“It’s Not, Can You Do This? It’s… How Do You Feel About Doing This?” A Critical Discourse Analysis of Sexuality Support After Spinal Cord Injury

IF 1.1 4区 医学 Q3 REHABILITATION
Chloe Bryant, Tammy Aplin, Diana K. Piantedosi, Jenny Setchell
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Abstract

Previous research has indicated that healthcare support for sexuality after spinal cord injury appears to be neglected or inadequately provided. The perspectives of people living with spinal cord injuries regarding what is lacking and what support they would like to be provided, and why, has yet to be explored. This paper uses critical theory to explore how societal constructs of sexuality and disability shape how sexuality is supported after a spinal cord injury. To do this, we conducted in-depth semi-structured interviews with 11 people with a spinal cord injury from Australia, the United Kingdom, and the United States. We drew from the works of various critical disability theorists to analyze what discourses underpinned the experiences people with spinal cord injuries had when receiving sexuality support. Analysis suggested that the following discourses were apparent: (1) broken bodies require repair, (2) sex is penetration, ejaculation then reproduction, and (3) sexual autonomy is required. Findings indicated healthcare professionals need to recognize people with spinal cord injuries as sexual beings with a diverse range of desires, lives, relations, and bodies. Provision of individualized comprehensive high-quality sexuality support is therefore warranted. To achieve this, healthcare professionals should aim to be aware of, and mitigate, ableist and normative assumptions.

不是 "你能做到吗?而是......你觉得该怎么做?"脊髓损伤后性支持的批判性话语分析
以往的研究表明,脊髓损伤后的性保健支持似乎被忽视或提供不足。对于脊髓损伤患者而言,他们希望获得哪些支持,以及为什么希望获得这些支持,他们的观点还有待探讨。本文采用批判性理论来探讨社会对性和残疾的建构如何影响脊髓损伤后对性的支持。为此,我们对来自澳大利亚、英国和美国的 11 名脊髓损伤患者进行了深入的半结构式访谈。我们借鉴了多位残疾批判理论家的著作,分析了脊髓损伤者在接受性支持时的经历所依据的论述。分析表明,以下论述是显而易见的:(1)残缺的身体需要修复;(2)性是插入、射精然后生殖;(3)性自主是必需的。研究结果表明,医疗保健专业人员需要认识到脊髓损伤者是具有不同欲望、生活、关系和身体的性存在。因此,有必要为他们提供个性化的、全面的、高质量的性支持。为了实现这一目标,医护专业人员应该意识到并减少能力主义和规范性假设。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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