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Erschienen in: Current Psychiatry Reports 4/2015

01.04.2015 | Sexual Disorders (G Dwyer, Section Editor)

Sexual Behavior and Autism Spectrum Disorders: an Update and Discussion

verfasst von: Denise C. Kellaher

Erschienen in: Current Psychiatry Reports | Ausgabe 4/2015

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Abstract

In the last few years, we have gained a deeper understanding about sexuality among individuals with autism spectrum disorder (ASD). Greater interest in this subject and improvements in the empirical study of ASD populations are driving this enlightenment. The data is dispelling antiquated notions that ASD individuals are asexual, sexually unknowledgeable and inexperienced, and/or disinterested in relationships. We still have a ways to go in examining paraphilic or deviant arousal sexual behaviors among ASD individuals. This manuscript provides an update on sexuality research in ASD in the last few years. This is accompanied by a discussion of the paraphilic type sexual behaviors observed among some ASD individuals.
Literatur
1.
Zurück zum Zitat American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III). Washington: APA; 1980. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III). Washington: APA; 1980.
3.
Zurück zum Zitat Bourgondien V et al. Sexual behavior in adults with autism. J Autism Dev Disord. 1997;27:113–25.CrossRefPubMed Bourgondien V et al. Sexual behavior in adults with autism. J Autism Dev Disord. 1997;27:113–25.CrossRefPubMed
4.
Zurück zum Zitat Ruble L, Dalrymple N. Social/sexual awareness of persons with autism: a parental perspective. Arch Sex Behav. 1993;22:229–40.CrossRefPubMed Ruble L, Dalrymple N. Social/sexual awareness of persons with autism: a parental perspective. Arch Sex Behav. 1993;22:229–40.CrossRefPubMed
5.
Zurück zum Zitat Realmuto GM, Ruble LA. Sexual behaviors in autism: problems of definition and management. J Autism Dev Disord. 1999;29(2):121–7.CrossRefPubMed Realmuto GM, Ruble LA. Sexual behaviors in autism: problems of definition and management. J Autism Dev Disord. 1999;29(2):121–7.CrossRefPubMed
6.
Zurück zum Zitat Konstantareas M, Lunsky Y. Sociosexual knowledge, experience, attitudes, and interests of individuals with autistic disorder and developmental delay. J Autism Dev Disord. 1997;27:397–413.CrossRefPubMed Konstantareas M, Lunsky Y. Sociosexual knowledge, experience, attitudes, and interests of individuals with autistic disorder and developmental delay. J Autism Dev Disord. 1997;27:397–413.CrossRefPubMed
7.
Zurück zum Zitat Ousley OY, Mesibov GB. Sexual attitudes and knowledge of high-functioning adolescents and adults with autism. J Autism Dev Disord. 1991;21(4):471–81.CrossRefPubMed Ousley OY, Mesibov GB. Sexual attitudes and knowledge of high-functioning adolescents and adults with autism. J Autism Dev Disord. 1991;21(4):471–81.CrossRefPubMed
8.
Zurück zum Zitat Koller R. Sexuality and adolescents with autism. Sex Disabil. 2000;18(2):125–35.CrossRef Koller R. Sexuality and adolescents with autism. Sex Disabil. 2000;18(2):125–35.CrossRef
9.
Zurück zum Zitat Chesterman P, Rutter SC. Case report: Asperger’s syndrome and sexual offending. J Forensic Psychiatry. 1993;4(3):555–62.CrossRef Chesterman P, Rutter SC. Case report: Asperger’s syndrome and sexual offending. J Forensic Psychiatry. 1993;4(3):555–62.CrossRef
10.
Zurück zum Zitat Williams PG, Allard AM, Sears L. Case study: cross-gender preoccupations with two male children with autism. J Autism Dev Disord. 1996;26:635–42.CrossRefPubMed Williams PG, Allard AM, Sears L. Case study: cross-gender preoccupations with two male children with autism. J Autism Dev Disord. 1996;26:635–42.CrossRefPubMed
11.
Zurück zum Zitat Cooper S, Mohamed WN, Collacott RA. Possible Asperger’s syndrome in a mentally handicapped transvestite offender. J Intellect Disabil Res. 1993;37:189–94.CrossRefPubMed Cooper S, Mohamed WN, Collacott RA. Possible Asperger’s syndrome in a mentally handicapped transvestite offender. J Intellect Disabil Res. 1993;37:189–94.CrossRefPubMed
12.
