Abstract
People with disabilities (PWD) who identify as lesbian, gay, or bisexual (LGB) represent a population that has received little attention in the areas of social policy, sexuality studies, and psychological research and practice. Existing research, especially from psychological perspectives, has focused mostly on sexual identity and internal psychological dimensions rather than on actual physical experiences and sexual expression. Awareness of the unique needs and concerns of these individuals is crucial for optimizing their physical and mental well-being, especially for those who provide mental health services for those who identify as LGB PWD. This article presents these issues from a multicultural perspective, viewing this population as a double minority with some experiences similar to those of other minority groups. Further, it provides a practical view of barriers to sexual expression for LGB PWD along with strategies for overcoming them and describes suggestions for further work in advocacy, social policy, and research.
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Adam, B. D. (1987). The rise of the gay and lesbian movement. Boston: Twayne.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychological Association. (1999). Enhancing your interactions with people with disabilities. Retrieved February 20, 2007, from the American Psychological Association website: http://www.apa.org/pi/disability/enhancing.html
American Psychological Association. (2000). Guidelines for psychotherapy with lesbian, gay, and bisexual clients. American Psychologist, 55, 1440–1451.
Appleby, Y. (1994). Out in the margins. Disability & Society, 9, 19–32.
Atkins, D., & Marston, C. (1998). Creating accessible queer community: Intersections and fractures with dis/ability praxis. Journal of Gay, Lesbian, and Bisexual Identity 4(1), 3–21.
Bergman, S. (1978). Sexual adjustment of spinal cord injured women. Sexuality and Disability, 1, 85–92.
Butler, R. (1999). Double the trouble or twice the fun? Disabled bodies in the gay community. In R. Butler & H. Parr (Eds.), Body spaces: Geographies of illness, impairment and disability (pp. 203–220). New York: Routledge.
Croteau, J. M., Anderson, M. Z., Distefano, T. M., & Kampa-Kokesch, S. (2000). Lesbian, gay, and bisexual vocational psychology: Reviewing foundations and planning construction. In R. M. Perez, K. A. DeBord, & K. J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 383–408). Washington, DC: American Psychological Association.
DeHaan, C. B., & Wallander, J. L. (1988). Self-concept, sexual knowledge and attitudes, and parental support in the sexual adjustment of women with early- and late-onset disability. Archives of Sexual Behavior, 17, 145–161.
Dudley, W. (2004). Homo on the range. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 151–154). Binghamton, NY: Harrington Park Press.
Duncan, K. (2003). Devotees. In M. Kaufman, C. Silverberg, & F. Odette (Eds.), The ultimate guide to sex and disability (p. 101). San Francisco: Cleis Press.
Earle, S. (1999). Facilitated sex and the concept of sexual need: Disabled students and their personal assistants. Disability & Society, 14, 309–323.
Feinstein, R. (2004). Alone in the crowd. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 129–135). Binghamton, NY: Harrington Park Press.
Fennell, J. (1993). The other half of his dollar. In R. Luczak (Ed.), Eyes of desire: A deaf gay & lesbian reader (pp. 43–59). Boston: Alyson Publications.
Fine, M., & Asch, A. (1988). Women with disabilities: Essays in psychology, culture, and politics. Philadelphia: Temple University Press.
Gallagher, E. (2004). My dictionary on dicks. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 111–116). Binghamton, NY: Harrington Park Press.
Garnets, L., Hancock, K. A., Cochran, S. D., Goodchilds, J., & Peplau, L. A. (1991). Issues in psychotherapy with lesbians and gay men: A survey of psychologists. American Psychologist, 46, 964–972.
George, J. D. (2004). Becoming daddy’s boy. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 175–184). Binghamton, NY: Harrington Park Press.
Greenan, D. E., & Tunnell, G. (2003). Couple therapy with gay men. New York: Guilford Press.
Harley, D. A., Nowak, T. M., Gassaway, L. J., & Savage, T. A. (2002). Lesbian, gay, bisexual, and transgender college students with disabilities: A look at multiple cultural minorities. Psychology in the Schools, 39, 525–538.
Harrison, N. (2000). Gay affirmative therapy: A critical analysis of the literature. British Journal of Guidance & Counselling, 28, 37–53.
Hepburn, C., & Gutierrez, B. (1988). Alive & well. Freedom, CA: The Crossing Press.
Hill, D. L. (1996). … and I will have sex again. In S. Tremain (Ed.), Pushing the limits: Disabled dykes produce culture (pp. 72–76). Toronto, Ontario, Canada: Women’s Press.
