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Sexuality
involves physical, emotional, and romantic attraction.
It is diverse and often fluid, changing over time.
Gender Identity
refers to a person's internal understanding of their gender and may differ from the sex assigned at birth.
ND individuals historically
wrongly viewed as asexual or childlike, which limited inclusive research and sex education.
Autism and Gender Identity
Higher rates of gender diversity than NT
Greater incidence of gender dysphoria
Why may Autistic individuals feel distress with gendered clothing or puberty?
due to sensory sensitivities.
What may intensify dysphoria in Autistic individuals
High levels of camouflaging, routine-dependence, and societal rejection
ADHD and Gender Identity
Limited research:
Higher rates of gender diversity among transgender individuals with ADHD
Individuals with ADHD may experience more impulsivity, sensation-seeking, or risky sexual behaviours
Biological theories
Prenatal hormone exposure and neuroanatomical differences may influence gender identity processing (Warrier et al., 2022).
Cognitive Differences
Autistic individuals often have strong systemising traits, deep focus, and introspection, allowing for analytical evaluation of gender norms.
May challenge societal gender expectations more readily due to reduced concern for social conformity.
Sensory Processing
Clothing, physical changes during puberty, and grooming associated with a gender can cause sensory distress.
This may contribute to discomfort with gender presentation and body-related dysphoria (Cooper et al., 2022).
Self Identification
Autistic individuals may be less influenced by social norms, enabling them to more authentically express their gender identity (Warrier et al., 2022).
Importance of Tailored Sex Ed in Down Syndrome
People with DS often excluded from SE
Research highlights a lack of voices from individuals with DS - most data from caregivers
Traditional SE neglects
Healthy relationships
Consent
Sexual identity and fulfilment
Recommendations for Effective SE
Use Universal Design for Learning:
Representation
Action/Expression
Engagement
Delivery
Ensure SE is direct, explicit, and repeated over time to reinforce learning.
Representation UDL
Use visuals, videos, and accessible formats
Action/Expression UDL
Include role-play, modelling, and multimodal responses.
Engagement UDL
Personalised learning, social interaction, and relevance.
Delivery UDL
Combine 1:1 support, small groups, and parental involvement.