Zurück zum Zitat Kohn Y, Tarek F, Ratzoni G, Apter A. Aggression and sexual offense in Asperger’s syndrome. Israel J Psychiatr Relat Sci. 1998;35:293–9. Kohn Y, Tarek F, Ratzoni G, Apter A. Aggression and sexual offense in Asperger’s syndrome. Israel J Psychiatr Relat Sci. 1998;35:293–9.
13.
Zurück zum Zitat Despert JL. Reflections on early infantile autism. J Autism Childhood Schizophr. 1971;1(4):363–7.CrossRef Despert JL. Reflections on early infantile autism. J Autism Childhood Schizophr. 1971;1(4):363–7.CrossRef
14.
Zurück zum Zitat Dewey M, Everard M. The near-normal autistic adolescent. J Autism Childhood Schizophr. 1974;4(4):347–56.CrossRef Dewey M, Everard M. The near-normal autistic adolescent. J Autism Childhood Schizophr. 1974;4(4):347–56.CrossRef
15.
Zurück zum Zitat Torisky D, Torisky C. Sex education and sexual awareness building for autistic children and youth: some viewpoints and considerations. J Autism Dev Disord. 1985;15(2):213–27.CrossRef Torisky D, Torisky C. Sex education and sexual awareness building for autistic children and youth: some viewpoints and considerations. J Autism Dev Disord. 1985;15(2):213–27.CrossRef
16.
Zurück zum Zitat DeMyer M. Parents and children in autism. New York: Wiley; 1979. DeMyer M. Parents and children in autism. New York: Wiley; 1979.
17.
Zurück zum Zitat Hellemans H, Colson K, Verbraeken C, Vermeiren R, Deboutte D. Sexual behavior in high functioning male adolescents and young adults with autism spectrum disorders. J Autism Dev Disord. 2007;37:260–9.CrossRefPubMed Hellemans H, Colson K, Verbraeken C, Vermeiren R, Deboutte D. Sexual behavior in high functioning male adolescents and young adults with autism spectrum disorders. J Autism Dev Disord. 2007;37:260–9.CrossRefPubMed
18.
Zurück zum Zitat Sperry LA, Mesibov GB. Perceptions of social challenges of adults with autism spectrum disorder. Autism. 2005;9(4):362–76.CrossRefPubMed Sperry LA, Mesibov GB. Perceptions of social challenges of adults with autism spectrum disorder. Autism. 2005;9(4):362–76.CrossRefPubMed
19.
Zurück zum Zitat Howlin P. Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism. 2000;4:63.CrossRef Howlin P. Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism. 2000;4:63.CrossRef
20.
Zurück zum Zitat Hénault I, Attwood T. The sexual profile of adults with Asperger’s syndrome: the need for support and intervention. In: Hénault I, editor. Asperger’s syndrome and sexuality: from adolescence through adulthood. London: Jessica Kingsley Publishers; 2006. p. 183–92. Hénault I, Attwood T. The sexual profile of adults with Asperger’s syndrome: the need for support and intervention. In: Hénault I, editor. Asperger’s syndrome and sexuality: from adolescence through adulthood. London: Jessica Kingsley Publishers; 2006. p. 183–92.
21.••
Zurück zum Zitat Dewinter J, Vermeiren R. Sexuality in adolescent boys with autism spectrum disorder: self-reported behaviours and attitudes. Journal of Autism and Developmental Disorders. 2014; Sep 12 published online. This study demonstrated no significant differences in sexual experiences and interests between high functioning ASD adolescents and controls. Importantly, he directly surveyed adolescents as opposed to relying on other informants for the data. Dewinter J, Vermeiren R. Sexuality in adolescent boys with autism spectrum disorder: self-reported behaviours and attitudes. Journal of Autism and Developmental Disorders. 2014; Sep 12 published online. This study demonstrated no significant differences in sexual experiences and interests between high functioning ASD adolescents and controls. Importantly, he directly surveyed adolescents as opposed to relying on other informants for the data.