Human Rights Campaign. (2005). Marriage/relationship recognition. Retrieved April 12, 2006, from http://hrc.org/Template.cfm?Section=Center&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=63&ContentID=17353
Kaufman, J. S., Carlozzi, A. F., Boswell, D. L., Barnes, L. L. B., Wheeler-Scruggs, K., & Levy, P. A. (1997). Factors influencing therapist selection among gays, lesbians and bisexuals. Counselling Psychology Quarterly, 10, 287–297.
Kaufman, M., Silverberg, C., & Odette, F. (2003). The ultimate guide to sex and disability. San Francisco: Cleis Press.
Kauth, M. R, Hartwig, M. J., & Kalichman, S. C. (2000). Health behavior relevant to psychotherapy with lesbian, gay, and bisexual clients. In R. M. Perez, K. A. DeBord, & K. J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 435–456). Washington, DC: American Psychological Association.
Killacky, J. R. (2004). Careening towards Kensho: Ruminations on disability and community. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 175–184). Binghamton, NY: Harrington Park Press.
Krotoski, D. M., Nosek, M. A., & Turk, M. A. (Eds.). (1996). Women with physical disabilities: Achieving and maintaining health and well-being. Baltimore: Paul H. Brookes.
Langholtz, D. J., & Rendon, M. E. (1991). The deaf gay/lesbian client: Some perspectives. Journal of the American Deafness and Rehabilitation Association, 25(3), 31–34.
Lawrence v. Texas, 539 U.S. 558 (2003).
Lessing, J. (1984). Sex and disability. In J. Loulan (Ed.), Lesbian sex (pp. 151–158). Duluth, MN: Spinsters Ink.
Lind, A. (2004). Legislating the family: Heterosexist bias in social welfare policy frameworks. Journal of Sociology & Social Welfare, 31(4), 21–35.
Loulan, J. (1984). Lesbian sex. Duluth, MN: Spinsters Ink.
McDaniel, J. (1995). The lesbian couples’ guide: Finding the right woman and creating a life together. New York: Harper Collins.
McRuer, R., & Wilkerson, A. (2003). Introduction. Symposium: Desiring disability: Queer theory meets disability studies. GLQ: A Journal of Lesbian and Gay Studies, 9, 1–24.
Mona, L. R. (2003). Sexual options for people with disabilities: Using personal assistance services for sexual expression. Women & Therapy, 26, 211–220.
Mona, L. R., Cameron, R. P., & Fuentes, A. J. (2006). Broadening paradigms of disability research to clinical practice: Implications for conceptualization and application. In K. J. Hagglund & A. Heinemann (Eds.), Handbook of applied rehabilitation and disability research. (pp. 75–102). New York: Springer Publications.
Mona, L. R., & Cardenas, V. (2001). People with disabilities chatting about sex: A glimpse into chat room discussions. Paper presented at the annual national meeting of the Society for the Scientific Study of Sexuality, San Diego, CA.
Mona, L. R., & Gardos, P. S. (2000). Disabled sexual partners. In L. T. Szuchman & F. Muscaralla (Eds.), Psychological perspectives on human sexuality (pp. 309–354). New York: John Wiley & Sons.
Mona, L. R., Gardos, P. S., & Brown, R. C. (1994). Sexual self-views of women with disabilities: The relationship among age-of-onset, nature of disability, and sexual self-esteem. Sexuality and Disability, 12, 261–277.
Morris, J. (Ed.). (1996). Encounters with strangers: Feminism and disability. London: The Women’s Press.
O’Toole, C. (1996). Disabled lesbians: Challenging mono-cultural constructs. In D. M. Krotoski, M. A. Nosek, & M. A. Turk (Eds.), Women with physical disabilities: Achieving and maintaining health and well-being (pp. 135–152). Baltimore: Paul H. Brookes Publishing.
O’Toole, C. J., & Brown, A. A. (2003). No reflection in the mirror: Challenges for disabled lesbians accessing mental health services. Journal of Lesbian Studies, 7(1), 35–49.
Parker, R., di Mauro, D., Filiano, B., Garcia, J., Munoz-Laboy, M., & Sember, R. (2004). Global transformations and intimate relations in the 21st century: Social science research on sexuality and the emergence of sexual health and sexual rights frameworks. Annual Review of Sex Research, 15, 362–398.
Perez, R. M., DeBord, K. A., & Bieschke, K. J. (2000). Introduction: The challenge of awareness, knowledge, and action. In R. M. Perez, K. A. DeBord, & K. J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 3–8). Washington, DC: American Psychological Association.
Post, L. L. (1993). Thoughts on being a lesbian separatist ASL interpreter: An interview with Marilyn Van Veersen. In R. Luczak (Ed.), Eyes of desire: A deaf gay & lesbian reader (pp. 142–146). Boston: Alyson Publications.
Powell, G. S. (2004). But I don’t like you like that. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 31–38). Binghamton, NY: Harrington Park Press.
