School of Social Work, University at Buffalo, Buffalo, NY, USA.
J Appl Res Intellect Disabil. 2022 Jul;35(4):921-934. doi: 10.1111/jar.12867. Epub 2021 Mar 1.
People with intellectual disability contend with significant restrictions to their sexual expression and partnered relationships. This review examines the types of recommendations scholars offer in their qualitative research involving participants with intellectual disability discussing sexuality and intimate relationships.
A systematic review of peer-reviewed studies published between 1972 and July 2018 yielded a sample of 26 studies. Thematic analysis was used to taxonomize scholars' recommendations.
Six distinct forms of recommendations were identified. The most frequently offered and most strongly emphasized recommendation across studies aimed to change individuals with intellectual disability. In contrast, a minority of studies prioritized engaging individuals as informants, eliciting individuals' wishes, enabling relationships and fostering ideological change. No studies placed the greatest weight on promoting systems change.
Recommendations in the literature have predominantly emphasized individual as opposed to environmental changes. I consider the ramifications of this and argue for a reorientation towards systems change.
智障人士在性表达和伴侣关系方面受到严重限制。本综述考察了学者在涉及智障人士讨论性和亲密关系的定性研究中提出的建议类型。
对 1972 年至 2018 年 7 月发表的同行评议研究进行了系统回顾，得出了 26 项研究的样本。采用主题分析对学者的建议进行分类。
确定了六种不同形式的建议。在研究中，最常提出和最强调的建议是改变智障人士。相比之下，少数研究优先让智障人士作为信息提供者参与，征求个人意愿，建立关系，并促进思想转变。没有研究将最大的重点放在推动制度变革上。
文献中的建议主要强调个人而不是环境的改变。我考虑了这一后果，并主张重新关注制度变革。
