This paper discusses the limitations in the way that healthcare practitioners may use Annon’s PLISSIT model in meeting the sexual wellbeing needs of individuals with an acquired disability and presents the merits of the extended model, Ex-PLISSIT. Key features of this model include explicit Permission-giving as a core feature of each of the other stages, the requirement to review all interactions with patients, and the incorporation of reflection as a means of increasing self-awareness by challenging assumptions.
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Taylor, B., Davis, S. The Extended PLISSIT Model for Addressing the Sexual Wellbeing of Individuals with an Acquired Disability or Chronic Illness. Sex Disabil 25, 135–139 (2007). https://doi.org/10.1007/s11195-007-9044-x