SEXUAL EXPERIENCES OF ELDERLY INDIVIDUALS WITH PHYSICAL DISABILITIES AND THEIR WELL-BEING
Yıl 2023,
, 17 - 44, 30.06.2023
Ali Taşci
,
Doç. Dr. Taner Artan
,
Büşra Uslu Ak
Öz
Elderly individuals with physical disabilities (EIPD) are subject to the same rights and freedoms as the general population in the context of sexuality. However, the elements of social norms and religion may cause EIPD to experience sexuality differently. The approaches of health and social care institutions, the attitudes of families and caregivers, and the level of interest of the relevant occupational groups can affect the sexual well-being of the individuals. This study is a phenomenological research based on the personal experiences of EIPD. The results indicate that the participants consider themselves adequate or partiallyadequate with their knowledge on sexuality. The sexual well-being of the participants is negatively affected by aging and disability. The participants do not think they have freedom of expression and they experience discrimination from close circle. The study concludes that the sexual life of EIPD is limited or shaped by social norms, values, beliefs and religion.
Kaynakça
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Adams, T. B., Bezner, J., Drabbs, M. E., & Zambarano, R. J. (2000). Conceptualization and Measurement of the Spiritual and Psychological Dimensions of Wellness in a College Population. Journal of American College Health, 48(4), 165-173. doi:10.1080/07448480009595692
- Addlakha, R., Price, J., & Heidari, S. (2017). Disability and Sexuality: Claiming Sexual and Reproductive Rights. Reprod Health Matters, 25(50), 4-9. doi:10.1080/09688080.2017.1336375
- Aggleton, P., & Parker, R. (2010). Routledge Handbook of Sexuality, Health and Rights. New York: Routledge.
- Arias-Castillo, L., Ceballos-Osorio, J., Ochoa, J. J., & Reyes-Ortiz, C. A. (2009). Correlates of Sexuality in Men and Women Aged 52–90 Years Attending a University Medical Health Service in Colombia. Journal of Sexual
Medicine, 6(11), 3008-3018. doi:10.1111/j.1743- 6109.2009.01488.x
- Aunos, M., & Feldman, M. A. (2002). Attitudes towards Sexuality, Sterilization and Parenting Rights of Persons with Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 285-296. doi:10.1046/j.1468-3148.2002.00135.x
- Bauer, M., McAuliffe, L., & Nay, R. (2007). Sexuality, Health Care and the Older Person: An Overview of the Literature. International Journal of Older People Nursing, 2, 63-68. doi:10.1111/j.1748-3743.2007.00051.x
- Beckman, N., Waern, M., Gustafson, D., & Skoog, I. (2008). Secular Trends in Self Reported Sexual Activity and Satisfaction in Swedish 70 Year Olds: Cross Sectional Survey of Four Populations, 1971-2001. Bmj-British Medical Journal, 337, 1-7. doi:10.1136/bmj.a279
- Bierman, A., & Statland, D. (2010). Timing, Social Support, and the Effects of Physical Limitations on Psychological Distress in Late Life. Journals of Gerentology: Series B, 65(5), 631-639. doi:10.1093/geronb/gbp128
- Blieszner, R. (2001). She’ll be on My Heart: Intimacy among Friends. Generations, 25(2), 48-54.
- Bouman, W. P., Arcelus, J., & Benbow, S. M. (2007). Nottingham Study of Sexuality and Ageing (NoSSA II). Attitudes of Care Staff Regarding Sexuality and Residents: A study in Residential and Nursing Homes. Sexual and Relationship Therapy, 22(1), 45-61. doi:10.1080/14681990600637630
- Bywater, J., & Jones, R. (2007). Sexuality and Social Work: Transforming Social Work Practice. Glasgow: Learning Matters.
- Camacho, M., & Reyez-Ortiz, C. (2005). Sexual Dysfunction in the Elderly: Age or Disease? International Journal of Impotence Research, 17, 52-56. doi:10.1038/sj.ijir.3901429
- Caputo, J., & Simon, R. W. (2013). Physical Limitation and Emotional Well-Being: Gender and Marital Status Variations. Journal of Health and Social Behavior, 54(2), 241-257. doi:10.1177/0022146513484766
- Chandani, A. T., McKenna, K. T., & Maas, F. (1989). Attitudes of University Students towards the Sexuality of Physically Disabled People. British Journal of Occupational Therapy, 52(6), 233-236. doi:10.1177/030802268905200609
- Chou, Y. C., & Lou, Z. Y. (2011). Deciding about sterilization: Perspectives from women with an intellectual disability and their families in Taiwan. Journal of Intellectual Disability Research, 55, 63-74. doi:10.1111/j.1365-2788.2010.01347.x.
