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The Role of Occupational Therapists in the Sexual Health of Individuals with Disabilities

Year 2025, Volume: 6 Issue: 2, 71 - 80, 30.09.2025

Abstract

Sexuality is considered one of the activities that add meaning to individuals' lives within the context of
occupational therapy. It is closely related to the core components of occupational therapy; including
occupations, contexts, performance patterns, performance skills, and client features. While awareness of the role of occupational therapy in sexuality is increasing worldwide, studies in this area remain
insufficient. Disability is defined as a limitation in a person's ability to perform activities that are socially
expected or which they wish to engage in to make their lives meaningful, and sexuality is one of those
affected areas. This review examines the relationship between occupational therapy, sexuality, and the
experience of disability, aiming to develop suggestions on how sexuality could be addressed in future
occupational therapy practice settings. Therefore, it was focused on the roles of occupational therapy
concerning physical, psychiatric, developmental, and mental disabilities and their impact on sexuality. It
was also emphasized that the role of occupational therapy in sexuality is not limited to disability alone.
The review also discussed interventions to enhance cognitive, physical, and overall well-being. It
highlighted the need for more high-quality research and the expansion of practice areas in a more
comprehensive manner. To the best of our knowledge, this is the first review to address the role of
disability and sexuality in the field of occupational therapy in Turkey.

