Moving towards understanding greater diversity and fluidity of sexual expression of older people

Bouman, Walter Pierre; Kleinplatz, Peggy J.

doi:10.1080/14681994.2015.990192

Cited by 7 publications

(7 citation statements)

References 4 publications

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“…Stakeholders were concerned that care staff and managers would polarise sexuality and ageing in their provision of care-the societal assumption of asexuality that accompanies older people's lives and confounds recognition of older adults as sexual persons (Bouman and Kleinplatz, 2015). Survey findings suggest care staff do not invest in this assumptionmean scores from the AKSAS measure revealed that most of the respondents held affirmative attitudes overall about sexual activity in older age and do not perceive older adult's sexual expression as immoral or disgraceful.…”

Section: Discussionmentioning

confidence: 93%

“…Despite stakeholders' concern that care staff do not have sufficient knowledge about LGB lives, our findings indicate that staff do not consider overtly homophobic views to be characteristic of them. This may not be surprising given that the most recent National Survey of Sexual Attitudes and Lifestyles reports increasing acceptance in attitudes towards same-sex relationships across the UK (Mercer et al, 2013) may not invest in ageist assumptions that sexual interest diminishes with older age (Bouman and Kleinplatz, 2015), there is a demand for more skills and knowledge to engage with residents in respectful discussion about their sexual histories, health and desires. Presenting first-person narratives of the historically oppressive treatment of LGB (and transgender) people could help promote understanding of these generations, whom in enduring these turbulent histories, may be reluctant to access social care (Barrett et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

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‘Everyday Advocates’ for Inclusive Care? Perspectives on Enhancing the Provision of Long-Term Care Services for Older Lesbian, Gay and Bisexual Adults in Wales: Table 1

et al. 2016

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms 'Everyday advocates' for inclusive care. 'Everyday advocates' for inclusive care. 2 AbstractThis paper centres on a neglected area of social work with older people-the social inclusion of older lesbian, gay and bisexual (LGB) adults in long-term care environments. The translation of equality law into the delivery of adult care services is a challenging endeavour for organisations, even more so in the morally-contested terrain of sexual wellbeing. In this paper we report findings from a mixed method study into the provision of long-term care for older adults who identify as LGB. Herein we present findings from a survey of care workers and managers (n=121) and from focus groups with equality and LGB stakeholder representatives (n=20) in Wales. Focussing on the current knowledge and understanding of staff, we suggest that affirmative beliefs and practices with sexual minorities are evident amongst care workers and managers, however the inclusion of LGB residents needs to be advanced systemically at structural, cultural and individual levels of provision. There is a need for enhancing awareness of the legacy of enduring discrimination for older LGB people, for cultural acceptance in care environments of older people's sexual desires and relationships, and for a more explicit implementation of equality legislation. Social workers in adult care can advance this agenda.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

‘Everyday Advocates’ for Inclusive Care? Perspectives on Enhancing the Provision of Long-Term Care Services for Older Lesbian, Gay and Bisexual Adults in Wales: Table 1

et al. 2016

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“…These included feeling like a more considerate lover and increased enjoyment of their sexuality. For many adults in mid-and later life, there is a message that sex and sexuality are only for the young 6,26 and that intercourse is the primary goal of sexual expression. 22 In a study by Ménard et al, 22 however, participants discussed an increase in satisfaction and enjoyment in their sexual encounters when they were able to overcome learned attitudes about sexuality, gender roles, and sexual behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Despite evidence that the quality of sexual experiences is increasingly important to individuals as they age, there is still little research that explores what this means in terms of how sexuality is conceptualized by adults in the late stages of life. 26,27 This suggests that crucial pieces of the sexuality puzzle may be missing in terms of how we understand sexuality in both midand later life and how we treat sexual and/or relationship problems. These gaps in our understanding have significant implications for understanding healthy sexuality in later life, the topics that researchers choose to focus on, and how researchers and health professionals understand the role of intimacy and non-penetrative sexual expressions in the sex lives of older adults.…”

Section: Introductionmentioning

confidence: 99%

Mapping the Perceived Sexuality of Heterosexual Men and Women in Mid- and Later Life: A Mixed-Methods Study

