Scientific journal paper Q1
Sexual Assistance for People with Disabilities: A Case Study in the Portuguese Context
Ana R. Pinho (Ana R. Pinho); Liliana Rodrigues (Rodrigues, L.); Catarina Vitorino (Catarina Vitorino); Diana Santos (Santos, D.); João Manuel de Oliveira (Oliveira, J.M.); Conceição Nogueira (Nogueira, C.);
Journal Title
Sexuality Research and Social Policy
Year (definitive publication)
2026
Language
English
Country
United States of America
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Abstract
Abstract Introduction Sexuality is a fundamental dimension of life, yet people with disabilities often face systemic oppressions that hinder their sexual agency. This study addresses the lack of formal sexual assistance in Portugal by exploring the insights of a disability rights collective regarding the implementation, challenges, and empowerment potential of such services. Methods A qualitative case study was conducted with “The DEFiants” (As DEsaFiantes), an anti-ableist Portuguese femi- nist collective. Data collection occurred between October 2023 and July 2024, involving three stages of exploratory and semi-structured interviews with two representative members to capture the collective’s public stance. The data were ana- lyzed using Reflexive Thematic Analysis. Results The findings identified six key themes: the need for broad and flexible definitions of sexual assistance, the transi- tion from theory to practice, the potentialities of sexual assistance for self-knowledge and empowerment, ethical challenges (particularly regarding intellectual disabilities), the strategic distinction between personal and sexual assistance, and the necessary alliance with the sex work movement. Conclusions The study concludes that sexual assistance should be framed as a human right that prioritizes pleasure, autonomy, and self-determination. The participants advocate for a model that moves away from medicalized perspectives andinstead embraces a “body revolution” that empowers non-normative bodies. Policy Implications To operationalize sexual assistance in Portugal, policies must focus on the decriminalization of sex workto provide a legal framework for the service. Additionally, the study suggests utilizing existing mechanisms, such as the Social Benefit for Inclusion, to fund these services, thereby ensuring equitable access while protecting the privacy of people with disabilities.
Acknowledgements
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Keywords
sexual assistance,sex work,disability,portuguese context,sexuality
  • Psychology - Social Sciences
  • Other Social Sciences - Social Sciences

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