University of Helsinki, Helsinki, Finland.
University of Latvia, Riga, Latvia.
Theor Med Bioeth. 2023 Apr;44(2):125-140. doi: 10.1007/s11017-023-09612-8. Epub 2023 Feb 24.
The Human Condition is neither a well-defined nor well-described concept-nevertheless, it is generally agreed that human sexuality is a fundamental and constituent part of it. For most able-bodied persons, accessing and expressing one's sexuality is a (relatively) trouble-free process. However, many disabled persons experience difficulty in accessing their sexuality, while others experience such significant barriers that they are often precluded from sexual citizenship altogether. Recognising the barriers to the sexual citizenship of disabled persons, the concept of a Welfare-Funded Sex Doula Program has been advanced - a program specifically aimed at meeting the various (and often complex) sexual needs of disabled people. Below we show how that program can be justified within at least two different moral frameworks, the capabilities approach and liberal utilitarianism, and consider and repudiate arguments against it.
人的状况既不是一个明确的也不是一个描述得很好的概念——尽管如此，人们普遍认为，人的性行为是其基本和构成部分。对于大多数身体健全的人来说，获得和表达自己的性行为是一个（相对）没有麻烦的过程。然而，许多残疾人在获得性行为方面遇到困难，而另一些残疾人则遇到了如此重大的障碍，以至于他们完全被排除在性公民身份之外。鉴于残疾人的性公民权面临障碍，提出了福利资助性伴侣计划的概念——这是一个专门旨在满足残疾人各种（往往是复杂的）性需求的方案。下面我们展示了该方案如何在至少两种不同的道德框架内得到证明，即能力方法和自由功利主义，并考虑和驳斥了反对该方案的论点。