- Coleman, E. M., & Murphy, W. D. (1980). A Survey of Sexual Attitudes and Sex Education Programs Among Facilities For The Mentally Retarded. Applied Research in Mental Retardation, 1(3-4), 269-276. doi:10.1016/0270-3092(80)90009-0
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- Ezzy, D. (2002). Qualitative Analysis: Practice and Innovation. Australia-Crows Nest: Psychology Press.
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- Johnson, B. K. (1998). A Correlational Framework for Understanding Sexuality in Woman Age 50 and Older. Health Care for Women International, 19, 553-564. doi:10.1080/073993398246115
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- LeCompte, M., & Goetz, J. P. (1982). Problems of Reliability and Validity in Ethnographic Research. Review of Educational Research, 52(1), 31-60. doi:10.2307/1170272
- Lee, S., Fenge, L., & Collins, B. (2020). Disabled People’s Voices on Sexual Well-being. Disability & Society, 35(2), 303-325. doi:https://doi.org/10.1080/09687599.2019.1634522
- Leigh, I., Powers, L., Vash, C., & Nettles, R. (2004). Survey of Psychological Services to Clients With Disabilities: The Need for Awareness. Rehabilitation Psychology, 49(1), 48-54. doi:10.1037/0090-5550.49.1.48
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- Maes, C. A., & Louis, M. (2011). Nurse Practitioners’ Sexual History-Taking Practices with Adults 50 and Older. The Journal for Nurse Practitioners, 7(3), 216-222. doi:10.1016/j.nurpra.2010.06.003
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Yıl 2023,
, 17 - 44, 30.06.2023
Ali Taşci
,
Doç. Dr. Taner Artan
,
Büşra Uslu Ak
Kaynakça
- AÇSB. (2019). Engelli ve Yaşlı Bülteni 2019. Retrieved from Ankara: https://ailevecalisma.gov.tr/tr-tr/haberler/engelli-ve-yasli-bireylere-iliskin-istatistikbulteni-yayinlandi
Adams, T. B., Bezner, J., Drabbs, M. E., & Zambarano, R. J. (2000). Conceptualization and Measurement of the Spiritual and Psychological Dimensions of Wellness in a College Population. Journal of American College Health, 48(4), 165-173. doi:10.1080/07448480009595692
- Addlakha, R., Price, J., & Heidari, S. (2017). Disability and Sexuality: Claiming Sexual and Reproductive Rights. Reprod Health Matters, 25(50), 4-9. doi:10.1080/09688080.2017.1336375
- Aggleton, P., & Parker, R. (2010). Routledge Handbook of Sexuality, Health and Rights. New York: Routledge.
- Arias-Castillo, L., Ceballos-Osorio, J., Ochoa, J. J., & Reyes-Ortiz, C. A. (2009). Correlates of Sexuality in Men and Women Aged 52–90 Years Attending a University Medical Health Service in Colombia. Journal of Sexual
Medicine, 6(11), 3008-3018. doi:10.1111/j.1743- 6109.2009.01488.x
- Aunos, M., & Feldman, M. A. (2002). Attitudes towards Sexuality, Sterilization and Parenting Rights of Persons with Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 285-296. doi:10.1046/j.1468-3148.2002.00135.x
- Bauer, M., McAuliffe, L., & Nay, R. (2007). Sexuality, Health Care and the Older Person: An Overview of the Literature. International Journal of Older People Nursing, 2, 63-68. doi:10.1111/j.1748-3743.2007.00051.x
- Beckman, N., Waern, M., Gustafson, D., & Skoog, I. (2008). Secular Trends in Self Reported Sexual Activity and Satisfaction in Swedish 70 Year Olds: Cross Sectional Survey of Four Populations, 1971-2001. Bmj-British Medical Journal, 337, 1-7. doi:10.1136/bmj.a279
- Bierman, A., & Statland, D. (2010). Timing, Social Support, and the Effects of Physical Limitations on Psychological Distress in Late Life. Journals of Gerentology: Series B, 65(5), 631-639. doi:10.1093/geronb/gbp128
- Blieszner, R. (2001). She’ll be on My Heart: Intimacy among Friends. Generations, 25(2), 48-54.
