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Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
Sexuality Training for Teens or Adults with Developmental Disabilities
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Sexuality Training for Teens or Adults with Developmental Disabilities

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  • 1. SEXUALITY A TRAINING FOR INDIVIDUALS WITH A DISABILITY
  • 2. WE ARE ALL SEXUAL
  • 3. OUR CHOICE • We all have the right to choose how to express our sexuality • All people deserve to be treated with respect and compassion • Everyone deserves to be provided with reliable and accurate information about their bodies, health, and sexuality • Relationships should be consensual • Consent is when everyone involved agrees with what is happening
  • 4. ABUSE • Physical or mental abuse or violence of any kind are NEVER acceptable in any relationship • It is best to stop an uncomfortable situation before it gets worse • You need to be assertive when something feels wrong • Practice saying, “that makes me feel uncomfortable” • Practice saying “No, Stop!”
  • 5. WHAT DOES THIS PICTURE MEAN?
  • 6. WHY ARE INDIVIDUALS WITH DISABILITIES AT RISK FOR SEXUAL ABUSE? • Disabilities and Abuse • Sexual predators only care about themselves • Who are sexual predators? • Some target people with disabilities because they see them as more vulnerable. • Sex offenders think that people with disabilities: • Won’t say no • Won’t know it’s abuse • Won’t report it
  • 7. PROTECT YOURSELF • Know proper names • Law enforcement and doctors will take you more seriously if you say penis or vagina instead of other names • Know how to report abuse • Police, Nurse, Doctor, Counselor, Care worker • Understand your personal rights • Feel comfortable, safety, respect for yourself and your body
  • 8. WOMEN’S BODY PARTS • Breasts • Vulva • Vagina • Everyone practice • saying Vulva and Vagina
  • 9. MEN’S BODY PARTS • Penis • Scrotum • Everyone practice saying penis and scrotum
  • 10. SEXUAL FEELINGS •Once a person goes through puberty they will begin to have sexual feelings toward others •It’s normal to have these sexual feelings, what is important is how you act on them. •A person can have sexual feelings any time in their life, but these change around puberty. You might find some sexual feelings just seem to happen to you. But sexual feelings mostly come about from things you choose to do, either on your own or with someone else.
  • 11. HOW WE HANDLE SEXUAL FEELINGS • Good Choices: • Smile • Hold hands • Give a hug (ask first) • Sit next to them • Give a small kiss • Spend time talking • Write them a letter, poem, song, etc.
  • 12. HOW WE HANDLE SEXUAL FEELINGS •Poor Choices: •Have sex right away •Follow them everywhere •Get angry when they talk to other people •“Hang” on the other person all the time •Insist on being with them ALL the time
  • 13. SEXUAL FEELINGS AND MASTURBATION • A main way that people express their sexual feelings is by touching their own genitals. Boys can get pleasure from touching their penis, particularly the tip. This is called masturbation. Girls can get pleasure by touching the external part of the vagina called the clitoris. Some people masturbate very often, maybe every day. Some people do it less often, and some don't masturbate at all. • Masturbation is a normal and natural activity and is not bad for you unless you masturbate so much that you make your genital area sore. • When a person is masturbating they become more and more sexually excited. They may then reach a peak of sexual excitement which is called having an orgasm or "coming". Males will ejaculate, which is when white substance, sperm, travels from the testis and through the penis. Females will have some muscle contractions and will release a clear substance inside of the vagina.
