Abstract
Sexuality and intimate relationships are topics of interest to adolescents and young adults with Autism Spectrum Disorder (ASD). However, their situation sometimes puts them at risk of being abused or developing self-harming behaviors. The purpose of this article is to develop a toolkit to support sexuality, sexual health, and sustainable sexual practices in youth with ASD. A Multimethod study based on a co-creation approach was used. Interviews were conducted with youth with ASD over the age of 18, with practitioners in a specialized setting, and with school-based practitioners in order to gain access to the different needs and expectations that they may have. Both practitioners and youth seem to agree that the lack of knowledge of youth with ASD is what most hinders their sexual development, followed by their social difficulties. They need access to the basics of sexuality in order to prevent the development of inappropriate behaviors at an early age. The kit could be used as early as age 12. The teaching methods chosen for the toolkit seems to be an adequate way to meet the need for access to basic information about sexuality for young people with ASD. The modalities also seem to be appreciated by both youth and specialist, particularly the use of custom-made pictograms. The toolkit created is a good starting point in bridging the knowledge gap for youth with ASD about sexuality. It would also lessen the burden placed on the various practitioners to do this teaching when they may not all be comfortable.
Similar content being viewed by others
Data availability
Complete version of the toolkit is available if necessary, under request to the corresponding author.
References
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Author, Arlington (2013)
Beckwith, A., Yau, M.K.-S.: Sexual recovery: experiences of women with spinal injury reconstructing a positive sexual identity. Sex. Disabil. 31(4), 313–324 (2013). https://doi.org/10.1007/s11195-013-9315-7
Brown-Lavoie, S.M., Viecili, M.A., Weiss, J.A.: Sexual knowledge and victimization in adults with autism spectrum disorders. J. Autism Dev. Disord. 44(9), 2185–2196 (2014). https://doi.org/10.1007/s10803-014-2093-y
Corona, L.L., Fox, S.A., Christodulu, K.V., Worlock, J.A.: Providing education on sexuality and relationships to adolescents with autism spectrum disorder and their parents. Sex. Disabil. 34(2), 199–214 (2016). https://doi.org/10.1007/s11195-015-9424-6
Denzin, N.K., Lincoln, Y.S.: Introduction: The Discipline and Practice of Qualitative Research. Sage publication, London (2008)
Griffin-Shelley, E.: An Asperger’s adolescent sex addict, sex offender: a case study. Sex. Addict. Compuls. 17(1), 46–64 (2010). https://doi.org/10.1080/10720161003646450
Hannah, L.A., Stagg, S.D.: Experiences of sex education and sexual awareness in young adults with autism spectrum disorder. J. Autism Dev. Disord. 46(12), 3678–3687 (2016). https://doi.org/10.1007/s10803-016-2906-2
Hénault, I.: Asperger’s Syndrome and Sexuality: From Adolescence Through Adulthood. Jessica Kingsley Publishers, London (2006)
Krueger, R.A.: Focus Groups: A Practical Guide for Applied Research. Sage publications, London (2014)
Loftin, R.: Sex education, sexual health, and autism spectrum disorder. Pediatr. Therapeut. (2015). https://doi.org/10.4172/2161-0665.1000230
McGrath, M., Lynch, E.: Occupational therapists’ perspectives on addressing sexual concerns of older adults in the context of rehabilitation. Disabil. Rehabil. Int. Multidiscip. J. 36(8), 651–657 (2014). https://doi.org/10.3109/09638288.2013.805823
Miles, M.B., Huberman, A.M.: Qualitative Data Analysis: An Expanded Sourcebook. Sage, London (1994)
Morales, E., Rousseau, J., Passini, R.: Using a co-design methodology for research on environmental gerontology. J. Geretol. Geriatr. Res. (2015). https://doi.org/10.4172/2167-7182.1000106
Pask, L., Hughes, T.L., Sutton, L.R.: Sexual knowledge acquisition and retention for individuals with autism. Int. J. Sch. Educ. Psychol. 4(2), 86–94 (2016). https://doi.org/10.1080/21683603.2016.1130579
Picard-Pageau, W., Morales, E.: Interventions on Sexuality for Adolescents with Autism Spectrum Disorder: A Systematic Review. Sex. Disabil. 40(3), 599–622 (2022)
Stokes, M.A., Kaur, A.: High-functioning autism and sexuality: a parental perspective. Autism 9(3), 266–289 (2005). https://doi.org/10.1177/1362361305053258
Stokes, M., Newton, N., Kaur, A.: Stalking, and social and romantic functioning among adolescents and adults with Autism Spectrum Disorder. J. Autism Dev. Disord. 37, 1969–1986 (2007). https://doi.org/10.1007/s10803-006-0344-2
Taillefer, L., Hénault, I., Langlois, L., Pommier, C., & Prévos, M. J.: CONTEXTE THÉORIQUE: lignes directrices en matière de sexualité pour les personnes présentant une déficience intellectuelle (DI) ou une DI et un trouble du spectre de l’autisme (TSA). (2015)
Tissot, C.: Establishing a sexual identity. Case studies of learners with autism and learning difficulties. Autism 13(6), 551–566 (2009). https://doi.org/10.1177/1362361309338183
Visser, K., Greaves-Lord, K., Tick, N.T., Verhulst, F.C., Maras, A., van der Vegt, E.J.M.: A randomized controlled trial to examine the effects of the Tackling Teenage psychosexual training program for adolescents with autism spectrum disorder. J. Child Psychol. Psychiatry 58(7), 840–850 (2017). https://doi.org/10.1111/jcpp.12709
WHO. (2006). Sexual and reproductive health. Retrieved from https://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/
Funding
There was no funding associated to this particular research.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
The authors have no conflicts of interest to declare that are relevant to the content of this article.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Picard-Pageau, W., Morales, E., Gagnon, MP. et al. Co-Design of an Educational Toolkit on Sexuality for Autistic Adolescents and Young Adults. Sex Disabil 42, 149–165 (2024). https://doi.org/10.1007/s11195-023-09816-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11195-023-09816-9