THE SEXUAL NEEDS OF PEOPLE WITH DISABILITIES – EMOTIONAL NEEDS (TRAINING IN PSYCHOSEXUAL MEDICINE)
For the doctor, it can be an advantage to have an interest in the subject of disability because of the awareness, insight and expertise that can be provided, although comfort with questions of sexuality and counselling skills are without doubt the most important aspects of the care that can be provided. Doctors trained in psychosexual medicine develop individual styles, but there is a common pattern of a patient-centred and listening approach which gives a framework to their work, and the security of what is familiar. When trying to help a person with a disability some change in technique may be needed if the real person within is to be reached. For instance, speech difficulties due to neurological disease make it difficult for the patient if the doctor merely listens and encourages the patient to do all the talking. The physical exhaustion and strain of speaking, especially about stressful things, takes too high a toll. The doctor must therefore adapt his technique.
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