Hello Susanne: At my last meeting, I asked the patient if anyone has addressed sexuality issues. She said "yes", but that they (she and her husband) are "afraid". She has expressed on multiple occasions that her husband is afraid to do anything regarding therapy, so I'm not surprised that he's afraid of intimacy.
Do you have any resources for the videos that you mention? Thanks, Ron ----- Original Message ----- From: susanne <[EMAIL PROTECTED]> Sent: Wednesday, May 30, 2007 To: [email protected] <[email protected]> Subj: [OTlist] OTnow Colloboration With Spinal Cord Injury >> I will address the issues of sexuality but will need to >> refer her to >> someone more appropriate - not sure who that might be. s> Should have been addressed in depth in rehab too. Being with s> peers makes a huge difference. s> But for now, I think you can safely trust the PLISSIT model: s> "Permission, Limited Information, Specific Suggestions, and s> Intensive Therapy". Referral might be needed at step 3 or 4, s> depending on your knowledge and skills. But doing it earlier s> might send the message that "you think there's something s> wrong" (with either her, or with talking about sexuality). s> About Permission I imagine you finding ways to show her that s> you're willing to talk about it - showing that it's natural s> to care about it. I also imagine that what's mostly "in her s> way" right now is bowels, bladder and body image. Also - her s> husband might be afraid to hurt her physically during s> intercourse. There are videos available - she may have s> already seen them in rehab, but maybe not with her husband? s> Female sexuality after SCI was "top subject" in the Danish s> SCI org last year, so please ask away! s> susanne -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