22.•
Zurück zum Zitat Byers ES, Nichols S, Voyer S. Challenging stereotypes: sexual functioning of single adults with high functioning autism spectrum disorder. J Autism Dev Disord. 2013;43:2617–27. Comparison of ASD adults by gender comported with known differences between males and females in terms of sexual arousability, solitary desire, and interest.CrossRefPubMed Byers ES, Nichols S, Voyer S. Challenging stereotypes: sexual functioning of single adults with high functioning autism spectrum disorder. J Autism Dev Disord. 2013;43:2617–27. Comparison of ASD adults by gender comported with known differences between males and females in terms of sexual arousability, solitary desire, and interest.CrossRefPubMed
23.•
Zurück zum Zitat Brown-Lavoie S, Viecili M, Weiss J. Sexual knowledge and victimization in adults with autism spectrum disorders. J Autism Dev Disord. 2014;44:2185–96. This study revealed that as much as 75 % of ASD individuals have been sexually coerced and/or abused by others and this was partly associated with having less sexual knowledge.CrossRefPubMedCentralPubMed Brown-Lavoie S, Viecili M, Weiss J. Sexual knowledge and victimization in adults with autism spectrum disorders. J Autism Dev Disord. 2014;44:2185–96. This study revealed that as much as 75 % of ASD individuals have been sexually coerced and/or abused by others and this was partly associated with having less sexual knowledge.CrossRefPubMedCentralPubMed
24.
Zurück zum Zitat Mehzabin P, Stokes M. Self-assessed sexuality in young adults with high-functioning autism. Res Autism Spectr Disord. 2011;5:614–21.CrossRef Mehzabin P, Stokes M. Self-assessed sexuality in young adults with high-functioning autism. Res Autism Spectr Disord. 2011;5:614–21.CrossRef
25.
26.•
Zurück zum Zitat Gilmour L, Schalomon PM, Smith V. Sexuality in a community based sample of adults with autism spectrum disorder. Res Autism Spectr Disord. 2012;6:313–8. There were no significant differences in sexual experience and knowledge when comparing ASD to neurotypical adults.CrossRef Gilmour L, Schalomon PM, Smith V. Sexuality in a community based sample of adults with autism spectrum disorder. Res Autism Spectr Disord. 2012;6:313–8. There were no significant differences in sexual experience and knowledge when comparing ASD to neurotypical adults.CrossRef
27.
Zurück zum Zitat Cridland E, Jones S, Caputi P, Magee C. Being a girl in a boys’ world: investigating the experiences of girls with autism spectrum disorders during adolescence. J Autism Dev Disord. 2014;44:1261–74.CrossRefPubMed Cridland E, Jones S, Caputi P, Magee C. Being a girl in a boys’ world: investigating the experiences of girls with autism spectrum disorders during adolescence. J Autism Dev Disord. 2014;44:1261–74.CrossRefPubMed
28.
Zurück zum Zitat Gantman A, Kapp S, Orenski K, Laugeson E. Social skills training for young adults with high-functioning autism spectrum disorders: a randomized controlled pilot study. J Autism Dev Disord. 2012;42:1094–103.CrossRefPubMed Gantman A, Kapp S, Orenski K, Laugeson E. Social skills training for young adults with high-functioning autism spectrum disorders: a randomized controlled pilot study. J Autism Dev Disord. 2012;42:1094–103.CrossRefPubMed
29.•
Zurück zum Zitat Holmes L, Himle M. Brief report: parent–child sexuality communication and autism spectrum disorders. J Autism Dev Disord. 2014;44(11):2964–70. This study revealed differences in how/whether parents choses to provide sexual education to their ASD children. Parents generally tended to omit information regarding socio-sexual relationship building and diversity of sexual behaviors.CrossRefPubMed Holmes L, Himle M. Brief report: parent–child sexuality communication and autism spectrum disorders. J Autism Dev Disord. 2014;44(11):2964–70. This study revealed differences in how/whether parents choses to provide sexual education to their ASD children. Parents generally tended to omit information regarding socio-sexual relationship building and diversity of sexual behaviors.CrossRefPubMed
30.••
Zurück zum Zitat Ballan M. Parental perspectives of communication about sexuality in families of children with autism spectrum disorders. J Autism Dev Disord. 2012;42:676–84. Parents still find it challenging to know when their ASD child is ready for sexual education.CrossRefPubMed Ballan M. Parental perspectives of communication about sexuality in families of children with autism spectrum disorders. J Autism Dev Disord. 2012;42:676–84. Parents still find it challenging to know when their ASD child is ready for sexual education.CrossRefPubMed
31.