References

  • Boop C, Cahill SM, Davis C. Occupational therapy practice framework: domain and process—fourth edition. Am J Occup Ther. 2020;74(Supplement 2):7412410010p1-7412410010p87
  • Foucault M. The history of sexuality: 1: the will to knowledge. Penguin UK; 2019.
  • Sakellariou D, Algado SS. Sexuality and disability: A case of occupational injustice. Br J Occup Ther. 2006;69(2):69-76.
  • Lazos G. Sexuality as a value in modern Greece. Athens: Delfini; 1997.
  • Ellis K, Sakellariou D. Occupational therapy’s role empowering sexuality for individuals with disability. In: The Routledge Handbook of Disability and Sexuality. Routledge; 2020. p. 463-473.
  • Tipton-Burton M, Burton GU. Sexuality and physical dysfunction. In: Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction. 2017. p. 549-582.
  • Esmail S, Darry K, Walter A, Knupp H. Attitudes and perceptions towards disability and sexuality. Disabil Rehabil. 2010;32(14):1148-1155.
  • Torices Rodarte I, Patricia BM. Inventory of sexual experiences and response in disability (IEReSDi): construction and validation of the scale of the sexual response in people with disabilities. Sex Disabil. 2004;22:181–195.
  • Esmail S, Huang J, Lee I, Maruska T. Couple’s experiences when men are diagnosed with multiple sclerosis in the context of their sexual relationship. Sex Disabil. 2010;28:15-27.
  • Diamond LM. Sexual fluidity. Harvard University Press; 2008.
  • Ellis K, Ungco JC, editors. Sexuality and Intimacy: An Occupational Therapy Approach. Bethesda, MD: AOTA Press; 2023.
  • Dillon FR, Worthington RL, Moradi B. Sexual identity as a universal process. In: Schwartz SJ, Luyckx K, Vignoles VL, editors. Handbook of identity theory and research. New York, NY: Springer; 2011. p. 649-70.
  • World Health Organization. Defining sexual health: report of a technical consultation on sexual health, 28–31 January 2002. Geneva: World Health Organization; 2006.
  • Global Advisory Board for Sexual Health and Wellbeing. Working definition of sexual pleasure. Available at: https://www.gab-shw.org/our-work/working-definition-of-sexual-pleasure/. Accessed on: 10 May 2024.
  • Ruben MA, Fullerton M. Proportion of patients who disclose their sexual orientation to healthcare providers and its relationship to patient outcomes: a meta-analysis and review. Patient Educ Couns. 2018;101(9):1549-60
  • Pollard N, Sakellariou D. Sex and occupational therapy: Contradictions or contraindications? British Journal of Occupational Therapy. 2007;70(8):362-365.
  • Earle S. Facilitated sex and the concept of sexual need: disabled students and their personal assistants. Disability & Society. 1999;14(3):309-323.
  • Penna S, Sheehy K. Sex education and Schizophrenia: Should Occupational Therapists offer sex education to people with Schizophrenia? Scandinavian Journal of Occupational Therapy. 2000;7:126–31.
  • Shakespeare T. Disability, identity and difference. In: Barnes C, Mercer G, editors. Exploring the Divide. Leeds: Disability Press; 1996. p. 94-113.
  • Earle S. Disability, facilitated sex, and the role of the nurse. Journal of Advanced Nursing.2001;36(3):433-440.
  • Sakellariou D, Algado SS. Sexuality and occupational therapy: Exploring the link. British Journal of Occupational Therapy. 2006;69(8):350-356.
  • Miller W. An occupational therapist as a sexual health clinician in the management of spinal cord injuries. Canadian Journal of Occupational Therapy. 1984;51(4):172–75.
  • Couldrick L. Sexual issues within occupational therapy, part 1: attitudes and practice. British Journal of Occupational Therapy. 1998;61(12):538-544.
  • Tepper MS. Sexuality and disability: the missing discourse of pleasure. Sexuality and Disability. 2000;18:283–290.
  • World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization; 2001. Available at: https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health. Accessed on August 10, 2024.
  • Dukes E, McGuire BE. Enhancing capacity to make sexuality-related decisions in people with an intellectual disability. J Intellect Disabil Res. 2009;53(8):727-34.
  • McCabe MP. Sexual knowledge, experience and feelings among people with disability. Sex Disabil. 1999;17:157-70.
  • Groce NE. HIV/AIDS and people with disability. Lancet. 2003 Apr 26;361(9367):1401-2.
  • Medina-Rico M, López-Ramos H, Quiñonez A. Sexuality in people with intellectual disability: Review of literature. Sex Disabil. 2018;36:231–48.
  • Yau MK, Ng GS, Lau DY, Chan KS, Chan JS. Exploring sexuality and sexual concerns of adult persons with intellectual disability in a cultural context. Br J Dev Disabil. 2009;55(2):97–108.
  • Bernert DJ, Ogletree RJ. Women with intellectual disabilities talk about their perceptions of sex. J Intellect Disabil Res. 2013;57(3):240–9.
  • Ginevra MC, Nota L, Stokes MA. The differential effects of Autism and Down’s syndrome on sexual behavior. Autism Res. 2016;9(1):131–40.
  • Dinwoodie R, Greenhill B, Cookson A. 'Them two things are what collide together': Understanding the sexual identity experiences of lesbian, gay, bisexual and trans people labelled with intellectual disability. J Appl Res Intellect Disabil. 2020 Jan;33(1):3-16.
