A thin line between consent and abuse - Reflections on sexual experiences among Swedish young adults with intellectual disabilities

J Intellect Disabil. 2024 Oct 8:17446295241276245. doi: 10.1177/17446295241276245. Online ahead of print.

Abstract

Research shows that young adults with intellectual disabilities struggle to understand the social codes embedded in sexual situations. This may lead to an incomprehension of sexual consent, or when consenting to sex may lead to abuse. This qualitative study aimed to gain an in-depth understanding of sexual experiences and perceptions about sexual consent among Swedish young adults with intellectual disabilities. The data comprise 22 semi-structured interviews with young adults aged 18-35 with intellectual disabilities, thematically analyzed using sexual script theory as a theoretical framework. Four themes emerged from the analysis: Setting the sexual scene, Sexual self-awareness, Sexual communication and the necessity of clarification and Striving for a balance. The results show that the participants had a variety of sexual experiences and challenges associated with sexual consent, but also an agency that favors sexual situations. Further research is necessary to understand the complexities of sexual consent in this population.

Keywords: Intellectual disabilities; sexual consent; sexual experiences; sexual script; thematic analysis.