Zurück zum Zitat Gougeon NA. Sexuality and autism: a critical review of selected literature using a social-relational model of disability. Am J Sex Educ. 2010;5:328–61.CrossRef Gougeon NA. Sexuality and autism: a critical review of selected literature using a social-relational model of disability. Am J Sex Educ. 2010;5:328–61.CrossRef
32.••
Zurück zum Zitat Dewinter J, Vermeiren R, Vanwesenbeeck I, van Nieuwenhuizen C. Autism and normative sexual development: a narrative review. J Clin Nurs. 2013;22:3467–83. This study presents a thorough review of literature on sexuality in ASD.CrossRefPubMed Dewinter J, Vermeiren R, Vanwesenbeeck I, van Nieuwenhuizen C. Autism and normative sexual development: a narrative review. J Clin Nurs. 2013;22:3467–83. This study presents a thorough review of literature on sexuality in ASD.CrossRefPubMed
33.
34.
Zurück zum Zitat Edmonson S, McCombs KF, Wish B. What retarded adults believe about sex. Am J Ment Defic. 1979;84:11–8.PubMed Edmonson S, McCombs KF, Wish B. What retarded adults believe about sex. Am J Ment Defic. 1979;84:11–8.PubMed
35.
Zurück zum Zitat Ludlow B. Contemporary issues in sexuality and mental retardation. Adv Mental Retard Dev Disabil. 1991;4:1–26. Ludlow B. Contemporary issues in sexuality and mental retardation. Adv Mental Retard Dev Disabil. 1991;4:1–26.
36.
Zurück zum Zitat Stokes M, Kaur A. High-functioning autism and sexuality: a parental perspective. Autism. 2005;9(3):266–89.CrossRefPubMed Stokes M, Kaur A. High-functioning autism and sexuality: a parental perspective. Autism. 2005;9(3):266–89.CrossRefPubMed
37.
Zurück zum Zitat Trotter E, Alderson K. University students’ definitions of having sex, sexual partners, and virginity loss: the influence of participant gender, sexual experience, and contextual factors. Can J Hum Sex. 2007;16(1–2):11–29. Trotter E, Alderson K. University students’ definitions of having sex, sexual partners, and virginity loss: the influence of participant gender, sexual experience, and contextual factors. Can J Hum Sex. 2007;16(1–2):11–29.
39.
Zurück zum Zitat Chan LG, Saluja B. Sexual offending and improvement in autistic characteristics after acquired brain injury: a case report. Aust N Z J Psychiatry. 2011;45:902–3.CrossRefPubMed Chan LG, Saluja B. Sexual offending and improvement in autistic characteristics after acquired brain injury: a case report. Aust N Z J Psychiatry. 2011;45:902–3.CrossRefPubMed
40.
Zurück zum Zitat Coskun M, Mukaddes NM. Mirtazapine treatment in a subject with autistic disorder and fetishism. J Child Adolesc Psychopharmacol. 2008;18:206–9.CrossRefPubMed Coskun M, Mukaddes NM. Mirtazapine treatment in a subject with autistic disorder and fetishism. J Child Adolesc Psychopharmacol. 2008;18:206–9.CrossRefPubMed
41.
Zurück zum Zitat Dozier CL, Iwata BA, Worsdell AS. Assessment and treatment of foot–shoe fetish displayed by a man with autism. J Appl Behav Anal. 2011;44:133–7.CrossRefPubMedCentralPubMed Dozier CL, Iwata BA, Worsdell AS. Assessment and treatment of foot–shoe fetish displayed by a man with autism. J Appl Behav Anal. 2011;44:133–7.CrossRefPubMedCentralPubMed
42.
Zurück zum Zitat Early MC, Erickson CA, Wink LK, McDougle CJ, Scott EL. Case report: 16-year-old male with autistic disorder with preoccupation with female feet. J Autism Dev Disord. 2012;42:1133–7.CrossRefPubMed Early MC, Erickson CA, Wink LK, McDougle CJ, Scott EL. Case report: 16-year-old male with autistic disorder with preoccupation with female feet. J Autism Dev Disord. 2012;42:1133–7.CrossRefPubMed
43.
Zurück zum Zitat Milton J, Duggan C, Latham A, Egan V, Tantam D. Case history of co-morbid Asperger’s syndrome and paraphilic behaviour. Med Sci Law. 2002;42:237–44.PubMed Milton J, Duggan C, Latham A, Egan V, Tantam D. Case history of co-morbid Asperger’s syndrome and paraphilic behaviour. Med Sci Law. 2002;42:237–44.PubMed
44.