  • Yıldız G, Cavkaytar A. Effectiveness of a sexual education program for mothers of young adults with intellectual disabilities on mothers’ attitudes toward sexual education and the perception of social support. Sex Disabil. 2017;35(1):3–19.
  • Pownall JD, Jahoda A, Hastings RP. Sexuality and sex education of adolescents with intellectual disability: mothers’ attitudes, experiences, and support needs. Intellect Dev Disabil. 2012;50(2):140–54.
  • Parchomiuk M. Specialists and sexuality of individuals with disability. Sex Disabil. 2012;30(4):407–19.
  • Hasson-Ohayon I, Hertz I, Vilchinsky N, Kravetz S. Attitudes toward the sexuality of persons with physical versus psychiatric disabilities. Rehabil Psychol. 2014;59(2):236.
  • Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1:16-20.
  • Davis S, Taylor B. From PLISSIT to ex-PLISSIT. In: Rehabilitation: The use of theories and models in practice. Edinburgh: Elsevier; 2006. p. 101-129.
  • Walker BA, Otte K, LeMond K, Hess P, Kaizer K, Faulkner T, Christy D. Development of the occupational performance inventory of sexuality and intimacy (OPISI): Phase one. Open J Occup Ther. 2020;8(2):1-18.
  • Linder A. Capacity to consent to sexual activity among those with developmental disabilities. Stanford Intellectual and Developmental Disabilities Law and Policy Project (SIDDLAPP). SLS Publications; 2018. Available at: https://law.stanford.edu/publications/capacity-to-consent-to-sexual-activity-among-those-with-developmental-disabilities/. Accessed on: 12 June 2024.
  • Brown M, McCann E. The views and experiences of families and direct care support workers regarding the expression of sexuality by adults with intellectual disabilities: A narrative review of the international research evidence. Res Dev Disabil. 2019;90:80–91.
  • Swango-Wilson, A. (2011). Meaningful sex education programs for individuals with intellectual/developmental disabilities. Sexuality and Disability, 29, 113–118.
  • Barnard-Brak L, Schmidt M, Chesnut S, Wei T, Richman D. Predictors of access to sex education for children with intellectual disabilities in public schools. Intellect Dev Disabil. 2014;52:85-97.
  • Laugeson EA, Ellingsen R, Sanderson J, Tucci L, Bates S. The ABC’s of teaching social skills to adolescents with autism spectrum disorder in the classroom: The UCLA PEERS® program. J Autism Dev Disord. 2014;44:2244-2256.
  • Ballan MS, Freyer MB. Autism spectrum disorder, adolescence, and sexuality education: Suggested interventions for mental health professionals. Sex Disabil. 2017;35:261-273.
  • Klett LS, Turan Y. Generalized effects of social stories with task analysis for teaching menstrual care to three young girls with autism. Sex Disabil. 2012;30:319-336.
  • Banerjee M, Ray P, Panda A. Role of sex education on odd sexual and problem behavior: A study on adolescents with autism. Community Psychol Assoc India. 2013.
  • Brotto LA, Goldmeier D. Mindfulness interventions for treating sexual dysfunctions: the gentle science of finding focus in a multitask world. J Sex Med. 2015;12:1687–9.
  • Günzler C, Berner MM. Efficacy of psychosocial interventions in men and women with sexual dysfunctions—A systematic review of controlled clinical trials. J Sex Med. 2012;9(12):3108-3125.
  • Male DA, Fergus KD, Cullen K. Sexual identity after breast cancer: Sexuality, body image, and relationship repercussions. Curr Opin Support Palliat Care. 2016;10:66-74.
  • Guess MK, Connell KA, Chudnoff S, Adekoya O, Richmond C, Nixon KE, et al. The effects of a genital vibratory stimulation device on sexual function and genital sensation. Female Pelvic Med Reconstr Surg. 2017;23:256-262.
  • Weiner L, Avery-Clark C. Sensate Focus in Sex Therapy: The Illustrated Manual. Routledge; 2017.
  • Rosenbaum T, Vadas D, Kalichman L. Sexual function in post-stroke patients: Considerations for rehabilitation. J Sex Med. 2014;11:15-21.
  • Bardak A. N. Otonom Disrefleksi. Turk J Phys Med Rehabil. 2012;58(1):6-9.
  • Alexander MS, Aisen CM, Alexander SM, Aisen ML. Sexual concerns after spinal cord injury: An update on management. NeuroRehabilitation. 2017;41:343-357.
  • Blackmore DE, Hart SL, Albiani JJ, Mohr DC. Improvements in partner support predict sexual satisfaction among individuals with multiple sclerosis. Rehabil Psychol. 2011;56:117-122.
  • Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. Sexual counseling for individuals with cardiovascular disease and their partners: A consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128:2075-2096.
  • Roditi D, Robinson ME. The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag. 2011;4:41-49.
  • Hill W. The role of occupational therapy in pain management. Anaesthesia Intensive Care Med. 2016;17:451-453. doi:10.1016/j.mpaic.2016.06.008
  • Kautz DD, Van Horn ER. Sex and intimacy after stroke. Rehabil Nurs. 2017;42(6):333-340.
  • Foley FW, Beier M. Assessment and treatment of sexual dysfunction in multiple sclerosis. National Multiple Sclerosis Society Clinical Bulletin. 2006;8:1-11.
  • Neumann N, Neu D, Ungco J. Addressing LGBTQIA+ trauma: Your role and your responsibility. In: Lynch A, Ashcraft R, Tekell L, eds. Trauma, Occupation, and Participation: Foundations and Population Considerations in Occupational Therapy. AOTA Press; 2021:195-222.