2019

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Introduction: There is currently limited research that examines the meaning of sexuality at midlife and later life.Aim: This study investigates how heterosexual men and women in mid-and later life perceive their sexuality and the factors that influence it. Methods: Group concept mapping was used to produce a conceptual map of the experience of sexuality for heterosexual adults ages 45 years and above. Group concept mapping data were collected using 6 open-ended survey questions that asked about sexuality, intimacy, and desire. Thematic analysis was used to examine how participants perceived their sexuality to have changed as they aged. Thematic analysis data were collected using a single open-ended survey question. Main Outcome Measure: Statements generated from 6 of the open-ended survey questions were rated by participants using a 5-point Likert scale for how important participants felt that each statement was to themselves personally. Participants responses to the seventh open-ended survey question were examined using thematic analysis to understand whether participants felt that their sexual experiences had changed over time and, if so, how they had changed. Results: Eight themes were identified across the different phases of group concept mapping. These were, in order of importance, partner compatibility, intimacy and pleasure, determinants of sexual desire, sexual expression, determinants of sexual expression, barriers to intimacy, sexual urges, and barriers to sexual expression. Seven areas of change were identified in terms of perceived changes to sexuality with age. These included changes to perspective, relationship dynamics, environment, behavior, body/function, sexual interest/desire, and sexual enjoyment. Conclusion: The results highlight the prioritization of interrelationship dynamics in mid-and later life sexuality over sexual functioning and sexual urges. These findings may facilitate the development of new perspectives on how sexuality is experienced in the later years and provide new avenues for intervention in situations where sexual problems arise. Macleod A, Busija L, McCabe M. Mapping the Perceived Sexuality of Heterosexual Men and Women in Mid-and Later Life: A Mixed-Methods Study. Sex Med 2019; 8:84e99.

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“…Many older people remain sexually active and adapt to the impact of polypharmacy and mental health on their sexual activity (Bouman and Kleinplatz, 2015). This is an important consideration given the UK population is ageing.…”

Section: Interventionsmentioning

confidence: 99%

Psychotropic induced sexual dysfunction for people with a dual diagnosis

Hamilton

Pringle

Hemingway

2015

Advances in Dual Diagnosis

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Purpose – The purpose of this paper is: first, to consider the reported problems in sexual function caused by psychotropic medication. Second, the complex undertaking of completing an assessment of sexual functioning. Third, the role of the pharmaceutical industry is explored. Finally, implications for future research and practice are suggested. Design/methodology/approach – As a commentary this paper draws on the available literature to synthesise what is already known about the relationship between psychoactive substances and sexual functioning. Findings – The limited literature and lack of research attention given to psychotropic induced sexual dysfunction limits our collective understanding of how many people are affected and in what way. Research limitations/implications – A greater focus on psychotropic induced sexual dysfunction is needed for people with a dual diagnosis. There has been an over reliance on single case studies and self-reporting. Large scale epidemiological investigation would help understand the extent and nature of the problem more fully. The demographic shift particularly in relation to an ageing population should be considered as psychotropic substances effect individuals in different ways as they grow older. Practical implications – There is scope for workers to engage more fully in a conversation with clients about their experience of using psychotropic substances and how this has impacted their sexual functioning. The literature suggests that clients want to talk about this issue but staff are unwilling or unable to discuss the topic. Originality/value – To the authors’ knowledge this is the first paper that draws on the available literature to explore the known and likely implications of psychotropic induced sexual dysfunction for this client group.

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Moving towards understanding greater diversity and fluidity of sexual expression of older people

Cited by 7 publications

References 4 publications

‘Everyday Advocates’ for Inclusive Care? Perspectives on Enhancing the Provision of Long-Term Care Services for Older Lesbian, Gay and Bisexual Adults in Wales: Table 1

‘Everyday Advocates’ for Inclusive Care? Perspectives on Enhancing the Provision of Long-Term Care Services for Older Lesbian, Gay and Bisexual Adults in Wales: Table 1

Mapping the Perceived Sexuality of Heterosexual Men and Women in Mid- and Later Life: A Mixed-Methods Study

Psychotropic induced sexual dysfunction for people with a dual diagnosis

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