Weinwurm-Krause E M
Rehabilitation (Stuttg). 1981 Aug;20(3):128-32.
In the 1977-1979 period, 84 thalidomide-affected young people who had followed secondary education up to level I (Sekundarstufe I; school leaving age approx. 16 years), had been interviewed on their sexual experiences. The group was composed of young people with purely orthopaedical impairments, which were rank-ordered in four degrees of disability severity according to the extent of medical lesion. The group under examination was matched by a parallel group of non-disabled young people who had been selected on the criteria of sex, age, educational level, vocational objectives, and occupational status of the father. In comparison to the non-disabled, physically disabled young people are demonstrated to have deficits in sexual experience, which are getting more pronounced with increasing severity of the disability. These deficits in sexual experience do not seem to stem from a lack of social contacts, but rather from their perceived non-compliance with the norms that govern non-disabled people's concepts of performance, attractiveness, and sexuality. The physically disabled young people are aware of these problems; they however seem to be able to cope with them through their leading a "normal" life as regards such aspects as school education, vocational training, and social contacts. Special emotional problems may however develop in the severely disabled young people. An additional sexual problem may arise from their partly less pronounced acquisition of typical sex-role identities, which may however also be viewed as a potentially positive circumstance.
在1977年至1979年期间,对84名受沙利度胺影响、接受过相当于初中教育(Sekundarstufe I;离校年龄约16岁)的年轻人进行了关于他们性经历的访谈。该群体由仅患有骨科损伤的年轻人组成,根据医学损伤程度将其残疾严重程度分为四个等级。受测群体与一组非残疾年轻人进行了匹配,后者是根据性别、年龄、教育水平、职业目标和父亲的职业地位等标准挑选出来的。与非残疾年轻人相比,身体残疾的年轻人在性经历方面存在缺陷,且随着残疾严重程度的增加,这些缺陷愈发明显。这些性经历方面的缺陷似乎并非源于社交接触的缺乏,而是源于他们认为自己不符合那些支配非残疾人群体关于表现、吸引力和性观念的规范。身体残疾的年轻人意识到了这些问题;然而,他们似乎能够通过在学校教育、职业培训和社交接触等方面过“正常”生活来应对这些问题。不过,严重残疾的年轻人可能会出现特殊的情感问题。另外,他们在一定程度上对典型性别角色认同的获得不太明显,这可能会引发一个性方面的问题,不过这也可能被视为一种潜在的积极情况。