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A rights approach to supporting the sexual fetish of a man with learning disability: method, process and applied learning
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- British Journal of Learning Disabilities, 41(4), 2013, pp.259-265.
- Publisher:
- Wiley
This paper reports on a psycho-educational intervention associated with the sexual fetish of a man with mild learning disability and autism which centred on his use of nappies and baby paraphernalia. It outlines the nature and expression of his sexual fetish and the risks perceived to be associated with it and describes the approach developed to support him, including the aims which underpinned the work and the methods and processes employed. It was found that a person-centred psycho-educational approach from a rights based perspective achieved important changes in his life and self-esteem and helped challenge assumptions about his sexual risk. The paper also reflects on the organisational location of this work and identifies the applied learning for supporting the sexual fetish of people with learning disabilities, of value for informing sex education and sexuality support for people with learning disabilities more widely. (Publisher abstract)
Responding to masturbation in supporting sexuality and challenging behaviour in services for people with learning disabilities: a practice and research overview
- Authors:
- CAMBRIDGE Paul, CARNABY Steve, McCARTHY Michele
- Journal article citation:
- Journal of Learning Disabilities, 7(3), September 2003, pp.251-266.
- Publisher:
- Sage
Masturbation is frequently referenced as a key issue for supporting the sexuality of people with learning disabilities, yet the subject has received little attention in the professional and academic literature. This article provides an overview of masturbation in relation to service responses and user support in sexuality work in learning disability more widely, drawing in evidence and experience from sex education, clinical work and staff training. Issues such as gender, sexuality, culture and consent are addressed and some of the commonly held myths and assumptions about sexuality and masturbation are challenged. The discussion and related suggestions are designed to be of value to service managers and practitioners, particularly those involved in sexuality work and one-to-one support.
A personal touch: managing the risks of abuse during intimate and personal care
- Authors:
- CAMBRIDGE Paul, CARNABY Steve
- Journal article citation:
- Journal of Adult Protection, 2(4), November 2000, pp.4-16.
- Publisher:
- Emerald
This paper identifies considerations for managing the risks of abuse during intimate and personal care for people with learning disabilities and complex needs. Drawing on insights gleaned from research involving interviews with staff, policies and procedures in specialist day and residential services, and the development of a staff training resource, the paper identifies a framework for adult protection practice in this critical area of support.
Reconstructing the sexuality of men with learning disabilities: empirical evidence and theoretical interpretations of need
- Authors:
- CAMBRIDGE Paul, MELLAN Bryan
- Journal article citation:
- Disability and Society, 15(2), March 2000, pp.293-311.
- Publisher:
- Taylor and Francis
Research and practice in sexuality and learning disability has directly and indirectly highlighted the pathological sexual behaviour of men with learning disabilities, particularly their abuse and exploitation of women with learning disabilities, and relatively high HIV risk sexual behaviour with men without learning disabilities. It is consequently argued that there has been a relative neglect of their wider sexuality and sexual needs. This paper reconstructs this wider agenda, drawing on empirical evidence and theoretical interpretations of need from research and sex education in support of the observations made. In identifying a range of key issues for sexuality work with men with learning disabilities and arguing that they require greater recognition and attention, the paper also provides pointers for informing such work and for responding more widely.
Developing and implementing sexuality policy for a learning disability provider service
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Health and Social Care in the Community, 5(4), July 1997, pp.227-236.
- Publisher:
- Wiley
Discusses a case study of the development of a sexuality policy for a learning disability service, identifies key considerations for the development process and examines the wider implications for the service. The operational, management and practice issues that emerged as a result of the intervention and the ways in which they were resolved are described. These issues include the different interests at stake and the incorporation of the views and experiences of users, parents and direct support staff. A model for policy development, including pointers for the management of sexuality and for practice intervention is provided.
Intimate and personal care with people with learning disabilities
- Editors:
- CARNABY Steven, CAMBRIDGE Paul, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2006
- Pagination:
- 221p.
- Place of publication:
- London
This guide considers the management and practice of intimate and personal care for people with learning disabilities. It examines in detail aspects of care such as training, ethnicity, sexuality and competence in practice, drawing on the extensive practical experience of the contributors. They discuss important issues including the nature of touch, how physical contact is intended and experienced, carers' duty of care, and risk management. Against the backdrop of a recent government strategy for people with learning disabilities, the book will also explore management considerations of best value, care standards, performance monitoring and inspection.
How far to gay? The politics of HIV in learning disability
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Disability and Society, 12(3), June 1997, pp.427-453.
- Publisher:
- Taylor and Francis
This article examines work in sexual health and HIV prevention in services for people with learning disabilities from a political stance associated with the re-homosexualisation of AIDS in Britain. Arguments are made for the re-homosexualisation of AIDS in services for people with learning disabilities, based on evidence of where HIV risk lies in relation to men with learning disabilities who have sex with men. The case is made for a realistic approaches to service commissioning and safer sex education. Pointers for service development and key areas where the re-homosexualisation of AIDS can inform practice and resource development are also provided.