- Bouman, W. P., Arcelus, J., & Benbow, S. M. (2007). Nottingham Study of Sexuality and Ageing (NoSSA II). Attitudes of Care Staff Regarding Sexuality and Residents: A study in Residential and Nursing Homes. Sexual and Relationship Therapy, 22(1), 45-61. doi:10.1080/14681990600637630
- Bywater, J., & Jones, R. (2007). Sexuality and Social Work: Transforming Social Work Practice. Glasgow: Learning Matters.
- Camacho, M., & Reyez-Ortiz, C. (2005). Sexual Dysfunction in the Elderly: Age or Disease? International Journal of Impotence Research, 17, 52-56. doi:10.1038/sj.ijir.3901429
- Caputo, J., & Simon, R. W. (2013). Physical Limitation and Emotional Well-Being: Gender and Marital Status Variations. Journal of Health and Social Behavior, 54(2), 241-257. doi:10.1177/0022146513484766
- Chandani, A. T., McKenna, K. T., & Maas, F. (1989). Attitudes of University Students towards the Sexuality of Physically Disabled People. British Journal of Occupational Therapy, 52(6), 233-236. doi:10.1177/030802268905200609
- Chou, Y. C., & Lou, Z. Y. (2011). Deciding about sterilization: Perspectives from women with an intellectual disability and their families in Taiwan. Journal of Intellectual Disability Research, 55, 63-74. doi:10.1111/j.1365-2788.2010.01347.x.
- Coleman, E. M., & Murphy, W. D. (1980). A Survey of Sexual Attitudes and Sex Education Programs Among Facilities For The Mentally Retarded. Applied Research in Mental Retardation, 1(3-4), 269-276. doi:10.1016/0270-3092(80)90009-0
- Creswell, J. W. (2007). Qualitative Inquiry & Research Design: Choosing Among Five Approaches (2 ed.). California: SAGE Publications.
- Creswell, J. W. (2014). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (4 ed.). California: SAGE Publications.
- Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry Research Design: Choosing Among Five Approaches (4 ed.). Los Angeles: SAGE Publications.
- Deacon, S., Minichiello, V., & Plummer, D. (1995). Sexuality and Older People: Revisiting The Assumptions. Education Gerontology, 21, 497-513. doi:10.1080/0360127950210509
- DeLamater, J. D., & Koepsel, E. (2014). Relationships and Sexual Expression in Later Life: A Biopsychosocial Perspective. Sexual and Relationship Therapy, 30(1), 37-59. doi:10.1080/14681994.2014.939506
- Diener, E. (2009). The Science of Well-Being. Canada: Springer.
- Diener, E., & Biswas-Diener, R. (2005). Psychological Empowerment and Subjective Well-being. In D. Narayan (Ed.), Measuring Empowerment : Cross Disciplinary Perspectives (pp. 125- 140). Washington: World Bank.
- DiGiulio, G. (2003). Sexuality and People Living with Physical or Developmental Disabilities: A Review of Key Issues. The Canadian Journal of Human Sexuality, 12(1), 53-64.
- Dunn, H. L. (1959). What High-Level Wellness Means. Canadian Journal of Public Health, 50(1), 447-457.
- Dunn, M. H., & Cutler, N. (2000). Sexual Issues in Older Adults. AIDS Patient Care, 14(2), 67- 69. doi:10.1089/108729100317984
- Evans, D. S., McGuire, B. E., Healy, E., & Carly, S. N. (2009). Sexuality and Personal Relationships for People with an Intellectual Disability. Part II: Staff and Family Carer Perspectives. Journal of Intellectual Disability Research, 53, 913-921. doi:10.1111/j.1365.2788.2009.01202.x
- Ezzy, D. (2002). Qualitative Analysis: Practice and Innovation. Australia-Crows Nest: Psychology Press.
