Representations of Sexuality among Persons with Intellectual Disability, as Perceived by Professionals in Specialized Institutions: A Systematic Review

Tamara Guenoun, Barbara Smaniotto, Christophe Clesse, Marion Mauran-Mignorat, Estelle Veyron-Lacroix, Albert Ciccone and Aziz Essadek
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Tamara Guenoun: Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière-Lyon 2, 69365 Lyon, France
Barbara Smaniotto: Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière-Lyon 2, 69365 Lyon, France
Christophe Clesse: Center for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London E1 4NS, UK
Marion Mauran-Mignorat: Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière-Lyon 2, 69365 Lyon, France
Estelle Veyron-Lacroix: Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière-Lyon 2, 69365 Lyon, France
Albert Ciccone: Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière-Lyon 2, 69365 Lyon, France
Aziz Essadek: Laboratoire INTERPSY, Université de Lorraine, 54052 Nancy, France

IJERPH, 2022, vol. 19, issue 8, 1-18

Abstract: The objective of this systematic review is to make an inventory of the representations of the professionals of specialized institutions on the sexuality of persons with intellectual disabilities. The scientific studies were identified according to the PRISMA protocol using 18 databases, with keywords on sexuality and parenthood. Studies were reviewed through a methodological assessment and then a thematic analysis. Twenty-four studies were reviewed and three themes were identified: professionals’ representations of gender, sexuality, and consent; professionals’ perceptions of their role in supporting people’s sexual lives; and the ways in which professionals construct representations of people’s sexual lives. This corpus highlights deep paradoxes in the representations of professionals concerning the socio-affective needs and sexuality of people with intellectual disabilities, creating what we could define as a “system of incompatibility” and leading to difficulties in positioning. Support is still too random and subject to control logics in the name of protecting users, who are perceived as vulnerable. Training and new ways of teamwork appear to be central to supporting the evolution of the representations and practices of professionals. Future research anchored in practices and involving users as well as professionals is necessary to better understand the paradoxical aspects of professionals’ representations and to draw alternative ways of constructing these representations.

Keywords: systematic review; intellectual disability; sexuality; mental representations; professionals; specialized institution (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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