Engellilerin Cinsel Sağlığında Ergoterapistler Ne Yaparlar?

Year 2025, Volume: 6 Issue: 2, 71 - 80, 30.09.2025

Abstract

Cinsellik, ergoterapinin temel bileşenleri olan okupasyonlar, bağlamlar, performans kalıpları,
performans becerileri ve danışan özellikleri ile yakından ilişkilidir. Dünyada ergoterapinin
cinsellikle ilgili rolüne dair farkındalık artmaktadır, ancak yine de bu alandaki çalışmaların yetersiz
olduğu görülmektedir. Engellilik, bir bireyin toplumsal olarak beklenen aktiviteleri gerçekleştirme
veya hayatını anlamlı kılmak için yapmak istediği aktiviteleri yerine getirme yeteneğindeki bir
yetersizlik olarak tanımlanırken, cinsellik de bu etkilenen alanlardan biridir. Bu derleme,
ergoterapinin cinsellik ve engellilik deneyimi ile ilişkisini incelemekte ve gelecekte ergoterapi
uygulama ortamlarında cinselliğin nasıl ele alınabileceği konusunda öneriler geliştirmeyi
amaçlamaktadır. Dolayısıyla, ergoterapinin fiziksel, zihinsel, gelişimsel ve ruhsal-duygusal
engellilik ile cinsellik üzerindeki rollerine odaklanılmıştır; ancak ergoterapinin cinsellikle ilgili
rolünün yalnızca engellilikle sınırlı olmadığı da vurgulanmıştır. Derlemede bilişsel, fiziksel ve iyilik
halini artırmaya yönelik müdahalelere de yer verilmiştir. Bu konuda daha fazla nitelikli çalışma
yapılması ve uygulama alanlarının daha kapsamlı bir şekilde genişletilmesi gerektiği ortaya
çıkmıştır. Bu çalışma, Türkiye’de ergoterapi alanında engellilik ve cinselliğin rolünü ele alan ilk
derleme çalışması olma özelliğini taşımaktadır.

