic of sexuality is often ignored or is a cause for discomfort. Illness or disability can cause people to feel unattractive and sexually undesirable, but social workers can be instrumental in helping patients and clients by affirming their sexuality. This paper addresses sexual issues facing persons with disabilities and illness and discusses strategies for social workers to assist these clients with their sexual concerns.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123516187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cognitive impairments, including learning disability, traumatic brain injury, and minimal brain dysfunction, have characteristics that include impulsiveness, communication skill deficits, difficulties with reasoning and problem solving, and impaired self-concept. Without professional intervention, these problems are likely to lead to marginal social acceptance, low levels of intimacy, and impaired sexuality development. This paper describes selected cognitive and behavioral implications of cognitive impairments and the influences of cognitive impairments on sexuality. Suggestions for social work interventions are provided to help persons with cognitive impairments develop positive self-images and values, and to help them establish satisfying intimate and sexual relationships.
{"title":"Cognitive Impairments:: Psychosocial and Sexual Implications and Strategies for Social Work Intervention","authors":"Gary R. Sigler, R. W. Mackelprang","doi":"10.1300/J291V08N02_05","DOIUrl":"https://doi.org/10.1300/J291V08N02_05","url":null,"abstract":"Cognitive impairments, including learning disability, traumatic brain injury, and minimal brain dysfunction, have characteristics that include impulsiveness, communication skill deficits, difficulties with reasoning and problem solving, and impaired self-concept. Without professional intervention, these problems are likely to lead to marginal social acceptance, low levels of intimacy, and impaired sexuality development. This paper describes selected cognitive and behavioral implications of cognitive impairments and the influences of cognitive impairments on sexuality. Suggestions for social work interventions are provided to help persons with cognitive impairments develop positive self-images and values, and to help them establish satisfying intimate and sexual relationships.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131389436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
After years of neglect, societal concern has begun to focus on sexual assault and people with disabilities. The prevalance of sexual victimization is at least as common for people with disabilities as for other people, perhaps more common, particularly for acquaintance rape. This review examines relevant factors, including vulnerability, impact of sexual victimization, assistance needs, and recovery. Individual service plans should always include risk assessments and security plans to promote risk reduction.
{"title":"Sexual Assault and People with Disabilities","authors":"A. Andrews, Lois J. Veronen","doi":"10.1300/J291V08N02_08","DOIUrl":"https://doi.org/10.1300/J291V08N02_08","url":null,"abstract":"After years of neglect, societal concern has begun to focus on sexual assault and people with disabilities. The prevalance of sexual victimization is at least as common for people with disabilities as for other people, perhaps more common, particularly for acquaintance rape. This review examines relevant factors, including vulnerability, impact of sexual victimization, assistance needs, and recovery. Individual service plans should always include risk assessments and security plans to promote risk reduction.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"15 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132731981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lesbian and gay adolescents begin to explore their social and sexual identities in environments which are generally unfavorable to the development of positive self-esteem. Little is known about how these adolescents face this challenge. This survey of lesbian and gay adolescents explores the nature and extent of their psychosocial problems and the persons and resources to whom they turned for help. Social service needs centered on the issues of identity management, depression, limited resources for getting help, and getting along with family members.
{"title":"Social Service Needs of Lesbian and Gay Adolescents","authors":"L. Mercier, R. Berger","doi":"10.1300/J291V08N01_07","DOIUrl":"https://doi.org/10.1300/J291V08N01_07","url":null,"abstract":"Lesbian and gay adolescents begin to explore their social and sexual identities in environments which are generally unfavorable to the development of positive self-esteem. Little is known about how these adolescents face this challenge. This survey of lesbian and gay adolescents explores the nature and extent of their psychosocial problems and the persons and resources to whom they turned for help. Social service needs centered on the issues of identity management, depression, limited resources for getting help, and getting along with family members.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124569351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article discusses the history of our restrictive attitudes toward sexuality, and suggests some requirements for moving beyond our outmoded norms. Such a process will enable professionals and other adults to handle the explicit educational approaches necessary for dealing with the connection between sexuality and AIDS.
{"title":"AIDS Education is Sex Education:: Rural and Urban Challenges","authors":"S. S. Hacker","doi":"10.1300/J291V08N01_12","DOIUrl":"https://doi.org/10.1300/J291V08N01_12","url":null,"abstract":"This article discusses the history of our restrictive attitudes toward sexuality, and suggests some requirements for moving beyond our outmoded norms. Such a process will enable professionals and other adults to handle the explicit educational approaches necessary for dealing with the connection between sexuality and AIDS.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132116302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article reviews various social influences and their effects on adolescent sex role development, including parents, peers, media, schools, race, social class and religion. The authors conclude that teens may experience sex role strain based on pressures to conform to gender expectations. Implications for social work practice are discussed.
{"title":"Contemporary Sex Roles for Adolescents","authors":"D. Harrison, R. C. Pennell","doi":"10.1300/J291V08N01_04","DOIUrl":"https://doi.org/10.1300/J291V08N01_04","url":null,"abstract":"This article reviews various social influences and their effects on adolescent sex role development, including parents, peers, media, schools, race, social class and religion. The authors conclude that teens may experience sex role strain based on pressures to conform to gender expectations. Implications for social work practice are discussed.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114223962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article integrates the findings of a number of works which address acquaintance rape in adolescent and young adult populations. Social work is can be most helpful by empowering the victim or assailant through counseling to change the patterns which contributed to the rape, and may also serve in an advocacy role with schools, police, the medical community, family, and friends.
{"title":"Acquaintance Rape Among Adolescents","authors":"A. Parrot","doi":"10.1300/J291V08N01_05","DOIUrl":"https://doi.org/10.1300/J291V08N01_05","url":null,"abstract":"This article integrates the findings of a number of works which address acquaintance rape in adolescent and young adult populations. Social work is can be most helpful by empowering the victim or assailant through counseling to change the patterns which contributed to the rape, and may also serve in an advocacy role with schools, police, the medical community, family, and friends.","PeriodicalId":262605,"journal":{"name":"Journal of social work and human sexuality","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123534242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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