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Sexual assistance may have some aspects that resemble prostitution and others that might lead one to think of sexual assistants as similar to a group of subjects whose sexual object is disability devotees. Materials and Methods Subjects This internet-based survey was developed in the period between June and March

The percentage of participants who engaged in Prostitutes LAquila activities during Prostitutes LAquila assistance was much smaller Sexual fantasies about or overt sexual attraction to disabled people was reported by On the contrary, This could suggest that these subjects may be affected by a paraphilic disorder.

We further investigated what the sexual assistants considered most attractive in people affected by disabilities. Sexual assistance has aspects that could resemble prostitution and others suggesting that sexual assistants may be similar to subjects with a specific sexual interest in disability devotees [8]. This study represents the first attempt to investigate these two relationships in a population of subjects who define themselves as sexual assistants.

In particular, we investigated whether rigorous selection and training by Prostitutes LAquila organisations may reduce the risk of training subjects with an atypical sexual interest or behaviours resembling prostitution. The first interesting finding is that Prostitutes LAquila vast majority of trained sexual assistants exhibit behaviours resembling prostitution less frequently than untrained Prostitutes LAquila assistants do.

Lobbyists and associations dedicated to protecting people with disabilities are strongly committed to the idea that sexual assistance is very different from prostitution, and the professional figures involved in this activity must have a strong sense of altruism and a great open-mindedness. We found that both trained and untrained sexual assistants provide their services under remunerative or commercial conditions.

However, the main difference between these two groups lies in the activities carried out. The trained group mainly provides massage therapy, including erotic massage, and discussion about sexuality, contraception, and the Prostitutes LAquila use of sex toys. These activities cannot be strictly considered prostitution. A minority of trained assistants refer to being engaged in masturbatory activities or sexual intercourse Prostitutes LAquila, on the contrary, may be considered activities more typical of prostitution.

However, these activities are mainly provided outside of their job as sexual assistants. In contrast, untrained sexual assistants provide sexual services such as oral Prostitutes LAquila, masturbation, or sexual intercourse much more frequently.

The Psychosexual Profile of Sexual Assistants: An Internet-Based Explorative Study

These findings seem to confirm that when sexual assistants are trained and carefully selected by specialised organisations, they provide services and activities that do not resemble prostitution. It should be clarified that when sexual assistance has characteristics similar to prostitution, Prostitutes LAquila is not necessarily negative. In fact, an ethical evaluation of the sexual choices of the sexual assistants is beyond the scope of our study. Furthermore, it is well known that people affected by Prostitutes LAquila find it much more difficult to satisfy their Prostitutes LAquila sexual interest than other individuals do.

For the large majority of Prostitutes LAquila affected by disabilities, sexual assistance represents the unique possibility to explore their sexuality in a safeguarded setting.

Another interesting finding of our study is the identification of subjects with an atypical sexual interest in disability [9] within the sexual assistant groups. These subjects were characterised by the presence of sexual fantasies about or sexual attraction to disabled people. These behavioural aspects were found especially in the group of Prostitutes LAquila sexual assistants, who also report experiencing Prostitutes LAquila over their sexual interest more often than trained Prostitutes LAquila do.

This information may suggest that untrained sexual assistants experience more sexual attraction to disability. The findings of the existence of subjects with an atypical sexual interest among sexual assistants may have significant consequences Prostitutes LAquila a practical point of view. It is well known that people affected by physical, and still more by mental disabilities, are particularly vulnerable to sexual violence [12][13].

This risk is often due to a lack of employment, strained personal finances, or the desire for a relationship and social connections [13].

However, consideration needs to be given to the potential risk factors of sexual violence that personnel involved in sexual assistance Prostitutes LAquila commit against disabled Prostitutes LAquila. These attractions might give rise, in some circumstances, to the abuse of people affected by Prostitutes LAquila disabilities.

The findings of the existence of subjects with an atypical sexual interest among sexual assistants may have significant consequences from a practical point of view.

However, in certain research fields, such as Prostitutes LAquila [8][14]studies refer to Prostitutes LAquila advantages of the internet that make research easier [15]. In particular, the anonymity and the elimination of the uneasiness caused by face-to-face interviews can encourage more honest participation [16][17].

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In addition, the internet may provide a unique opportunity Prostitutes LAquila achieve geographical and cultural diversity in samples [17]. Secondly, the subjects studied here were recruited from online forums and chat groups dedicated to sexual assistance, from associations organising educational training for sexual assistants, and from associations for prostitutes.

For this reason, these data may be not representative of the whole population of sexual assistants. However, we did our best to include the largest number of internet data on sexual assistance possible. Thirdly, we focused especially on female sexual assistants for heterosexual people affected by disabilities.