- Fahey, T. D., Insel, P. M., & Roth, W. T. (2014). Fit & Well : Core Concepts and Labs in Physical Fitness and Wellness. New York: McGraw-Hill Education.
- Fairchild, S. K., Carrino, G. E., & Ramirez, M. (1996). Social Workers’ Perceptions of Staff Attitudes Toward Resident Sexuality in a Random Sample of New York State Nursing Homes: A Pilot Study. Journal of Gerontological Social Work, 26(1-2), 153-169. doi:10.1300/J083V26N01_10
- Ferrini, A. F., & Ferrini, R. L. (2008). Health in the Later Years. Boston: McGraw-Hill.
Gott, M., & Hinchliff, S. (2003). How Important is Sex in Later Life? The Views of Older People. Social Science & Medicine, 56(8), 1617-1628. doi:10.1016/s0277-9536(02)00180-6
- Greenberg, J. S., & Dintiman, G. B. (1995). Physical Fitness and Wellness. Boston: Allyn and Bacon.
- Haesler, E., Bauer, M., & Fetherstonhaugh, D. (2016). Sexuality, Sexual Health and Older People: A Systematic Review of Research on the Knowledge and Attitudes of Health Professionals. Nurse Education Today, 40, 57-71. doi:10.1016/j.nedt.2016.02.012
- Healy, J. C. (2020). ‘It Spreads like a Creeping Disease’: Experiences of Victims of Disability Hate Crimes in Austerity Britain. Disability & Society, 35(2), 176-200. doi:https://doi.org/10.1080/09687599.2019.1624151
- Johnson, B. K. (1998). A Correlational Framework for Understanding Sexuality in Woman Age 50 and Older. Health Care for Women International, 19, 553-564. doi:10.1080/073993398246115
- Lam, W. Y. (2010). Validated Instruments Used to Measure Attitudes of Healthcare Students and Professionals towards Patients with Physical Disability: A Systematic Review. Journal of NeuroEngineering and Rehabilitation, 7(55), 1-7. doi:10.1186/1743-0003-7-55.
- LeCompte, M., & Goetz, J. P. (1982). Problems of Reliability and Validity in Ethnographic Research. Review of Educational Research, 52(1), 31-60. doi:10.2307/1170272
- Lee, S., Fenge, L., & Collins, B. (2020). Disabled People’s Voices on Sexual Well-being. Disability & Society, 35(2), 303-325. doi:https://doi.org/10.1080/09687599.2019.1634522
- Leigh, I., Powers, L., Vash, C., & Nettles, R. (2004). Survey of Psychological Services to Clients With Disabilities: The Need for Awareness. Rehabilitation Psychology, 49(1), 48-54. doi:10.1037/0090-5550.49.1.48
- Lichtenberg, P. A. (2010). Handbook of Assessment in Clinical Gerontology (2 ed.). London: Elsevier.
- Lindau, S. T., Laumann, E. O., & O’Muircheartaigh, C. A. (2007). A Study of Sexuality and Health among Older Adults in the United States. The New England Journal of Medicine, 357(8), 762-774. doi:10.1056/NEJMoa067423
- Loe, M. (2004). Sex and the Senior Woman: Pleasure and Danger in the Viagra Era. Sexualities, 7(3), 303–326. doi:10.1177/1363460704044803
- Maes, C. A., & Louis, M. (2011). Nurse Practitioners’ Sexual History-Taking Practices with Adults 50 and Older. The Journal for Nurse Practitioners, 7(3), 216-222. doi:10.1016/j.nurpra.2010.06.003
- Mahieu, L., Van Elssen, K., & Gastmans, C. (2011). Nurses’ Perceptions of Sexuality in Institutionalized Elderly: A Literature Review. International Journal of Nursing Studies, 48(9), 1140-1154. doi:10.1016/j.ijnurstu.2011.05.013
- Malhotra, S., Khurshid, A., Hendricks, K. A., & Mann, J. R. (2008). Medical School Sexual Health Curriculum and Training in the United States. Journal of the National Medical Association, 100(9), 1097-1106. doi:10.1016/s0027-9684(15)31452-8
- Maslow, A. H. (1943). A Theory of Human Motivation. Psychological Review, 50, 370-396.
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