An Empirical Qualitative Investigation into Psychosexual Development in and Sex Education for Autistic Youth: Insights from Autistic and Non-Autistic Young Adults.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Tasha T W Au Yeung, Marshall M C Hui, Karson T F Kung
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Abstract

The present study was designed to examine autistic and non-autistic young adults' lived experience in psychosexual development and sex education and to solicit recommendations on how to improve sex education programs. Participants included 10 autistic young adults and 10 non-autistic young adults aged 18 to 24 years. The two groups were matched for sex and education level. One-on-one semi-structured interviews were conducted. Participants' responses were analyzed using comparative interpretative phenomenological analysis. Four superordinate themes emerged: (1) "Who am I as a sexual being"; (2) Making sense of psychosexual development; (3) Sources of information; and (4) "Dear developers of sex education programs". Most autistic participants shared feelings of intense anxiety about romantic and sexual relationships, in part due to anticipated difficulties in social communication. Interestingly, although interview questions mostly focused on sex and adolescence, issues surrounding romantic relationships and their links to current self-concept were prominent themes in many autistic participants' responses, suggesting that autism-friendly sex education programs need to address issues related to romance and should target not only adolescents but also young adults. Also, autistic participants learned from peer interactions within the autistic community, highlighting the importance of facilitating peer exchanges and continuous learning beyond completing a program. Regarding delivery format, autistic participants valued concreteness and a mixed-sex small-group setting, and recommended using visual cues, real life examples, and role play. Autistic individuals have unmet psychosexual educational needs. Further research may consider their needs, lived experience, and recommendations when developing new autism-friendly sex education programs.

关于自闭症青少年性心理发展和性教育的实证定性调查:来自自闭症和非自闭症青少年的启示。
本研究旨在考察自闭症和非自闭症青少年在性心理发展和性教育方面的生活经验,并就如何改进性教育课程征求建议。参与者包括 10 名自闭症青少年和 10 名非自闭症青少年,年龄在 18-24 岁之间。两组的性别和受教育程度相匹配。研究人员进行了一对一的半结构化访谈。采用比较解释现象学分析法对参与者的回答进行了分析。得出了四个上位主题:(1) "作为性存在,我是谁";(2) 性心理发展的意义;(3) 信息来源;(4) "亲爱的性教育课程开发者"。大多数自闭症参与者都对恋爱和性关系感到强烈焦虑,部分原因是预期的社会交往困难。有趣的是,虽然访谈问题大多集中在性和青春期,但围绕恋爱关系的问题及其与当前自我概念的联系是许多自闭症参与者回答中的突出主题,这表明自闭症友好性教育计划需要解决与恋爱有关的问题,而且不仅应针对青少年,还应针对年轻成年人。此外,自闭症参与者还从自闭症社区内的同伴互动中学到了知识,这突出了促进同伴交流和在完成课程后继续学习的重要性。在授课形式方面,自闭症参与者重视课程的具体性和男女混合的小组环境,并建议使用视觉提示、实际生活案例和角色扮演。自闭症患者的性心理教育需求尚未得到满足。在开发新的自闭症友好性教育计划时,进一步的研究可以考虑他们的需求、生活经验和建议。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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