Social Workers’ Roles in Supporting the Sexual and Relational Health of Children with Disabilities

The purpose of this study was to understand social workers’ roles in meeting the sexual and relational health needs of children (aged 3–11) with disabilities. We conducted semi-structured interviews with 12 social workers from a range of practice settings. A phenomenological lens privileged the perspectives of social workers in their definitions of disability and sought to convey the meaning they assigned to their experiences of working with children in practice concerning matters related to sexual and relational health. Social workers enacted a broad definition of disability and often came to work with youth in contexts labeled as sexually problematic. In the provision of sexual health services, social workers embodied commonly adhered to roles including as practitioners, enablers, advocates, brokers, and managers. Services are needed that promote positive sexuality and relational health among children with disabilities. It is important that social workers be proactive advocates for the full inclusion of people with disabilities as equal sexual citizens.     

Chinese Parents’ Perspectives on Adolescent Sexuality Education

ABSTRACT

There is growing interest in China to understand how young people learn about sexuality, but there are few existing studies about the role of parents as sex educators of their children. This study surveyed 694 Chinese parents of adolescents in three cities about their knowledge, attitudes, and practices regarding sexuality education for their children. The majority supported sexuality education, yet few parents had provided it. High-income parents had more favorable sexual attitudes and, in turn, were more likely to educate children about sexuality. The findings provide insight into parents’ role in adolescents’ sexual behavior and can be useful to sexuality education professionals.     

The role of close friends in African American adolescents' dating and sexual behavior

This study examined the role of close friends in the sexual lives of African American adolescents. Fifteen African American adolescents residing in an urban neighborhood participated in individual in-depth qualitative interviews. The findings suggest that close friends play a critical role in the dating and sexual behaviors of inner-city African American adolescents, as they appear to serve as socializing agents that impact how adolescents conceptualize and socially construct dating and sexual roles and behaviors. Close friends also play a significant role in acquiring new dating and sexual partners and in determining the course of dating and sexual relationships. Although females and males expressed similar expectations regarding sexual fidelity and condom use, they differed with regard to their method and process of talking with friends about dating and sex, their shared social constructions about dating and sexual roles and expectations, and their perceptions of the meaning of dating. We discuss the implications of the findings in terms of involving close friends in interventions focused on improving the sexual health of African American adolescents. Future directions for research with African American adolescents and sexuality are also discussed.     

Sustaining an intimate and sexually fulfilled marriage or partnership in older adulthood with a disability: Perspectives of social workers

ABSTRACT

The American portrayal of sex is often left for only the young, attractive, and able-bodied. In contrast many studies have found that older adults with disabilities in marriages and intimate partnerships have sexual desire and sexually active lives. Social workers are often burdened with balancing the sexual intimacy desires of their older adult clients with disabilities, alongside the need to protect them from sexual abuse and exploitation, particularly among those who may lack the capacity to consent due to cognitive impairment. This phenomenological study aimed to understand the lived professional experience of social workers (N = 5) in supporting married and intimately partnered couples in which at least one person was an older adult with a disability to understand the clients’ needs and common social work practice methods used to address their needs. Inductive coding was used to identify themes and subthemes. Their role included helping their clients to learn about their ability to have sex, consenting to sex, negotiating accommodations for intimacy and sex with their spouses, and counseling those who took on caregiver roles for their spouses. Social workers reported that individual diagnosis, such as dementia, should not alone determine one’s ability to consent to sex.     

新生代农民工教育需求探析

对新生代农民工来说,教育是提高自身人力资本、实现经济地位和社会地位转变的最主要途径。总体来看,新生代农民工对教育需求强烈,偏好学历教育,学习内容上体现了明显的市场经济导向,在教育机构的选择上存在一定的差异性。因此,技能与学历相结合的教育是最适合于新生代农民工的教育,可以通过深化成人教育和职业教育改革、规范培训机构、加强政府扶持力度和强化企业责任等途径以满足新生代农民工群体的特殊需要。     

Parenting and Adolescents' Sexual Initiation

This study draws on social control and social learning theories to examine the role of dating‐specific attitudes and practices as predictors of adolescents' sexual initiation. We include attention to the adolescent's reaction to control attempts as a further means of assessing family dynamics (i.e., frequency of dating disagreements). The study uses longitudinal data from 697 adolescents who were not sexually active at the first interview as well as separate interviews with parents. In models that include all parenting variables, parental caring, parents' preferences that the child should delay sex, and the frequency of dating disagreements were significant predictors of initiation of teen sexual activity.     