Other subsets composed of male Prostitutes LAquila assistants for homosexual males or heterosexuals belonging to different associations of sexual assistants and prostitutes from other countries not considered in this study will have to be explored, in order to make more representative the sample.

However, considering that for a number of reasons both physical and intellectual disabilities affect males much more than females [18] — [20]and that, irrespective of the sociocultural aspects, female sex workers are much more common than their male counterparts, we speculate that our experimental setting reflects the largest part of this phenomenon. Finally, using a non standardised questionnaire might expose us to criticisms, even if this Prostitutes LAquila represents the most effective methodology to collect psychometric and demographic data on this new phenomenon.

Future perspectives will require Prostitutes LAquila clear understanding of the phenomenon of sexual assistance and a standardised methodology in order to continue providing people affected by disabilities with the opportunity to explore their sexuality while ensuring their psychological and physical safety.

Sexual assistance provides a way for people affected by disabilities to attain the right to explore their sexuality in a safeguarded setting. This goal is more effectively achieved if sexual assistants are Prostitutes LAquila and carefully selected by specialised organisations. National Center for Biotechnology InformationU. PLoS One. Published online Jun Emmanuele A.

Martin Voracek, Editor. Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist. Received Dec 24; Accepted May 2. This is an open-access article distributed under the Prostitutes LAquila of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided Prostitutes LAquila original author and source are properly credited.

This article has been cited by other articles in PMC. Abstract Introduction Sexual Prostitutes LAquila may have some aspects that resemble prostitution and others that might lead one to think of sexual Prostitutes LAquila as similar to a group of subjects whose sexual object is disability devotees.

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Materials and Methods The study population consisted of subjects defining themselves Prostitutes LAquila sexual assistants. Results The study group was composed of 80 trained and 40 untrained sexual assistants, with mean ages of Conclusions Sexual assistance Prostitutes LAquila a way through which people affected by disabilities may attain the right to explore their sexuality in a safe setting.

Introduction The lives of persons affected by disabilities, and especially the lives of those affected by intellectual disabilities, are often characterised by the lack of a job, meaningful activities, and close relationships [1][2].

Aims The primary aim of this study was to verify whether specific aspects of prostitution were equally present in groups of professionally trained and untrained subjects who claimed to work as sexual assistants. Materials and Methods Subjects This internet-based survey was developed in the period between June and March Statistical Methods Continuous variables were condensed by means and standard deviation SD.

Table 1 The table shows the clinical variables between Prostitutes LAquila according to propensity score matching. Prostitutes LAquila in a separate window. Figure 1. Table 2 The table shows the questions investigating characteristics suggestive of prostitution.

An Atypical Sexual Interest is more Prevalent among Untrained Sexual Assistants Sexual fantasies about or overt sexual attraction to disabled people was reported by Discussion Prostitutes LAquila assistance has aspects that could resemble prostitution and others suggesting that sexual assistants may be similar to subjects with a specific sexual interest in disability devotees [8].

Prostitutes LAquila Sexual assistance provides a way for people affected by disabilities to attain the right to explore their sexuality in a Prostitutes LAquila setting. Supporting Information Appendix S1 Websites dedicated to sexual assistance and prostitution. DOC Click here for additional data file.

Funding Statement These authors have no support or funding to report. References 1.

Duplice omicidio a L'Aquila

Hall E Spaces of social inclusion and belonging for people with intellectual disabilities. J Intellect Disabil Res 54 Suppl Prostitutes LAquila Bigby C Known well by no-one: trends in the Prostitutes LAquila social networks of middle-aged and older people with intellectual disability five years after moving to the community.

J Intellect Dev Disabil 33 : — Rembis MA Beyond the binary: rethinking the Prostitutes LAquila model of disabled sexuality. Sex Disabil 28 : 51— J Policy Pract Intellect Disabil 6 : — Harcourt C, Donovan B The many faces of Prostitutes LAquila work. Sex Transm Infect 81 : — Blissbomb L Sex work for the soul: negotiating stigma as a feminist activist and closeted sex worker.

Demistifying Sex Work and Sex Workers 8 : — Curr Psychiatry Rep 15 : Philadelphia, PA: W. The study population consisted of subjects defining themselves as sexual assistants. Subjects were initially contacted on websites specifically dedicated to sexual assistants and prostitutes. One hundred and twenty subjects were selected, by propensity score analysis, and studied by means of a modified version of a semi-structured questionnaire previously developed to investigate a population of subjects attracted by disability.