Zurück zum Zitat Müller J. Are sadomasochism and hypersexuality in autism linked to amygdalohippocampal lesion? J Sex Med. 2011;8:3241–9.CrossRefPubMed Müller J. Are sadomasochism and hypersexuality in autism linked to amygdalohippocampal lesion? J Sex Med. 2011;8:3241–9.CrossRefPubMed
45.
Zurück zum Zitat Murrie DC, Warren JI, Kristiansson M, Dietz PE. Asperger’s syndrome in forensic settings. Int J Forensic Mental Health. 2002;1(1):59–70.CrossRef Murrie DC, Warren JI, Kristiansson M, Dietz PE. Asperger’s syndrome in forensic settings. Int J Forensic Mental Health. 2002;1(1):59–70.CrossRef
46.
Zurück zum Zitat Ray F, Marks C, Bray-Garretson H. Challenges to treating adolescents with Asperger’s syndrome who are sexually abusive. Sex Addict Compulsivity. 2004;11:265–85.CrossRef Ray F, Marks C, Bray-Garretson H. Challenges to treating adolescents with Asperger’s syndrome who are sexually abusive. Sex Addict Compulsivity. 2004;11:265–85.CrossRef
47.
Zurück zum Zitat American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth edition text revision (DSM-5). Washington: APA; 2013. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth edition text revision (DSM-5). Washington: APA; 2013.
48.
Zurück zum Zitat American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth edition text revision (DSM-IV-TR). Washington: APA; 2000.CrossRef American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth edition text revision (DSM-IV-TR). Washington: APA; 2000.CrossRef
49.
Zurück zum Zitat Onitz EM, Ritvo ER. Neuropsychological mechanisms underlying perceptual inconstancy in autistic and schizophrenic children. Arch Gen Psychiatry. 1968;19:22–7.CrossRef Onitz EM, Ritvo ER. Neuropsychological mechanisms underlying perceptual inconstancy in autistic and schizophrenic children. Arch Gen Psychiatry. 1968;19:22–7.CrossRef
50.
Zurück zum Zitat Ornitz EM. Disorders of perception common to infantile autism and schizophrenia. Compr Psychiatry. 1969;10:259–74.CrossRefPubMed Ornitz EM. Disorders of perception common to infantile autism and schizophrenia. Compr Psychiatry. 1969;10:259–74.CrossRefPubMed
51.
Zurück zum Zitat Singh G, Coffey B. Sexual obsessions, compulsions, suicidality and homicidality in and adolescent diagnosed with bipolar disorder not otherwise specified, obsessive-compulsive disorder, pervasive developmental disorder not otherwise specified, and mild mental retardation. J Child Adolesc Psychopharmacol. 2012;22(3):250–3.CrossRefPubMed Singh G, Coffey B. Sexual obsessions, compulsions, suicidality and homicidality in and adolescent diagnosed with bipolar disorder not otherwise specified, obsessive-compulsive disorder, pervasive developmental disorder not otherwise specified, and mild mental retardation. J Child Adolesc Psychopharmacol. 2012;22(3):250–3.CrossRefPubMed
52.
Zurück zum Zitat Hingsburger D, Griffiths D, Quinsey, V. Detecting counterfeit deviance: differentiating sexual deviance from sexual inappropriateness. Habilitative Mental Healthc Newsl. 1991:51–54. Hingsburger D, Griffiths D, Quinsey, V. Detecting counterfeit deviance: differentiating sexual deviance from sexual inappropriateness. Habilitative Mental Healthc Newsl. 1991:51–54.
53.
Zurück zum Zitat Griffiths D, Hingsburger D, Hoath J, Ioannou S. ‘Counterfeit deviance’ revisited. J Appl Res Intellect Disabil. 2013;26:471–80.CrossRefPubMed Griffiths D, Hingsburger D, Hoath J, Ioannou S. ‘Counterfeit deviance’ revisited. J Appl Res Intellect Disabil. 2013;26:471–80.CrossRefPubMed
Metadaten
Titel
Sexual Behavior and Autism Spectrum Disorders: an Update and Discussion
verfasst von
Denise C. Kellaher
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 4/2015
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-015-0562-4

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