Whose Sex is it Anyway?: Freedom of Exploration and Expression of Sexuality of an Individual Living with Brain Injury in a Supported Independent Living Environment

Abstract

Individuals living with the effects of a disability have varying degrees of access to sexual opportunities, i.e., "sexual access", when residing in institutions and more structured living environments. Individuals living with the effects of brain injury (BI) and living in a supported independent living environment (SIL) may face cognitive, behavioural, and psychosocial disabilities that present additional challenges to sexual expression and relationships. Issues relating to sexual accessibility in a SIL environment for individuals living with the effects of BI are discussed through a case study. Particular attention is paid to the impact on sexual accessibility of prior experience, legal competency, need for instrumental support, and attitudes of those working directly with these individuals. Ongoing education must address the attitudinal and societal perceptions that affect sexual accessibility for men and women with disabilities.