The study group was composed of 80 trained and 40 untrained sexual assistants, with mean ages of Nearly all untrained subjects claimed to Prostitutes LAquila one or more of the following activities during sexual assistance: sexual intercourse, oral sex, and masturbation. Among the trained subjects, however, only Sexual assistance represents a way Prostitutes LAquila which Prostitutes LAquila affected by disabilities may attain the right to explore their sexuality Prostitutes LAquila a safe setting.

This can be guaranteed only if sexual assistants are trained and carefully selected by specialised organisations.

This is an open-access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Competing interests: The authors have declared that no competing interests exist.

The lives of persons affected by disabilities, and especially the lives of those affected by intellectual disabilities, are often characterised by the lack of a job, meaningful activities, and close relationships [1][2]. The sexuality of disabled people is affected even more profoundly. Social attitudes Prostitutes LAquila the sexuality of people affected by disabilities are changing, shifting the general opinion from a concept of handicapped people as asexual individuals or Prostitutes LAquila potential sex offenders, to a concept of disabled people having natural sexual needs and rights [2].

Prostitutes LAquila, the contemporary social Prostitutes LAquila of disability still pays attention to sexually-related civil rights, such as the right to marriage, procreation, and protection against unconditional sterilisation, rather than to the way in which people affected by disabilities can satisfy their sexual drives [3]. Despite the shift in opinion, the acceptance of a physical sexuality associated with individuals affected by an intellectual disability Prostitutes LAquila difficult.

In fact, masturbation, which is often the only way for disabled individuals to satisfy their own sexual needs, is generally associated with the stereotypical idea of pathological masturbation performed in public places [4]. On the basis of this background, it is easy to understand Prostitutes LAquila people affected by disabilities live their sexuality, Prostitutes LAquila is often also compromised by limited opportunities to meet other people and by the difficulty of negotiating possible relationships.

In this social context, sexual assistants may represent an option to satisfy sexual needs and to give these subjects, who otherwise may have little chance of being sexually active, the opportunity to improve their sexual health. The sexual assistant is in most cases a professional figure. These assistants are trained by specialised organisations after a rigorous selection Prostitutes LAquila which includes psychological and mental health assessments.

Hence, the sexual assistant is learned about disability and Prostitutes LAquila modes of connecting with people affected by disabilities, aiming at their sexual needs through caresses and massages and ultimately masturbatory activities.

However, people affected by disabilities wishing sexual intercourse require the help of local prostitutes, who are for the most part untrained with respect to the special needs of men and women with disabilities.

Sexual assistants work in many European countries, such as Denmark, Germany, Netherlands, and Spain, where they have a proper legal status. In other countries, such as France, sexual assistants do not yet have a proper legal status, while in Switzerland sexual assistants have a status similar to that of prostitutes.

However, although untrained prostitutes may Prostitutes LAquila clients with disabilities, sexual assistants are more highly Prostitutes LAquila by parents of people affected by disabilities, who believe that people affected by disabilities need more time and contact than able-bodied people.

Sexual assistants are more similar Prostitutes LAquila a group of individuals Prostitutes LAquila have an atypical sexual attraction for disability. Recently, we described a population with a fetishistic attraction to disability. The primary aim of this study was to verify whether specific aspects Prostitutes LAquila prostitution were equally present in groups of professionally trained and untrained subjects who claimed to work as sexual Prostitutes LAquila.

The secondary aims were i Prostitutes LAquila investigate whether sexual assistants had characteristics suggestive of an atypical sexual interest, and ii to determine if this sexual interest was more recurring in the group of subjects professionally trained or in the group spontaneously undertaking this job.

This internet-based survey was developed in the period between June and March Given the covert nature of the study population, it was difficult to select a representative sample of sexual assistants.

These difficulties are mainly related to the evidence that i the population of sexual assistants is virtually unknown and variously estimated; ii sexual assistance may consist of different activities; iii the population is likely to include professionally trained as well as opportunistic or untrained workers who may provide their services Prostitutes LAquila for a fee or gift but may not be Prostitutes LAquila involved with commercial or professional Prostitutes LAquila assistance; and iv while sexual assistants in commercial premises are likely to be accessible, opportunistic or untrained sexual assistants are more difficult to contact.

Thus, our study population was selected via a cross-sectional convenience sample non probability sampling using snowballing as the main method of recruitment, as suggested for studies with study populations like the one analysed here [5]. The study population was composed of participants males and females who claimed to be 18 years of age or over and defined themselves as sexual assistants.

Another inclusion criterion observed while searching for the Prostitutes LAquila was the ability to speak English, Prostitutes LAquila, or Italian. Subjects were initially contacted on websites specifically dedicated to sexual assistants Prostitutes LAquila prostitutes Appendix S1.

All known sources Prostitutes LAquila used to individuate sexual assistants, and recruitment strategies included collaboration with key individuals and associations involved in the training of sexual assistants.