Reynolds, D. (2007). Disability and BDSM: Bob Flanagan and the case for sexual rights. Sexuality Research and Social Policy: Journal of NSRC, 4(1), 40–52.
Rothblum, E. D. (2000). “Somewhere in Des Moines or San Antonio”: Historical perspectives on lesbian, gay, and bisexual mental health. In R. M. Perez, K. A. DeBord, & K. J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 57–79). Washington, DC: American Psychological Association.
Saad, S. C. (1997). Disability and the lesbian, gay man, or bisexual individual. In M. L. Sipski & C. J. Alexander (Eds.), Sexual function in people with disability and chronic illness: A health professional’s guide (pp. 413–427). Gaithersburg, MD: Aspen Publishers.
Saad, S. C., & Behrendt, A. E. (1996). Scleroderma and sexuality. Journal of Sex Research, 33, 215–220.
Sable, A., & Guter, B. (2004). How to find love with a fetishist. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 65–81). Binghamton, NY: Harrington Park Press.
Sandahl, C. (2003). Queering the crip or cripping the queer? Intersections of queer and crip identities in solo autobiographical performance. GLQ: A Journal of Lesbian and Gay Studies, 9, 25–56.
Schover, L. R. (1989). Sexual problems in chronic illness. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy: Update for the 1990s (2nd ed., pp. 319–351). New York: Guilford Press.
Sendham, A. (2004). Beginner’s sex. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 191–197). Binghamton, NY: Harrington Park Press.
Shakespeare, T., Gillespie-Sells, K., & Davies, D. (1996). The sexual politics of disability: Untold desires. New York: Cassell.
Shuttleworth, R. (2001, November). Negotiating sexual intimacy in disability culture: Toward a constructionist approach and the inclusion of disabled people in the sexual rights movement. In G. Herdt (Chair), Sexuality and social inequality: New approaches to participatory research and ethnography. Symposium conducted at the 100th Meeting of the American Anthropological Association, Washington, DC.
Shuttleworth, R., & Mona, L. R. (2002). Disability and sexuality: Toward a focus on sexual access. Disability Studies Quarterly, 22(4), 2–3.
Sickles, S. (2004). Working it out. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 39–43). Binghamton, NY: Harrington Park Press.
Silverstein, C., & Picano, F. (1992). The new joy of gay sex. New York: HarperCollins Publishers.
Sipski, M. L., & Alexander, C. J. (Eds.). (1997). Sexual function in people with disability and chronic illness: A health professional’s guide. Gaithersburg, MD: Aspen Publishers.
Solarz, A. L. (1999). Lesbian health: Current assessment and directions for the future. Washington, DC: National Academy Press.
Tepper, M. S. (2000). Sexuality and disability: The missing discourse of pleasure. Sexuality and Disability, 18, 283–290.
Thompson, D. (1994). The sexual experiences of men with learning disabilities having sex with men—Issues for HIV prevention. Sexuality and Disability, 12, 221–242.
Tremain, S. (1996). We’re here. We’re disabled and queer. Get used to it. In S. Tremain (Ed.), Pushing the limits: Disabled dykes produce culture (pp. 15–23). Toronto, Ontario, Canada: Women’s Press.
Tremain, S. (2000). Queering disabled sexuality. Sexuality and Disability, 18, 291–300.
U.S. Department of Justice. (2006). Americans With Disabilities Act. ADA home page. Retrieved April 14, 2006, from http://www.usdoj.gov/crt/ada/adahom1.htm
Verga, M. (2003). A meeting with George Dureau. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 87–90). Binghamton, NY: Harrington Park Press.
Waterman, B. (2004). Hustlers: A buyer’s guide. In B. Guter & J. R. Killacky (Eds.), Queer crips: Disabled gay men and their stories (pp. 8–11). Binghamton, NY: Harrington Park Press.
Waxman, B. (1994). It’s time to politicize our sexual oppression. In B. Shaw (Ed.), The ragged edge: The disability experience from the pages of the first fifteen years of the disability rag (pp. 82–87). Louisville, KY: The Avocado Press.
Waxman, B., & Finger, A. (1989). The politics of sex and disability. Disability Studies Quarterly, 9(3), 1–5.
World Institute on Disability. (1999). Personal assistance services 101: Structure, utilization and adequacy of existing PAS programs. Oakland, CA: Author.
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Fraley, S.S., Mona, L.R. & Theodore, P.S. The sexual lives of lesbian, gay, and bisexual people with disabilities: Psychological perspectives. Sex Res Soc Policy 4, 15–26 (2007). https://doi.org/10.1525/srsp.2007.4.1.15
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DOI: https://doi.org/10.1525/srsp.2007.4.1.15