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Society in the past has tended to view mentally disabled people as asexual or, if they appear overly affectionate, hyper-sexual (Carmody 1996).However, personal relationships and sexuality are essential to the normal development of all adults, including those adults both with and without physical and/or mental disabilities (Smith 1995).
Infants and toddlers face the tasks of developing trust and personal autonomy.This presentation reviews the current literature on sexuality and related issues in people with Down syndrome.Specific topics covered include sex education, abuse, reproductive health issues, contraception, and marriage.Unfortunately, these have not been combined with an equal growth in appropriate programmes for sex education, parent education, the development of support systems, and mechanisms for guidance to help ensure appropriate opportunities and meaningful sexual and personal relationships (parker and Abramson 1995; Shepperdson 1995) Comprehensive sex education that includes training in personal and emotional safety as well as in relationship issues should be a standard part of the educational programme for all individuals with Down syndrome (Edwards 1997).
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Unfortunately, the sexuality of mentally disabled people has historically been ignored or denied (Carmody 1996).
Prior to the last decade, most of this population was housed in large, sex-segregated institutions with few opportunities to socialize.
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