Discussing sexuality and disability is crucial because sexuality is an important part of the human experience, which includes individuals with disabilities. People with disabilities often face significant barriers to accessing information, education, and representation within mainstream discussions about sexuality. This exclusion leads to a gap in understanding and acknowledging the sexual rights and needs of individuals with disabilities. Assistive technology plays a significant role in enhancing intimacy for people with disabilities.

In the context of intimacy, this can include devices that aid in communication, positioning, and physical comfort, as well as those that facilitate pleasure and post-care activities. As we explore the role of assistive technology in enhancing intimacy, it’s important to approach this topic with sensitivity and respect. The following discussion touches on personal and private aspects of relationships, so reader discretion is advised.

Sustaining a healthy sexual relationship with your partner may require focusing on a few key elements. Open Communication is foundational for a healthy sexual relationship. This includes discussing desires, boundaries, and any concerns or discomforts. Being open and honest with each other helps build trust and ensures that both partners feel heard and respected. Mutual Consent and Respect, both partners should always feel safe and respected. Consent should be enthusiastic, mutual, and can be withdrawn at any time. It’s important to respect each other’s boundaries and to never pressure or coerce a partner into any activity they are uncomfortable with.

Communication Options

Alternative lighting can be used to create a comfortable atmosphere, but it also plays a crucial role in allowing partners to check in with each other, especially when there is a risk of discomfort. Lighting can be particularly important for individuals who are deaf and rely on clear visibility to communicate effectively using sign language.

AAC devices or communication boards can be used for individuals who are non-verbal and can be equipped with language that encourages clear consent.

Establishing a safe word or phrase that can also be set up in an AAC (augmentative and alternative communication) device or used verbally by an individual to indicate if they want to stop a sexual activity.

Positioning

A few considerations should be made when it comes to selecting the proper AT devices for positioning. It’s important to focus on those that provide the most freedom of movement, allowing individuals to adjust as desired. This flexibility can be beneficial for both partnered intimacy and self-pleasure, enabling a more comfortable and secure experience. Special attention should be paid to identifying and avoiding pressure and pain points, ensuring that positions are not only pleasurable but also safe and comfortable.

• Wedges come in a wide variety, like the ones listed above, and can be utilized as a more sturdy alternative to a traditional pillow. They are also less likely to shift around. Wedges allow flexibility in configurations that are most comfortable for the user.
• Adjustable Beds can also offer additional support for better positioning for intimate acts.
• Wheelchair can be used in conjunction with water proof pads as long as the weight limit is not exceeded and the device is shut off so as not to accidentally move it forward or backward.
• Hoyer Lift might be useful to allow a person to position themselves who cannot have any pressure on them.
• Multifunctional Sex Chairs and Intimate Rider and Rider Mate is just a cot that positions a body at the right height. The Intimate Rider is basically a chair that rocks with a small amount of upper torso movement.

Enhancing Sensory Experiences

When choosing assistive technology (AT) for sensory enhancement, consider the device’s grip size and adjustability for comfort, variation in controls for ease of use, and the appropriate size and shape for the intended area. Additionally, remote control options can add convenience and are also is useful for those who have disabilities that interact with their grip or muscle control. It’s crucial to ensure that the materials are body-safe, non-toxic, and hypoallergenic to avoid any adverse reactions. These factors contribute to the effectiveness and user-friendliness of the AT device. For a comprehensive list of devices used for stimulation, refer to our recent Ability Tools AT and Sexuality Webinar. Technologies to foster connection include video calling devices for long-distance partners and virtual reality (VR) experiences for shared activities.

Clean Up and Aftercare

There are a number of low cost solutions that can assist in clean up and aftercare, many of which may already be part of daily hygiene routines.

• Wipes can be used to gently clean the body and any tools or toys. They are especially useful for quick clean-ups and maintaining hygiene.
• Waterproof Sheets protect bedding and furniture
• Disposable Incontinence Pads These pads can be placed on beds or seats to absorb fluids, providing an extra layer of protection. They are particularly helpful for individuals with incontinence, offering peace of mind and comfort during and after sexual activity.
• Toy and Tool Cleaner This specialized cleaner is used to sanitize sex toys and any other tools, ensuring they are safe for reuse. Proper cleaning prevents the spread of infections and maintains the longevity of the toys.

Exploring available assistive technologies can significantly enhance intimacy and communication for individuals and couples, promoting a more fulfilling and inclusive experience.