title: Expanding the test of counterfeit deviance: are sexual knowledge, experience and needs a factor in the sexualised challenging behaviour of adults with intellectual disability?
abstract: It is posited within the literature that the sexualised challenging behaviour of adults with intellectual disability may be influenced by low levels of sexual knowledge, lack of sexual experience and unmet sexual needs. In this study, individuals with sexualised challenging behaviour were identified and matched for gender, age and ability level with individuals recruited to the non-sexualised and no challenging behaviour groups. All (n=24) were interviewed using the Socio-Sexual Knowledge and Attitudes Tool - Revised (SSKAAT-R) and the Sexual Knowledge, Experience and Needs Scale for Intellectual Disability (Sex-Ken-ID) to assess their sexual knowledge, experience and needs. Adaptive behaviour was measured as a covariate. In the current study, contrary to expectations in the wider literature, the sexualised challenging behaviour group showed significantly higher levels of sexual knowledge in several areas when adaptive behaviour was controlled. Their needs in relation to Dating and Intimacy were also significantly higher but no differences were found between groups in relation to sexual experience. The implications of these findings for service provision are outlined along with the considerations of directions for future research.
authors.affiliation: School of Psychology, University College Dublin, Belfield, Dublin, Ireland. karen.lockhart@sjog.ie
authors.forename: K
authors.initials: K
authors.lastname: Lockhart
authors.forename: S
authors.initials: S
authors.lastname: Guerin
authors.forename: S
authors.initials: S
authors.lastname: Shanahan
authors.forename: K
authors.initials: K
authors.lastname: Coyle
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003075:Coitus / Q000523:psychology; D003268:Contraception Behavior / Q000523:psychology; D003631:Day Care, Medical; D005260:Female; D006301:Health Services Needs and Demand; D006716:Homosexuality / Q000523:psychology; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology* / Q000534:rehabilitation; D007406:Interview, Psychological; D008297:Male; D008418:Masturbation / Q000523:psychology; D008875:Middle Aged; D010550:Personal Space; D012050:Rehabilitation, Vocational; D012736:Sex Education; D012725:Sexual Behavior; D012920:Social Behavior Disorders / Q000175:diagnosis / Q000523:psychology*; D012931:Social Environment; D012951:Socialization