Journal of Autism and Developmental Disorders

, Volume 37, Issue 2, pp 260–269

Sexual Behavior in High-Functioning Male Adolescents and Young Adults with Autism Spectrum Disorder

  • Hans Hellemans
  • Kathy Colson
  • Christine Verbraeken
  • Robert Vermeiren
  • Dirk Deboutte


Group home caregivers of 24 institutionalized, male, high-functioning adolescents and young adults with Autism Spectrum Disorder, were interviewed with the Interview Sexuality Autism. Most subjects were reported to express sexual interest and to display some kind of sexual behavior. Knowledge of socio-sexual skills existed, but practical use was moderate. Masturbation was common. Many subjects were seeking physical contact with others. Half of the sample had experienced a relationship, while three were reported to have had sexual intercourse. The number of bisexual orientations appeared high. Ritual-sexual use of objects and sensory fascinations with a sexual connotation were sometimes present. A paraphilia was present in two subjects. About one third of the group needed intervention regarding sexual development or behavior.


Autism Sexuality Sexual behavior Sexual problems Paraphilia 


  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. (4th ed.). Washington, DC: Author.Google Scholar
  2. Bagley, C., & Tremblay, P. (1998). On the prevalence of homosexuality and bisexuality, in a random community survey of 750 men aged 18 to 27. Journal of Homosexuality, 36, 1–18.PubMedCrossRefGoogle Scholar
  3. Brugman, E., Goedhart, H., Vogels, T., & Van Zessen, G. (1995). Jeugd en seks 95. Resultaten van het nationale scholierenonderzoek. Utrecht: SWP.Google Scholar
  4. Craft, A. (1994). Practice issues in sexuality and learning disabilities. London: Routledge.Google Scholar
  5. Frenken, J. (2002). Strafbare seksualiteit en seksueel deviant gedrag: definities en prevalenties. Tijdschrift Klinische Psychologie, 32, 6–12.Google Scholar
  6. Ford, A. (1987). Sex education for individuals with autism: Structuring information and opportunities. In D. J. Cohen, & A. M. Donnellan (Eds.), Handbook of autism and pervasive developmental disorders (pp. 430–439). New York: John Wiley.Google Scholar
  7. Gray, S., Ruble, L., & Dalrymple, N. (2000). Autism and sexuality: A guide for instruction. Bloomington: Autism Society of Indiana.Google Scholar
  8. Hellemans, H. (1989). Seksuele opvoeding bij jongeren met autisme. In T. Peeters (Ed.), Referatenbundel In-service (pp. 55–63). Antwerp, Belgium: Opleidingscentrum Autisme.Google Scholar
  9. Hellemans, H. (1996). Autisme en seksualiteit. Ghent, Belgium: Vlaamse Vereniging Autisme.Google Scholar
  10. Hingsburger, D., Griffiths, D., & Quinsey, V. (1991). Detecting counterfeit deviance: Differentiating sexual deviance from sexual inappropriateness. The Habilitative Mental Healthcare Newsletter, 10, 51–54.Google Scholar
  11. Kempton, W. (1999a). Life horizons I. The physiological and emotional aspects of being male and female. Santa Monica: James Stanfield.Google Scholar
  12. Kempton, W. (1999b). Life horizons II. The moral, social and legal aspects of sexuality. Santa Monica: James Stanfield.Google Scholar
  13. Kempton, W. (2003). Socialization and sexuality: A comprehensive training guide for professional helping people with disabilities that hinder learning. Winifred Kempton Associates.Google Scholar
  14. Kobayashi, R. (1996). Psychosexual development of autistic children during adolescence. In M. Shimizu (Ed.), Recent progress in child and adolescent psychiatry (pp. 12–20). Tokyo: Springer.Google Scholar
  15. Koller, R. (2000). Sexuality and adolescents with autism. Sexuality and Disability, 18, 125–135.CrossRefGoogle Scholar
  16. Konstantareas, M., & Lunsky, Y. (1997). Sociosexual knowledge, experience, attitudes and interests of individuals with autistic disorder and developmental delay. Journal of Autism and Developmental Disorders, 27, 397–413.PubMedCrossRefGoogle Scholar
  17. Landén, M., & Rasmussen, P. (1997). Gender identity disorder in a girl with autism – A case report. European Child & Adolescent Psychiatry, 6, 170–173.CrossRefGoogle Scholar
  18. Maletzky, B. M. (1998). The paraphilias: Research and treatment. In P. E. Nathan, & J. M. Gorman (Eds.), A guide to treatments that work (pp. 525–557). Oxford: Oxford University Press.Google Scholar
  19. Meister, C., Norlock, D., Honeyman, S., & Pierce, K. (1994). Sexuality and autism: A parenting skills enhancement group. Canadian Journal of Human Sexuality, 3, 283–289.Google Scholar
  20. Melone, M., & Lettick, A. (1983). Sex education at Benhaven. In E. Schopler, & G. Mesibov (Eds.), Autism in adolescents and adults (pp. 169–186). New York: Plenum Press.Google Scholar
  21. Ousley, O. Y., & Mesibov, G. B. (1991). Sexual attitudes and knowledge of high-functioning adolescents and adults with autism. Journal of Autism and Developmental Disorders, 21, 471–481.PubMedCrossRefGoogle Scholar
  22. Realmuto, G. M., & Ruble, L. A. (1999). Sexual behaviors in autism: Problems of definition and management. Journal of Autism and Developmental Disorders, 29, 121–127.PubMedCrossRefGoogle Scholar
  23. Ruble, L., & Dalrymple, N. (1993). Social/sexual awareness of persons with autism: A parental perspective. Archives of Sexual Behavior, 22, 229–240.PubMedCrossRefGoogle Scholar
  24. Sexuality Information and Education Council of the United States – SIECUS. (1996). Guidelines for comprehensive sexuality education: Kindergarten–12th grade. Scholar
  25. van Bourgondien, M., Reichle, N., & Palmer, A. (1997). Sexual behavior in adults with autism. Journal of Autism and Developmental Disorders, 27, 113–125.PubMedCrossRefGoogle Scholar
  26. Vanhove, T., & Matthijs, K. (2003). Houdingen omtrent huwelijk en echtscheiding bij eerstekandidatuurstudenten aan de K.U. Leuven. Leuven: Centrum voor Bevolkings- en Gezinsonderzoek.Google Scholar
  27. van Son-Schoones, N., & van Bilsen, P. (1995). Sexuality and autism. A pilot-study of parents, health care workers and autistic persons. International Journal of Adolescent Medicine and Health, 8, 87–101.Google Scholar
  28. Vogels, T., & van der Vliet, R. (1990). Jeugd en seks. Gedrag en gezondheidsrisico’s bij scholieren. ‘s. Gravenhage: SDU.Google Scholar
  29. Williams, P. G., Allard, A., & Sears, L. (1996). Case study: Cross-gender preoccupations in two male children with autism. Journal of Autism and Developmental Disorders, 26, 635–642.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Hans Hellemans
    • 1
  • Kathy Colson
    • 2
  • Christine Verbraeken
    • 3
  • Robert Vermeiren
    • 4
  • Dirk Deboutte
    • 1
  1. 1.University Center of Child and Adolescent Psychiatry Antwerp, ZNA MiddelheimUniversity of AntwerpAntwerpBelgium
  2. 2.CW LakenLakenBelgium
  3. 3.CLB LierLierBelgium
  4. 4.VU Medical CenterAmsterdamThe Netherlands

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