Resume

(TSA) presentent le tableau complet des comportements sexuels. Cependant, certaines personnes ayant un TSA peuvent developper des interets et comportements sexuels hypernormaux ou non standard, a cause des symptomes fondamentaux du difficulty, comme les deficits de socialisation, les hyposensibilites et hypersensibilites et les comportements repetitifs. Apres une analyse de la litterature pertinente sur la sexualite des personnes ayant un TSA de haut niveau, nous presentons des donnees nouvelles, dilemmas de notre propre etude sur la frequence des comportements sexuels normaux et sur l’evaluation des comportements et fantasmes hypersexuels et paraphiliques chez les personnes ayant un TSA: celles-ci semblent avoir de tels comportements plus souvent que les etudes de populace generale ne le suggerent. Cependant, cet ecart est principalement le fait des findings des participants masculins ayant un TSA, peut-etre parce que les femmes ayant un TSA sont habituellement plus adaptees socialement et moins symptomatiques. Les particularites des comportements sexuels des patients un that is ayant TSA etre prises en charge a la fois pour une education sexuelle et des approches therapeutiques.

Introduction

Autism range problems (ASD) are neurodevelopmental problems that comprise a group that is heterogeneous of, that are seen as an impairments in social discussion and interaction, along with repetitive and stereotyped passions and habits. 1 Reported prevalence rates have actually risen markedly in current years (up to 1% life time prevalence), with an increase of and more adults being identified as having ASD. 2 It is assumed that the male-to-female-ratio is between 3 and 4 to at least one, 3 and there occur specific sex variations in ASD. 4 Although nearly half of an individual with ASD aren’t intellectually weakened and now have normal cognitive and language abilities (such as for example those with high-functioning autism or Asperger problem), the social connection and interaction deficits and problems in seeing the viewpoint of other people and intuitively understanding nonverbal social cues constitute concealed obstacles to your growth of intimate and intimate relationships. 5,6 Sexuality-related issues can arise, particularly from the beginning of puberty, a period if the growth of ASD people’ social abilities cannot continue with increasing social needs, as well as the challenges of developing intimate and intimate relationships become specially obvious. 7

Studies on sex in individuals with ASD

About a decade following the formal entry of autism within the 3rd edition for the Diagnostic and Statistical handbook of Mental Disorders (DSM-III) in 1980, the very first systematic studies regarding the sex of clients with ASD had been posted. 8-11 the state that is current of on intimate experiences, intimate habits, intimate attitudes, or intimate understanding of ASD individuals is quite blended, with a few studies finding distinctions from healthier settings (HCs) although some never. Nonetheless, due to the heterogeneous nature associated with the condition spectrum therefore the diverse medical methodology for the studies, this is simply not astonishing. Past research reports have: (i) included feminine and/or male clients in domestic settings with presumably more impairments much less opportunities for sexual experiences; (ii) centered on persons with intellectual impairments or any other comorbid developmental disabilities, therefore ultimately causing confounding effects; (iii) used internet surveys in which just higher-functioning individuals took part; (iv) relied on reports from loved ones and care-givers or through the clients themselves; and (v) examined those with ASD in various age brackets.

These studies claim that a lot of people with ASD seek intimate and intimate relationships much like the population that is non-ASD and also have the entire spectral range of intimate experiences and habits. 12-18 nevertheless, you can still find stereotypes that are many societal values about those with ASD, talking about them as bored with social and intimate relationships so that as being asexual. 10,19,20 dining Table I presents a summary of studies evaluating different facets of sexuality in young and older grownups with high-functioning autism, based on self-report questionnaires. 11,12,15,21-33 We particularly concentrated the literary works review on these studies because their methodology corresponds to your research approach found in the research offered here. The research presented in dining Table we concur that sex does matter in ASD people, also it becomes clear that the entire spectral range of intimate experiences and habits is represented in this team. 11-13,15,20-31

TABLE We.

All of the hitherto research that is existing centered on males, and few research reports have addressed gender-specific problems concerning social, psychological, and intellectual domains, and also fewer studies exist examining sex independently in gents and ladies with ASD. 12,13,20,32 The few medical findings 32 plus the set that is small of studies suggest that ladies with ASD might provide less pronounced social and communication deficits and now have unique passions which can be more appropriate to your passions of the peer groups. 33-36 moreover, ladies with ASD appear to apply strategies that are coping such as for example imitating the social skills of these non-ASD peers, therefore being more socially unobtrusive. 34 Regarding sexuality-related problems, females with ASD appear to have poorer degrees of general functioning that is sexual feel less well in intimate relationships than do guys with ASD, and sex chat camdolls tend to be also at greater chance of learning to be a target of intimate attack or punishment. 37 men with ASD had been discovered to activate more in solitary sexual tasks, 11-14,18,37 along with to have a better desire to have sexual and romantic relationships 20; but, there is certainly some proof that females with ASD, despite having reduced desire that is sexual more regularly take part in dyadic relationships. 13