Specialist in sexuality and relationships – since 1969
Ethical Dilemmas
in Promoting Sexual Health in Practice
Tommi Paala...
Agenda
 Promoting sexual well-being and sexual rights
 Advancing liberal and open sexual culture
Activities
 Counsellin...
Target groups
1. People, who need help from others to manage
2. People, who experience cultural oppression
3. Alternative ...
Target groups
1. People, who need help from others to manage
2. People, who experience cultural oppression
3. Alternative ...
Tommi Paalanen - WAS 2013
Target groups
mentally disabled
physically disabled
long-term illnesses
mental health problems
a...
Power dynamics
 Misplaced benevolence
 Misuse of power: knowing better, disregarding interests
 Forbidding or limiting ...
Man, 21 years old, mentally disabled
 Lives in a group home, needs some assistance
 Interested in other men
 Wants to w...
Critical questions
 What is really harmful?
 Whose sexuality, whose interests?
 What are the limits of guardianship?
So...
Paternalism
 Right to autonomy vs. care
 Limits of autonomy: immediate danger or severe harm
 Right to personal interes...
tommi.paalanen@sexpo.fi
Tommi Paalanen - WAS 2013
Thank you!
Milena Mihaylova/Flickr, Creative Commons
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Ethical Dilemmas in Promoting Sexual Health in Practice

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A presentation in the Sexual Rights Committee Symposium in the World Congress of Sexual Health 2013 in Porto Alegre, Brazil.

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Ethical Dilemmas in Promoting Sexual Health in Practice

  1. 1. Specialist in sexuality and relationships – since 1969 Ethical Dilemmas in Promoting Sexual Health in Practice Tommi Paalanen Philosopher, Executive Director, Sexpo Foundation Finland
  2. 2. Agenda  Promoting sexual well-being and sexual rights  Advancing liberal and open sexual culture Activities  Counselling, therapy and consultation services  Training sexologists, sexuality education  Commenting official documents, making statements  Supervising the interests of alternative sexuality, gender and relationships groups Tommi Paalanen - WAS 2013 Sexpo Foundation
  3. 3. Target groups 1. People, who need help from others to manage 2. People, who experience cultural oppression 3. Alternative sexuality, gender and relationships groups 4. Youth Tommi Paalanen - WAS 2013 Promoting sexual rights
  4. 4. Target groups 1. People, who need help from others to manage 2. People, who experience cultural oppression 3. Alternative sexuality, gender and relationships groups 4. Youth Tommi Paalanen - WAS 2013 Promoting sexual rights
  5. 5. Tommi Paalanen - WAS 2013 Target groups mentally disabled physically disabled long-term illnesses mental health problems aging people religious communities ideological communities ethnic minorities
  6. 6. Power dynamics  Misplaced benevolence  Misuse of power: knowing better, disregarding interests  Forbidding or limiting instead of supporting Cultural oppression  Restrictive beliefs and attitudes  Accumulative harms to interests Value conflicts Tommi Paalanen - WAS 2013 Common factors
  7. 7. Man, 21 years old, mentally disabled  Lives in a group home, needs some assistance  Interested in other men  Wants to watch porn and use sex toys  Gets easily sexually agitated Problems  Porn and sexual contacts are restricted because of caregivers’ and parents’ attitudes  Sexual activity is considered harmful  No sex  agitation increases  more limitations Tommi Paalanen - WAS 2013 Example
  8. 8. Critical questions  What is really harmful?  Whose sexuality, whose interests?  What are the limits of guardianship? Solutions  Sex education  Sexological training  Ethical rules of the institution and profession  Pragmatic means  common ends Tommi Paalanen - WAS 2013 Example
  9. 9. Paternalism  Right to autonomy vs. care  Limits of autonomy: immediate danger or severe harm  Right to personal interests and values  Rights always come first Interventions  As limited as possible  Correclty targeted  Reasonable rules  Education and training Tommi Paalanen - WAS 2013 Philosophical considerations
  10. 10. tommi.paalanen@sexpo.fi Tommi Paalanen - WAS 2013 Thank you! Milena Mihaylova/Flickr, Creative Commons

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