The Effect of Education on the Sexual Beliefs of Family Physicians

ABSTRACT

Objectives: The purpose of this study was to determine the effect of education regarding a healthy sex life on family physicians’ ideas concerning sexuality. Methods: A 3-hour interactive education program was prepared for family physicians. Thirty-seven family physicians and 21 students specializing in family medicine volunteered to participate in the program. Results: The level of agreement expressed by participants with 25 of the 31 dysfunctional sexual beliefs in the study decreased after training. Only marital status played a significant role in predicting change percentages in sexual beliefs. Conclusions: We think that programs concerning a healthy sex life should be added to physicians’ training.     

Community perceptions of people with disabilities in the North West region of Cameroon: what is the impact on their access to services?

Community perceptions of people with disabilities are not uncommon and also have impact on access to services. This article discusses the results from interviews, participant observations as well as field notes with 62 participants (people with disabilities, families of people with disabilities, regular school teachers and principals, community-based rehabilitation personnel, non-governmental organization personnel, traditional leaders, religious leaders and social workers) regarding their perceptions of people with disabilities and the impact on access to services. The findings from the study revealed that community’s perceptions of people with disabilities are both negative and positive and have an impact on their access to schooling, health and rehabilitation services. The discussions/conclusions include difference in perspectives, beliefs and practices, impact of perceptions as non-linear, sensitization/flow of information and context difference.     

Parent-Adolescent Communication About Sexuality in Chinese Families

Given that young people in China are faced with increased sex-related risks, it is important to understand from a communication perspective, the role of parents as a prominent sexual socialization agent for Chinese adolescents. Semistructured, one-to-one interviews were conducted with Chinese adolescents (N = 37) about their parents’ communication about sex and sexuality. Using a constant comparative method, four categories were identified with respect to Chinese parents’ direct/explicit communication about sexuality and in addition, four categories of indirect/implication communication (RQ1). Further, four categories regarding Chinese adolescents’ attitudes towards such communication were apparent (RQ2). Overall, Chinese parents attempted to transmit values and expectations about dating and sexual activities indirectly, implicitly, and/or nonverbally. Adolescents in the present study also expressed tendencies to avoid sex-related communication with parents. Some even explicitly stated that avoiding such communication was beneficial. The findings’ implications for the role of culture in parent-adolescent communication about sexuality and communication openness are discussed.     

Kenyan Religious Leaders’ Views on Same-Sex Sexuality and Gender Nonconformity: Religious Freedom versus Constitutional Rights

Religion plays an important role in framing the public discourse on sexuality, especially in countries where religion fully permeates social life. We explored the perspectives of Kenyan religious leaders on sexual and gender diversity in their country’s specific context. A total of 212 Catholic, Islamic, and Protestant leaders from urban centers and rural townships completed a self-administered questionnaire specifically developed for this study. The leaders’ perspectives were predominantly negative. Limited acceptance was conditional on sexual minorities not engaging in same-sex practices or seeing such practices as sinful. A substantial minority (37%) endorsed the use of violence for maintaining social values, especially regarding homosexuality and gender nonconformity. The majority of religious leaders agreed on the difference between civil law and religious doctrine. Human rights principles enshrined in Kenya’s Constitution were considered to be applicable to sexual and gender minorities. Decriminalization of same-sex sexuality was seen as against one’s religion. Perspectives were less negative if leaders were familiar with lesbian, gay, bisexual, and transgender (LGBT) persons. Interventions that promote intergroup contact could be effective in changing religious leaders’ mind-sets and advancing human rights and health for sexual and gender minorities.     

Not So Great Expectations: Sex and Housewives in Hong Kong

The study explores the life of married women who are being described as having “good,” “normal,” “blessed” sexuality. The case of si-nais (housewives) in Hong Kong shows that we can never assume that married women (or any social category) are privileged by virtue of their status on the sexual hierarchy. The blessings of social respectability apparently enjoyed by these women may work to enable or hinder women's expression of their erotic desires and sexual fulfillment, depending on their special social circumstances. These women's imagination and experience of good sex is composed of a multitude of components. Women may feel good because they can achieve other psychological and social aims that are important in their lives (which could be related to the maintenance of marriage or the peace of the family). Women may feel good because of the erotic satisfaction that they derive from different pursuits including interests, leisure or other intimate relationships, rather than sexual fulfillment in terms of orgasm or physical pleasure. Women may reformulate their pleasures variously at different stages of their lives. Social respectability, orgasm, emotional intimacy, or any other specific element, may all enter or leave the formula for good sex.     

