Suzanne,  your insights were very thought provoking - the organisation (a
large disability service) for which I work has done a lot of work in the
area of carer education, with mixed success (as cultural attitudes are by
their very nature deeply entrenched). For clients requesting sex toys we
tend to refer on to an inhouse therapist and a private recreation officer
who specializes in this area.

It impressed me that some clients have spoken of their frustration that the
focus of  therapy interventions always seems to be on the "practicalities"
eg the "mechanics" of positioning with a partner, and limited to a
functional approach to the use of sex toys...and suggested that they'd like
to have some of the subtler qualities of their sexual expression discussed -
like sex in the context of their relationships and so forth. Is this the
realm of Psychology? or does OT's truly wholistic perspective have a place?

It seems to me that endeavouring to understand the occupational quality of
the sexual expression of our clients is one of the most challenging aspects
to OT....it really takes one to the limits of one's beliefs and
attitudes...well that's what I reckon anyway!

Ron,
 I think there was an earlier posting detailing the PLISSIT model
...essentially it provides a "heirarchy of intervention"...and suggests
potential limits to the scope of OT practice at it's upper levels (Specific
Suggestions,Intensive
Therapy).

I can't believe that only two list members replied to the original request
for their thoughts
on this topic! Sex is a fundamental human occupation/means of
expression....are therapists in the US constrained by the (apparently!) more
restrictive medico-legal environment there from considering their client's
needs in this area of life? is it a funding issue? what if a client felt
that their sex life was more important to them
than learning to do simple meal prep, and wanted to spend their therapy time
investigating strategies to make things better there?
cheers
David










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