Sterilisation and sexuality in the mentally handicapped

Giami, Alain

doi:10.1016/s0924-9338(98)80042-4

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…Previous research has pointed out that although there are a number of studies which seek the views of professionals and parents about their contraceptive preferences for women with intellectual disabilities (e.g. Giami 1998), this contrasts with the ‘rarely evaluated opinion of women with intellectual disabilities themselves’ (Servais et al. 2002, p. 109).…”

Section: Introductionmentioning

confidence: 99%

Contraception and Women with Intellectual Disabilities

McCarthy

2009

Research Intellect Disabil

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Background Contraception is widely prescribed to women with intellectual disabilities, yet little is known about what the women think and feel about this. One of the aims of the study was to explore what women understood and to what extent they were able to exercise choice and control. Method Twenty-three women with mild and moderate intellectual disabilities in South East England were interviewed about their current and past use of contraception, their knowledge of contraception more broadly, the process of being prescribed contraception and sources of information and support. Results Knowledge of how contraception works was very limited and approximately half the women also lacked basic knowledge about reproduction. Few women attended medical appointments alone and none had been given any accessible information about contraception. Conclusions There is a role for increased education, support and advocacy for women with intellectual disabilities when they are prescribed contraception. This would help to ensure women are prescribed methods which are best for them as individuals and to help maximize their participation in the process.

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Section: Introductionmentioning

confidence: 99%

Contraception and Women with Intellectual Disabilities

McCarthy

2009

Research Intellect Disabil

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“…Some authors (Smiley 1974; Wheeless 1975; Keith 1975; Van Der Merwe & Roux 1987; Shet & Malpani 1991) have advocated that surgery is the most reliable contraceptive method in women with ID because of their poor compliance and vulnerability to sexual assault, both of which are common concerns for parents (Elkins et al 1986; Mercier et al. 1994; Patterson‐Keels et al 1994; Giami 1998). When hysterectomy is performed, it provides better hygienic control.…”

Section: Introductionmentioning

confidence: 99%

Contraception of women with intellectual disability: prevalence and determinants

Servais

Jacques

Leach

et al. 2002

J intellect Disabil Res

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The contraception of women with intellectual disability (ID) is a major concern for caregivers. However, the prevalence of contraception and the frequency of use of different methods (e.g. sterilization) remain generally unknown. Moreover, indications specific to women with ID are controversial. The present authors conducted a population-based study among 97% of the women with ID aged between 18 and 46 years attending government-funded facilities in Brussels and the nearby province of Walloon Brabant in Belgium. Out of 397 subjects, 40.8% did not use any contraceptive method, 22.2% were sterilized, 18.4% used an oral contraceptive agent, 17.6% used depotmedroxyprogesterone acetate and 1% used an intrauterine device. These figures differ widely from those of the general Belgian population. Binary logistic regression for 'contraceptive utilization' showed the strong influence of institutional factors such as sleeping environment (i.e. institutional or parental), sexual relationship policy and contraception policy. Having or having had a boyfriend is also correlated with a stronger probability of contraceptive use. Other factors have a smaller influence (e.g. a milder level of ID). Very few factors, none of which are medical, are correlated with an increased use of a specific method. The present results are discussed in the light of the general medical application of contraception and the commonly assumed specific indications for women with ID.

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“…Government nancial support for sterilisation is no longer provided, but even in the 1980s, lower courts were given the power to rule on sterilisation petitions (Reilly, 1991). Sterilisation of individuals with an intellectual impairment continues to be an issue (ACOG Committee on Bioethics, 1990;Whitman & Accardo, 1993;Giami, 1998;Rock, 1998).…”

Section: The Eugenic Approach: Historical Perspectivesmentioning

confidence: 99%

Development of Parenting Skills in Individuals with an Intellectual Impairment: An epigenetic explanation

McGaha¹

2002

Disability & Society

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Current changes in legislation in the United States support the rights of individuals with an intellectual impairment to marry and have children. Current societal views, however, are heavily in uenced by our history of viewing these individuals as inadequate parents. This historical view is based upon the assumption that those with intellectual impairments are genetically inferior. Changing views of development, however, suggest that the issue of how individuals with intellectual impairments develop is somewhat more complex. The epigenetic model is one that proposes that development is the result of the complex transaction between the individual and the environment. This paper applies this model to persons with an intellectual impairment to better understand the parenting skills they display. It is argued that by intervening and changing developmental pathways, the development of parenting skills of those with intellectual impairments can be facilitated.

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Sterilisation and sexuality in the mentally handicapped

Cited by 9 publications

References 5 publications

Contraception and Women with Intellectual Disabilities

Contraception and Women with Intellectual Disabilities

Contraception of women with intellectual disability: prevalence and determinants

Development of Parenting Skills in Individuals with an Intellectual Impairment: An epigenetic explanation

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