References

  • Boop C, Cahill SM, Davis C. Occupational therapy practice framework: domain and process—fourth edition. Am J Occup Ther. 2020;74(Supplement 2):7412410010p1-7412410010p87
  • Foucault M. The history of sexuality: 1: the will to knowledge. Penguin UK; 2019.
  • Sakellariou D, Algado SS. Sexuality and disability: A case of occupational injustice. Br J Occup Ther. 2006;69(2):69-76.
  • Lazos G. Sexuality as a value in modern Greece. Athens: Delfini; 1997.
  • Ellis K, Sakellariou D. Occupational therapy’s role empowering sexuality for individuals with disability. In: The Routledge Handbook of Disability and Sexuality. Routledge; 2020. p. 463-473.
  • Tipton-Burton M, Burton GU. Sexuality and physical dysfunction. In: Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction. 2017. p. 549-582.
  • Esmail S, Darry K, Walter A, Knupp H. Attitudes and perceptions towards disability and sexuality. Disabil Rehabil. 2010;32(14):1148-1155.
  • Torices Rodarte I, Patricia BM. Inventory of sexual experiences and response in disability (IEReSDi): construction and validation of the scale of the sexual response in people with disabilities. Sex Disabil. 2004;22:181–195.
  • Esmail S, Huang J, Lee I, Maruska T. Couple’s experiences when men are diagnosed with multiple sclerosis in the context of their sexual relationship. Sex Disabil. 2010;28:15-27.
  • Diamond LM. Sexual fluidity. Harvard University Press; 2008.
  • Ellis K, Ungco JC, editors. Sexuality and Intimacy: An Occupational Therapy Approach. Bethesda, MD: AOTA Press; 2023.
  • Dillon FR, Worthington RL, Moradi B. Sexual identity as a universal process. In: Schwartz SJ, Luyckx K, Vignoles VL, editors. Handbook of identity theory and research. New York, NY: Springer; 2011. p. 649-70.
  • World Health Organization. Defining sexual health: report of a technical consultation on sexual health, 28–31 January 2002. Geneva: World Health Organization; 2006.
  • Global Advisory Board for Sexual Health and Wellbeing. Working definition of sexual pleasure. Available at: https://www.gab-shw.org/our-work/working-definition-of-sexual-pleasure/. Accessed on: 10 May 2024.
  • Ruben MA, Fullerton M. Proportion of patients who disclose their sexual orientation to healthcare providers and its relationship to patient outcomes: a meta-analysis and review. Patient Educ Couns. 2018;101(9):1549-60
  • Pollard N, Sakellariou D. Sex and occupational therapy: Contradictions or contraindications? British Journal of Occupational Therapy. 2007;70(8):362-365.
  • Earle S. Facilitated sex and the concept of sexual need: disabled students and their personal assistants. Disability & Society. 1999;14(3):309-323.
  • Penna S, Sheehy K. Sex education and Schizophrenia: Should Occupational Therapists offer sex education to people with Schizophrenia? Scandinavian Journal of Occupational Therapy. 2000;7:126–31.
  • Shakespeare T. Disability, identity and difference. In: Barnes C, Mercer G, editors. Exploring the Divide. Leeds: Disability Press; 1996. p. 94-113.
  • Earle S. Disability, facilitated sex, and the role of the nurse. Journal of Advanced Nursing.2001;36(3):433-440.
  • Sakellariou D, Algado SS. Sexuality and occupational therapy: Exploring the link. British Journal of Occupational Therapy. 2006;69(8):350-356.
  • Miller W. An occupational therapist as a sexual health clinician in the management of spinal cord injuries. Canadian Journal of Occupational Therapy. 1984;51(4):172–75.
  • Couldrick L. Sexual issues within occupational therapy, part 1: attitudes and practice. British Journal of Occupational Therapy. 1998;61(12):538-544.
  • Tepper MS. Sexuality and disability: the missing discourse of pleasure. Sexuality and Disability. 2000;18:283–290.
  • World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization; 2001. Available at: https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health. Accessed on August 10, 2024.
  • Dukes E, McGuire BE. Enhancing capacity to make sexuality-related decisions in people with an intellectual disability. J Intellect Disabil Res. 2009;53(8):727-34.
  • McCabe MP. Sexual knowledge, experience and feelings among people with disability. Sex Disabil. 1999;17:157-70.
  • Groce NE. HIV/AIDS and people with disability. Lancet. 2003 Apr 26;361(9367):1401-2.
  • Medina-Rico M, López-Ramos H, Quiñonez A. Sexuality in people with intellectual disability: Review of literature. Sex Disabil. 2018;36:231–48.
  • Yau MK, Ng GS, Lau DY, Chan KS, Chan JS. Exploring sexuality and sexual concerns of adult persons with intellectual disability in a cultural context. Br J Dev Disabil. 2009;55(2):97–108.
  • Bernert DJ, Ogletree RJ. Women with intellectual disabilities talk about their perceptions of sex. J Intellect Disabil Res. 2013;57(3):240–9.
  • Ginevra MC, Nota L, Stokes MA. The differential effects of Autism and Down’s syndrome on sexual behavior. Autism Res. 2016;9(1):131–40.
  • Dinwoodie R, Greenhill B, Cookson A. 'Them two things are what collide together': Understanding the sexual identity experiences of lesbian, gay, bisexual and trans people labelled with intellectual disability. J Appl Res Intellect Disabil. 2020 Jan;33(1):3-16.
  • Yıldız G, Cavkaytar A. Effectiveness of a sexual education program for mothers of young adults with intellectual disabilities on mothers’ attitudes toward sexual education and the perception of social support. Sex Disabil. 2017;35(1):3–19.
