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Sexual rehabilitation support experiences of Australian adults living with a spinal cord injury
Journal article   Open access   Peer reviewed

Sexual rehabilitation support experiences of Australian adults living with a spinal cord injury

Andrew Allen, Marita Heck, Connor Doig, Timothy Cudmore, Katrina Lawrence and Jonathan Mason
The Journal of Spinal Cord Medicine, Vol.49(2), pp.356-365
2026
PMID: 40323264
Appears in  UniSC Diversity and Inclusion Research Collection
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Abstract

Disability Wellbeing Sexual rehabilitation support Australia Spinal cord injury UniSC Diversity Area - Disability and Inclusion
Objective Sexuality constitutes a fundamental component of wellbeing, which can be profoundly compromised by spinal cord injury. Yet, sexual quality of life associated with rehabilitation remains inadequately addressed. Design Using a theory-driven, qualitative methodology and applying Material, Discursive, Intrapsychic Theory (encompassing multiple dimensions of sexuality), this study explored the sexual quality of life support experiences of nine Australian adults with spinal cord injury (SCI); male (n=8) and female (n=1) with varying levels of SCI using online interviews. Results Participants’ responses reflected previous research on sexuality in SCI, noting an emphasis on physical aspects (e.g. erection and ejaculation ability) to the neglect of the psychological and interpersonal. The three core components of Material, Discursive, Intrapsychic Theory were mapped onto themes from the data, demonstrating that aside from the physical impact of SCI, one’s identity and relational connection to others, in addition to sociocultural discourse related to disability stigma, collectively impacted sexual wellbeing. Conclusions Practical sexual rehabilitation support that provides individualized assistance to build emotional connection, develop skills and offer personalized recommendations for equipment is fundamental to improving sexual wellbeing after a SCI. Lay Summary : This study collected information from people with a spinal cord injury to better understand their perceptions of sexual quality of life guided by a theoretical framework. Following analysis of collected information, prominent themes encompassed sexual functioning, loss of autonomy, disability stigma and shame, and partner openness and ability.

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Clinical Neurology

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