  • 14. POSITIVE RELATIONSHIPS • Honesty and communication! • If you do not feel comfortable enough to talk about the behaviors you are going to or are doing, you are not ready for those behaviors • Give the other person their personal space when needed • Allows the other to have other types of relationships • Jealousy • Respect each others needs, wants and decisions
  • 15. WHICH OF THE FOLLOWING ARE GOOD RESPONSES TO SEXUAL FEELINGS? • Smile • Be with them ALL the time • Hug them • Sit next to each other • Get upset when they talk to other people • Follow them everywhere • Hold Hands • Write a poem • Masturbating where other people can see • Have sex right away • Hold each other ALL the time • Give them a small kiss • Masturbating
  • 16. DANGERS OF SEXUAL ACTIVITY • Unwanted Pregnancy • Confusion • Unwanted Sexual Experiences • Sexually Transmitted Infections (STIs) • Mental and Emotional distress • Low self-esteem • Guilt
  • 17. WHY ARE PEOPLE SEXUALLY ACTIVE? •It creates children •To express their love •There is a feeling of pleasure
  • 18. ASK YOURSELF…
  • 19. WHEN YOU DO DECIDE TO HAVE SEX… •You need to protect yourself! •From pregnancy until it’s wanted •From sexually transmitted infections (STIs) •From mental and emotional distress
  • 20. WHAT ARE THE RISKS OF BEING SEXUALLY ACTIVE? •___________________ •___________________ •___________________
  • 21. PROTECTING YOURSELF FROM UNWANTED PREGNANCY • Both Man and Woman’s Job • The man has as much responsibility for a pregnancy as the woman • Ways to avoid an unwanted pregnancy: • Abstinence • Birth Control Methods
  • 22. TYPES OF BIRTH CONTROL Short Term •Male • Condoms •Female • Birthcontrol Pill “The pill” • Cervical Cap • Diaphragm • Depo-Prevera shot (“Depo”) • Natural Family Planning (NFP) • The Patch • NuvaRing • Morning After Pill Permanent • Norplant • Intrauterine Device (IUD) • Tubal Ligation (“Tubes Tied”) • Vasectomy
  • 23. BIRTH CONTROL MYTHS • “Pulling out” • Woman on top • Sex in water • Birth control is 100% effective • Correct use • Antibiotics • You can take the pill any time
  • 24. WHICH OF THE FOLLOWING ARE REAL TYPES OF BIRTH CONTROL? The pill Condom Female Condom Intra Uterine Device (IUD) Pull Out Method Tubal Ligation Vascetomy Morning After Pill Cervical Cap Diaphram Natural Family Planning (NFP) Depo Prevera Shot Norplant The Patch Nuva Ring Woman on top method
  • 25. WHAT ARE YOUR CHOICES IF YOU DO GET PREGNANT? • Have the child and raise it • Have the child and put it up for adoption • Have an abortion • What do you think about these options personally? • What are some of the challenges that could occur?
  • 26. FAMILY PLANNING • Planning for the number of children and the spacing and timing of their births. It is achieved through use of birth control methods. • By using family planning you can avoid the difficult decisions involved with an unwanted pregnancy • What are your current family goals? • Where can you go for family planning and birth control services? • ___________________ • ___________________ • ___________________ • ___________________
  • 27. SEXUALLY TRANSMITTED INFECTIONS AND DISEASES (STI/STD)   Gonorrhea Chlamydia AIDS/HIV Herpes Syphilis Trichomoniasis •   •   •   •   Gential Warts LGV (Lymphogranuloma venereum) Human Papiloma Virus HPV Pelvic inflammatory Disease (PID)
  • 28. STI/ STD FACTS • Some STIs can kill you • HIV/AIDS; HPV by cervical cancer; Syphilis by mental defect • Some STIs can make you infertile (unable to have babies or produce them) • Some STIs don’t have noticeable symptoms • Some STIs have treatments, some DO NOT! • You can NEVER get rid of some STIs • Syphilis affects your brain • You can get the same STI more than once • You can get an STI even if you use a condom • HPV can be prevented with a vaccine • STIs are spread through vaginal intercourse, oral sex and anal sex
  • 29. MYTH OR FACT? • You can only get an STI • Some STIs can make you unable to have babies (fertile) • Some STIs have little to no symptoms • You can still get an STI even if you use a condom • All STIs are curable • The only STI you can die from is HIV/AIDS • The only way to get an STI is through sexual intercourse • There is a shot that you can take to prevent STIs
  • 30. TAKING CARE OF YOUR BODY •Cancer can damage or take away your reproductive organs •It’s important to test yourself regularly •Breast Examination •PAP Smear •Testicular Examination
  • 31. BREAST SELF EXAMINATION
  • 32. PERFORMING AN EXAMINATION • Lie down and place your right arm behind your head. The exam is done while lying down, not standing up. This is because when lying down the breast tissue spreads evenly over the chest wall and is as thin as possible, making it much easier to feel all the breast tissue. • Use the finger pads of the 3 middle fingers on your left hand to feel for lumps in the right breast. Use overlapping dime-sized circular motions of the finger pads to feel the breast tissue. • Use 3 different levels of pressure to feel all the breast tissue. Light pressure is needed to feel the tissue closest to the skin; medium pressure to feel a little deeper; and firm pressure to feel the tissue closest to the chest and ribs. It is normal to feel a firm ridge in the lower curve of each breast, but you should tell your doctor if you feel anything else out of the ordinary. If you're not sure how hard to press, talk with your doctor or nurse. Use each pressure level to feel the breast tissue before moving on to the next spot. • Move around the breast in an up and down pattern starting at an imaginary line drawn straight down your side from the underarm and moving across the breast to the middle of the chest bone (sternum or breastbone). Be sure to check the entire breast area going down until you feel only ribs and up to the neck or collar bone (clavicle).