The Effect of Social Work Education and Self-Esteem on Students' Social Discrimination of People with Disabilities

Social work education on disability content has become more important due to political changes in the last two decades. The United States protected people with disabilities from discrimination in community and employment settings with the enactment of the Americans with Disabilities Act of 1990. These changes have empowered people with disabilities to become more independent; however, social workers primarily fulfill roles as case managers, and often make decisions for people with disabilities. This is not consistent with the empowerment perspective embedded in the disability movement. Most social work schools have minimal courses covering disability content. Previous research and the Self-Esteem Hypothesis indicate that social work education, social proximity to people with disabilities, self-esteem and other demographic characteristics are associated with social discrimination, or attitudes, toward people with disabilities. Social work students (n = 73) participated in a survey in the last semester of their program to assess how these characteristics were associated with their attitudes towards people with disabilities. A multiple linear regression revealed that social work education preparedness to work with people with disabilities, an MSW education, self-esteem, and having a friend with a disability were significantly associated with students' social discrimination towards people with disabilities.     

Privilege,compromise, or social justice: teachers’ conceptualizations of inclusive education

This qualitative study explored the beliefs of teachers in the USA about the education of students with disabilities, focusing on their conceptualizations of inclusive education. Data were obtained through in-depth interviews with 30 teachers. The findings highlight multiple interpretations of inclusive education and suggest that teachers’ support for inclusive education may be linked with the ways in which they conceptualize this practice. Most teachers’ beliefs about the education of students with disabilities were embedded in dominant educational discourses that centered on the otherness of some students, and an unquestioned acceptance of implicit assumptions in special education. Findings support the need for a paradigm shift in teacher education, moving away from deficit models towards an understanding of inclusive education as linked with issues of social justice.     

How Did Erectile Dysfunction Become “Natural”? A Review of the Critical Social Scientific Literature on Medical Treatment for Male Sexual Dysfunction

This article reviews the multidisciplinary social science literature assessing the social consequences of medical treatment for male sexual dysfunction. This literature applies medicalization theory and social constructionist approaches to gender to assert that Euro-American cultural ideals of masculinity and sexuality, as well as ageism and ableism, determine which sexual changes and experiences get defined as “dysfunction” and shape the marketing and use of medical treatments for those changes. These medical responses assuage the suffering of men who become unable to meet cultural ideals for sexuality but in the process make reductive norms for male sexuality seem biologically natural. In addition, the critical social science research suggests that an economic logic underlies the process of redefining diversity and change in men’s sexual function as medical pathology. However, comparative qualitative data on men’s and their sexual partners’ experiences of sexuality and aging across world regions suggest that people do not universally accept the narrow ideals of male sexuality embedded in medical discourse regarding men’s sexual dysfunction. The diversity in people’s sexual desires across the life course and their responses to sexual function change highlight the cultural nature of medical definitions of sexual dysfunction.     

Parent–Adolescent Sexual Communication and Its Association With Adolescent Sexual Behaviors: A Nationally Representative Analysis in the Netherlands

Sexual communication is a principal means of transmitting sexual values, beliefs, expectations, and knowledge from parents to children. Although this area has received considerable research attention, more studies with representative samples are needed to assure that findings are reflective of populations of interest. A nationally representative sample of parent–adolescent dyads (N = 2,965; mean adolescent age = 13.8 years) in the Netherlands was employed to examine the frequency of parent–adolescent sexual communication and its association with adolescent sexual behaviors (defined as sexual initiation, condom use, and contraceptive pill use). Nine communication topics in the areas of anatomy, relationships and rights, and protection and contraception were examined. In all, 75%of parents reported having discussed at least one topic multiple times with their adolescents. Romantic relationships were discussed most frequently. Hierarchical logistic regression analyses indicated that parent–adolescent sexual communication on protection and contraception was positively associated with adolescent sexual initiation and contraceptive pill use but not condom use. This may reflect that adolescents, when they become sexually active, are more likely to discuss sexuality with their parents. Findings are interpreted within the context of Dutch culture, which is generally accepting of adolescent sexuality and characterized by open sexual communication.     

