Sexuality and Gender Issues in Individuals with Autism Spectrum Disorder

Child Adolesc Psychiatr Clin N Am. 2020 Jul;29(3):543-556. doi: 10.1016/j.chc.2020.02.007. Epub 2020 Apr 3.

Abstract

This article reviews relevant literature on sexuality in individuals with autism spectrum disorder (ASD). Findings reveal a growing awareness of desire for sexual and intimate relationships in individuals with ASD. However, core impairments of ASD lead to difficulties establishing requisite knowledge and skills necessary to attain a healthy sexuality and facilitate relationships. Consequently, individuals with ASD present with increased risk of engaging in inappropriate sexual behaviors and sexual victimization than their typically developing peers. The literature asserts the need to implement effective sexual education programs to assist in development of healthy sexual identity and relationships that meet each individual's needs.

Keywords: Autism; Autism spectrum disorder; Gender; Relationships; Sexual functioning; Sexual orientation; Sexuality; Transgender.

Publication types

  • Review

MeSH terms

  • Autism Spectrum Disorder / psychology*
  • Humans
  • Interpersonal Relations*
  • Peer Group
  • Sexual Behavior / psychology*
  • Sexuality*