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Module

Module 6

6.0 Aims

Awareness

6.1a Sexuality

6.1b Issues
6.1c Values

Rights, needs and issues

6.2a Rights and responsibility

6.2b Myths
6.2c Responding to individual needs

Communication

6.3a Verbal/
non-verbal

6.3b Special needs
6.3c Our responses
6.3d Interviewing
about sexuality


Treatment strategies

6.4a Treatment
6.4b Case studies

Managing inappropriate behaviour

6.5a Sexually inappropriate behaviour
6.5b Management of inappropriate behaviour

Resources

6.6 Take home      messages
6.7 Resources
6.8 Take the Test

7.Case management    
8.Supervising staff
10. Mental health & TBI:
an introduction
12. Working with Families after Traumatic Injury:
An Introduction


Feedback
Acknowledgements
Copyright

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Self Study

Module 6

6.4f Treatment strategies


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Masturbation

Privacy

People need to have privacy, whether this is done by knocking before entering a person’s room or by allowing set times during which a person will not be disturbed.

Uridome or pads

If a person is fitted with a uridome or pad at night, there may need to be some negotiation to allow for the opportunity to masturbate.

Non-dominant hand

If you have to use a non-dominant hand, or hand with a limited range of movement to masturbate, exercise the hand to build up co-ordination and strength.

Chronic pain

If you have chronic pain, make sure you are in a comfortable position. If energetic or rapid movements trigger pain, relax and continue the self-stimulation with gentle movements. Allow the time to stretch out – don’t hurry and you will be able to achieve peaks of pleasure.

Vibrators/dildos

If you have difficulty grasping or holding on to objects, a vibrator can be strapped to your hand to be used for self-stimulation. Modifications can be made to dildos to enable them to be used, even if you have physical disabilities. Find out if this is possible in your situation.

Assistance with masturbation

If there is no way of masturbating yourself, the other possibility is to organise someone else to do it for you, for example, your partner or a sex worker.

Loss of sensation

If you have experienced a loss of sensation to touch that you used to find arousing, experiment to see which parts of your body still respond to touch. People with disabilities have found other sensitive areas of the body. They can learn to experience touch in those areas as sexually arousing.

Massage

If you are unable to touch your body in places where it is arousing [not the genital areas] organising a massage can be another option.

‘Cleaning up’

If a man is not able to ‘clean up’ the ejaculate after masturbating, then some strategy to address this issue will need to be negotiated with family or staff.



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