The Development of Four Types of Adolescent Dating Abuse and Selected Demographic Correlates

This study determined the shape of trajectories from ages 13 to 19 of 4 types of dating abuse perpetration and examined whether the demographic characteristics of sex, minority status, socioeconomic status, and family structure systematically explained variation in the trajectories. The data are from 5 waves of data collected from 973 adolescents participating in the control group of a randomized trial. The mean trajectory for psychological dating abuse was positive linear, but the mean trajectories were curvilinear for moderate physical, severe physical, and sexual dating abuse. At all ages, boys reported more severe physical and sexual dating abuse than girls, minorities reported more moderate and severe physical dating abuse than Whites, adolescents in single‐parent households reported more psychological and severe physical dating abuse than those in 2‐parent‐households, and parental education was negatively associated with psychological and moderate physical dating abuse perpetration. The findings have implications for future research and for practice.     

‘Even if Martians exist,they’re far from our everyday life’: faculty perspectives regarding gay and lesbian students in social work education

Following a study on gay and lesbian students’ experiences in a Social Work Department in Greece, this qualitative study explores faculty perspectives regarding lesbian and gay students in social work education. Perceptions of gay and lesbian students’ invisibility and low level of comfort were held in common by participants, although some faculty members referred to the more inclusive and accepting climate of the Social Work Department compared to other higher education Departments and Greek society in general. Most participants reported that same-sex sexuality issues are inadequately covered in the curriculum. Displays of heterosexist behaviour by students were reported by most participants and so were conflicts among students when same-sex sexuality issues were discussed in class. The lack of official anti-discrimination policies that include sexual orientation was highlighted. In the absence of a common strategy regarding the teaching of same-sex sexuality content, faculty determined on an individual level how and to what extent to discuss such issues in the classroom. At times the faculty appeared willing but not adequately prepared to approach gay and lesbian issues. Implications for social work education are discussed.     

Teaching and learning: an exchange of knowledge in the university among students,service users,and professors

The education system's responsibility for social workers to be is a central argument in the academic arena. The purpose of the article is to present an innovative perspective about social work education promoted for several years in the Catholic University in Milan. The education experience with students, social workers to be, gave life to a particular workshop ‘Social Work Orientation’ characterized by different and innovative activities. The experience presented focuses on relational principles such as empowerment, peer facilitation, involvement of service users, and facilitation, following the idea that teaching and learning could be a simultaneous process. Revealing is the experience of ‘service users as professors’, a meeting day in the university between students and service users, a sharing of life stories and relationships. The future social workers learn from the service users, accustoming themselves to considering the service users as people able to cope with their life situations even before enrichment with all the professional tools. The feedback collected about this experience (from students, service users, and professors) shows that the possibility to experiment from the beginning in this approach facilitates the students to become social workers oriented to empowerment and relational processes.     

Not so great expectations: sex and housewives in Hong Kong

The study explores the life of married women who are being described as having "good," "normal," "blessed" sexuality. The case of si-nais (housewives) in Hong Kong shows that we can never assume that married women (or any social category) are privileged by virtue of their status on the sexual hierarchy. The blessings of social respectability apparently enjoyed by these women may work to enable or hinder women's expression of their erotic desires and sexual fulfillment, depending on their special social circumstances. These women's imagination and experience of good sex is composed of a multitude of components. Women may feel good because they can achieve other psychological and social aims that are important in their lives (which could be related to the maintenance of marriage or the peace of the family). Women may feel good because of the erotic satisfaction that they derive from different pursuits including interests, leisure or other intimate relationships, rather than sexual fulfillment in terms of orgasm or physical pleasure. Women may reformulate their pleasure variously at different stages of their lives. Social respectability, orgasm, emotional intimacy, or any other specific element, may all enter or leave the formula for good sex.     

Making Sexuality Visible in Australian Social Work Education

As a social axis of analysis, sexuality has not received the same level of recent attention from social work educators in Australia as it has from its counterparts in the northern hemisphere. Following McNay's notion of ‘situated intersubjectivity’ as a theoretical framework, this paper sets out a socio-cultural approach to making sexuality visible. It details a teaching exemplar, demonstrating a number of experiential exercises designed to enhance final year social work student investigations of cultural discourses and social practices of people's everyday sexual lives, including sexual diversity, homophobia, heterosexuality and heteronormativity.