Department of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.
Res Dev Disabil. 2018 Apr;75:68-81. doi: 10.1016/j.ridd.2018.02.008. Epub 2018 Feb 24.
The normalisation movement calls for more recognition of the sexual rights of people with intellectual disabilities to challenge classically paradoxical cultural beliefs: 'hypersexual' versus 'asexual'.
This meta-ethnographic qualitative synthesis aimed to explore the voices of people with intellectual disabilities in regards to their experiences and perceptions of sexuality using a Coordinated Management of Meaning framework to derive new conceptual understandings of how their sexuality exists within multiple contexts.
A systematic literature search and quality assessment yielded 16 studies that met the inclusion criteria and were synthesised following the method of meta-ethnography.
Four core themes were identified; 'Sociocultural Norms'; 'Under Others Power'; 'Sexual Identity' and 'Sexual Experience'.
Application of the hierarchical Coordinated Management of Meaning model suggested caregivers contextual beliefs about people with intellectual disabilities' sexuality inhibited or facilitated positive expressions of sexuality over and above individual needs and desires. Rights-based cultural messages provided the only context that led to positive sexuality outcomes and research that explores sexuality within this context is much needed. The Coordinated Management of Meaning model identified by this research may act as a framework to support the reflective-practice of caregivers.
正常化运动呼吁更多地承认智障人士的性权利，以挑战经典的悖论性文化观念：“过度性行为”与“无性”。
本元分析定性综合研究旨在运用协调意义管理框架，从多个角度探讨智障人士对性的体验和看法，以了解他们的性存在于多种背景下的新概念理解。
系统的文献检索和质量评估产生了 16 项符合纳入标准的研究，并采用元分析方法进行了综合。
确定了四个核心主题：“社会文化规范”；“在他人权力下”；“性认同”和“性体验”。
协调意义管理层次模型的应用表明，照顾者对智障人士性的信念会抑制或促进其性的积极表达，而不仅仅是个人的需求和欲望。基于权利的文化信息提供了唯一能导致积极的性结果的背景，因此非常需要在这种背景下探索性问题的研究。本研究确定的协调意义管理模型可以作为支持照顾者反思实践的框架。
