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The mentally disabled individual is vulnerable to sexual maltreatment for several reasons: isolation; communication deficits; small peer group; and limited mutual support services (Schor, 1987).Loneliness and frustration may drive an individual to accept any form of individual attention whether it be negative or positive (Schor, 1987).As individuals with Down syndrome take their place in these areas, we can expect some of them to assume the sexual roles that the general population takes for granted: lover, spouse, parent (Van Dyke et al., 1995).Review of developmentally appropriate sexual issues should be part of the medical and psychological evaluation of all individuals with Down syndrome.Young children and those individuals with Down syndrome who have severe cognitive or language impairment may learn best from a good touch/bad touch model : "Just say no to unwanted advances or touching" (Haka-Ikse and Mian, 1993; Monat-Haller, 1992).Older children and individuals with mild language and cognitive deficits may be able to learn the "Circles Concept", a paradigm of physical and emotional distance (Walker-Hirsch and Champagne, 1992).

Individuals with Down syndrome and other mental disabilities who engage in sexual behaviors, however, may encounter societal prejudice as well as significant parental anxiety (Van Dyke et al., 1995).

In this paradigm, colored circles represent levels of personal relationship and physical intimacy.

Individuals learn appropriate touching behaviors for each circle of intimacy, and are cautioned that "sometimes a friend may want to be closer to you than you want.

The Langdon Down Centre, where the DSA head office is located, recently launched the Normansfield Theatre Lighting Appeal to raise £19,000 towards the cost of upgrading all of the stage and front of stage lighting.

This article was originally published in the journal Down Syndrome Research and Practice, vol 3, issue 2, 1995. Abstract -As human beings, individuals with Down syndrome have the right to emotionally satisfying and culturally appropriate sexual expression.

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