Sexuality Among Adolescents With Intellectual Disability: Balancing Autonomy and Protection

We present a case of a young adult with moderate ID who is engaging in a sexual relationship with her boyfriend without parental knowledge. The pediatrician must decide the most appropriate course of action to support the patient ’s autonomy but also ensure that the patient is a willing participant and understands the risks of engaging in sexual activity. This case highlights 4 main themes: (1) practical concerns when approaching sexual health in the adolescent with ID, (2) advocating for the rights of those with ID to liv e life to the fullest, (3) the critical inclusion of individuals with ID in decisions directly affecting them and their peer group, and (4) decision-making capacity and respect for autonomy in individuals with ID. This case highlights the delicate balance providers face when providing care to adoles cents and young adults with ID: supporting autonomy to make decisions while reducing harm to a vulnerable population.

Source: PEDIATRICS - November 1, 2021 Category: Pediatrics Source Type: research