  • Pownall JD, Jahoda A, Hastings RP. Sexuality and sex education of adolescents with intellectual disability: mothers’ attitudes, experiences, and support needs. Intellect Dev Disabil. 2012;50(2):140–54.
  • Parchomiuk M. Specialists and sexuality of individuals with disability. Sex Disabil. 2012;30(4):407–19.
  • Hasson-Ohayon I, Hertz I, Vilchinsky N, Kravetz S. Attitudes toward the sexuality of persons with physical versus psychiatric disabilities. Rehabil Psychol. 2014;59(2):236.
  • Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1:16-20.
  • Davis S, Taylor B. From PLISSIT to ex-PLISSIT. In: Rehabilitation: The use of theories and models in practice. Edinburgh: Elsevier; 2006. p. 101-129.
  • Walker BA, Otte K, LeMond K, Hess P, Kaizer K, Faulkner T, Christy D. Development of the occupational performance inventory of sexuality and intimacy (OPISI): Phase one. Open J Occup Ther. 2020;8(2):1-18.
  • Linder A. Capacity to consent to sexual activity among those with developmental disabilities. Stanford Intellectual and Developmental Disabilities Law and Policy Project (SIDDLAPP). SLS Publications; 2018. Available at: https://law.stanford.edu/publications/capacity-to-consent-to-sexual-activity-among-those-with-developmental-disabilities/. Accessed on: 12 June 2024.
  • Brown M, McCann E. The views and experiences of families and direct care support workers regarding the expression of sexuality by adults with intellectual disabilities: A narrative review of the international research evidence. Res Dev Disabil. 2019;90:80–91.
  • Swango-Wilson, A. (2011). Meaningful sex education programs for individuals with intellectual/developmental disabilities. Sexuality and Disability, 29, 113–118.
  • Barnard-Brak L, Schmidt M, Chesnut S, Wei T, Richman D. Predictors of access to sex education for children with intellectual disabilities in public schools. Intellect Dev Disabil. 2014;52:85-97.
  • Laugeson EA, Ellingsen R, Sanderson J, Tucci L, Bates S. The ABC’s of teaching social skills to adolescents with autism spectrum disorder in the classroom: The UCLA PEERS® program. J Autism Dev Disord. 2014;44:2244-2256.
  • Ballan MS, Freyer MB. Autism spectrum disorder, adolescence, and sexuality education: Suggested interventions for mental health professionals. Sex Disabil. 2017;35:261-273.
  • Klett LS, Turan Y. Generalized effects of social stories with task analysis for teaching menstrual care to three young girls with autism. Sex Disabil. 2012;30:319-336.
  • Banerjee M, Ray P, Panda A. Role of sex education on odd sexual and problem behavior: A study on adolescents with autism. Community Psychol Assoc India. 2013.
  • Brotto LA, Goldmeier D. Mindfulness interventions for treating sexual dysfunctions: the gentle science of finding focus in a multitask world. J Sex Med. 2015;12:1687–9.
  • Günzler C, Berner MM. Efficacy of psychosocial interventions in men and women with sexual dysfunctions—A systematic review of controlled clinical trials. J Sex Med. 2012;9(12):3108-3125.
  • Male DA, Fergus KD, Cullen K. Sexual identity after breast cancer: Sexuality, body image, and relationship repercussions. Curr Opin Support Palliat Care. 2016;10:66-74.
  • Guess MK, Connell KA, Chudnoff S, Adekoya O, Richmond C, Nixon KE, et al. The effects of a genital vibratory stimulation device on sexual function and genital sensation. Female Pelvic Med Reconstr Surg. 2017;23:256-262.
  • Weiner L, Avery-Clark C. Sensate Focus in Sex Therapy: The Illustrated Manual. Routledge; 2017.
  • Rosenbaum T, Vadas D, Kalichman L. Sexual function in post-stroke patients: Considerations for rehabilitation. J Sex Med. 2014;11:15-21.
  • Bardak A. N. Otonom Disrefleksi. Turk J Phys Med Rehabil. 2012;58(1):6-9.
  • Alexander MS, Aisen CM, Alexander SM, Aisen ML. Sexual concerns after spinal cord injury: An update on management. NeuroRehabilitation. 2017;41:343-357.
  • Blackmore DE, Hart SL, Albiani JJ, Mohr DC. Improvements in partner support predict sexual satisfaction among individuals with multiple sclerosis. Rehabil Psychol. 2011;56:117-122.
  • Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. Sexual counseling for individuals with cardiovascular disease and their partners: A consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128:2075-2096.
  • Roditi D, Robinson ME. The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag. 2011;4:41-49.
  • Hill W. The role of occupational therapy in pain management. Anaesthesia Intensive Care Med. 2016;17:451-453. doi:10.1016/j.mpaic.2016.06.008
  • Kautz DD, Van Horn ER. Sex and intimacy after stroke. Rehabil Nurs. 2017;42(6):333-340.
  • Foley FW, Beier M. Assessment and treatment of sexual dysfunction in multiple sclerosis. National Multiple Sclerosis Society Clinical Bulletin. 2006;8:1-11.
  • Neumann N, Neu D, Ungco J. Addressing LGBTQIA+ trauma: Your role and your responsibility. In: Lynch A, Ashcraft R, Tekell L, eds. Trauma, Occupation, and Participation: Foundations and Population Considerations in Occupational Therapy. AOTA Press; 2021:195-222.
There are 63 citations in total.

Details

Primary Language Turkish
Subjects Occupational Therapy
Journal Section Reviews
Authors

Zeynep Yıldırım 0009-0006-5125-0554

Hülya Yücel 0000-0002-7078-8361

Publication Date September 30, 2025
Submission Date September 4, 2024
Acceptance Date January 20, 2025
Published in Issue Year 2025 Volume: 6 Issue: 2

Cite

Vancouver Yıldırım Z, Yücel H. Engellilerin Cinsel Sağlığında Ergoterapistler Ne Yaparlar? CPHS. 2025;6(2):71-80.