  • 33. PERFORMING AN EXAMINATION CONTINUED • There is some evidence to suggest that the up-and-down pattern (sometimes called the • vertical pattern) is the most effective pattern for covering the entire breast, without missing any breast tissue. • Repeat the exam on your left breast, putting your left arm behind your head and using the finger pads of your right hand to do the exam. • While standing in front of a mirror with your hands pressing firmly down on your hips, look at your breasts for any changes of size, shape, contour, or dimpling, or redness or scaliness of the nipple or breast skin. (The pressing down on the hips position contracts the chest wall muscles and enhances any breast changes.) • Examine each underarm while sitting up or standing and with your arm only slightly raised so you can easily feel in this area. Raising your arm straight up tightens the tissue in this area and makes it harder to examine.
  • 34. PAP SMEAR For Women •Every year beginning when you become sexually active •Looks for abnormal cervical cells that can cause cervical cancer •At a certain age and if you are monogamous (only one sexual partner) you can have the exam every other year or up to every five years. • Listen to your Dr.
  • 35. TESTICULAR EXAM • If possible, stand in front of a mirror. Check for any swelling on the scrotal skin. • Examine each testicle with both hands. Place the index and middle fingers under the testicle with the thumbs placed on top. Roll the testicle gently between the thumbs and fingers -- you shouldn't feel any pain when doing the exam. Don't be alarmed if one testicle seems slightly larger than the other, that's normal.
  • 36. TESTICULAR EXAM CONTINUED • Find the epididymis, the soft, tube-like structure behind the testicle that collects and carries sperm. If you are familiar with this structure, you won't mistake it for a suspicious lump. Cancerous lumps usually are found on the sides of the testicle but can also show up on the front. Lumps on or attached to the epididymis are not cancerous. • If you find a lump on your testicle or any of the other signs of testicular cancer listed below, see a doctor, preferably a urologist, right away. The abnormality may not be cancer, but if it is testicular cancer, it will spread if it is not stopped by treatment. Even if it is something else like an infection, you are still going to need to see a doctor. Waiting and hoping will not fix anything. Please note that free floating lumps in the scrotum that are not attached in any way to a testicle are not testicular cancer. When in doubt, get it checked out - if only for peace of mind!
  • 37. WHY WOULD SOMEONE CHOSE TO BE ABSTINENT? • Don’t have to worry about STIs • Condoms don’t always keep them all out! • Don’t have to worry about pregnancy – Birth control does not always work! • Religious believes • Self Respect • Don’t have to treat your body with chemical hormones for birth control • Better relationships • What is your plan?
  • 38. ALCOHOL, DRUGS AND SEX • Alcohol is a depressant • This means that it lowers your inhibitions (do something you normally wouldn’t) • This means you may not use birth control, like you normally would • Can make you forget • Leads to regret and poor self-esteem • Other drugs speed up your heart-rate and body functions- stimulants • And others that can make you see things that aren’t there, feel numb and even some drugs like the one known as ‘The Date Rape Drug’ can make it so that you can’t move your body, or speak loud enough to say no or consent. • Drugs and alcohol put your safety at risk
  • 39. WHICH ONE OF THESE SITUATIONS INVOLVED ALCOHOL? • Bob and Sarah are 18. They both want to wait to have sex until they are married. After dating for two years they decide they are committed enough and have sex. • Joe and Laura are 18. Laura wants to wait until she’s married to have sex. Joe has already had sex. After dating for two months they have sex one night.
  • 40. WHO CAN YOU TALK TO ABOUT SEXUAL CONCERNS? • ___________________ • ___________________ • ___________________ • ___________________ • ___________________ • ___________________ • ___________________ • ___________________

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