Individuals who initially agreed to participate in the survey were then contacted by personal email. Participants received a detailed description of the study aims and design and of the level of commitment to which Prostitutes LAquila would be agreeing. The participants were unpaid and willingly took part in the research. This study was performed in accordance with the Declaration Prostitutes LAquila Helsinki and the European Prostitutes LAquila Guidelines on Good Clinical Practice, and was approved by the local ethical committee.

Written informed consent was obtained from each participant. By sexual assistance we mean one or more of these activities: Prostitutes LAquila intercourse, oral sex, Prostitutes LAquila therapy including erotic massage, masturbatory acts, and discussion of sexuality, Prostitutes LAquila, and the appropriate use of sex toys. Intellectual disability can be considered as a condition for which the intelligence level is below-average and the skills necessary for Prostitutes LAquila living are inadequate.

Part of this semi-structured questionnaire was previously used to study a population of subjects who are attracted by disability and called devotees [8]. Prostitutes LAquila the present study, additional aspects were investigated in order to verify the existence of specific elements characterising sex work and atypical sexual interest in a population composed of trained and untrained sexual assistants.

Finally, we used the Kinsey Scale [10]a largely used measure in Prostitutes LAquila attempt to describe Prostitutes LAquila orientation, with scores ranging from 0 exclusively heterosexual to X nonsexual.

Continuous variables were condensed by means and standard deviation SD. Binary variables were Prostitutes LAquila as absolute or relative frequencies. In order to reduce treatment selection bias and determine treatment effects, a matched propensity analysis was performed. Multivariate logistic regression was used to calculate the predicted probability of the Prostitutes LAquila variables as well as the propensity score for each observation in the data set.

In particular, the use of propensity analysis in observational, nonrandomized studies, permits to balance the groups in order to reduce the effects of confounding. The dependent variables included in the multivariate analysis are listed in Table 1. The SPSS version More than half the participants All subjects belonging to this group were considered professionally trained. The remaining subjects This last group did not receive professional training to Prostitutes LAquila sexual assistance.

Prostitutes L'aquila

About half the sexual assistants Prostitutes LAquila For the comparative analysis between trained Prostitutes LAquila untrained sexual assistants regarding the presence of characteristics suggestive of prostitution and atypical sexual interest, a propensity score analysis was performed.

The population analysed consisted of subjects and their completed questionnaires. After propensity analysis selection, the number of subjects included in the comparative analysis consisted of participants and their questionnaires. This number was achieved by excluding 32 subjects who did not present overlapping propensity score values.

The final sample of sexual assistants was composed of 80 trained and 40 untrained sexual assistants with mean ages of Other demographics are reported in Table 1. While The percentage of participants who engaged in such activities during sexual assistance was much smaller Sexual fantasies about or overt sexual attraction to disabled people was reported by Prostitutes LAquila the Prostitutes LAquila, This could suggest that these subjects may be affected by a paraphilic disorder.

We further investigated what the sexual assistants considered most attractive in people affected by disabilities.

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Sexual assistance has aspects that could resemble prostitution and others suggesting that sexual assistants may be similar to subjects with a specific sexual interest in disability devotees [8]. This study represents the first attempt to investigate these two relationships in a population of subjects who define themselves as sexual assistants.

In particular, we investigated whether rigorous selection and training by specialised organisations may reduce the risk of training subjects with an atypical sexual Prostitutes LAquila or behaviours resembling prostitution.

The first interesting finding is that the vast majority of trained sexual assistants exhibit behaviours resembling prostitution less frequently than untrained sexual assistants do. Lobbyists and Prostitutes LAquila dedicated to protecting people with disabilities are strongly committed to the idea that sexual assistance is very different from prostitution, and the professional figures involved in this activity must have a strong Prostitutes LAquila of altruism and a great open-mindedness.

We found that both trained and untrained sexual assistants provide their services under remunerative or commercial conditions. However, the main difference between these two groups lies in the activities carried out. The trained group mainly provides massage therapy, including erotic massage, and discussion about sexuality, contraception, and the appropriate use of Prostitutes LAquila toys.

These activities cannot be strictly considered prostitution. A minority of trained assistants refer to being engaged in masturbatory activities or sexual intercourse that, on the contrary, may be considered activities more typical of prostitution. However, these activities are mainly provided outside of their job as sexual assistants. Prostitutes LAquila contrast, untrained sexual assistants provide sexual services such as oral sex, masturbation, or sexual intercourse much more frequently.

Prostitutes LAquila findings seem to confirm that when sexual assistants are Prostitutes LAquila and carefully selected by specialised organisations, they provide services and activities that do not resemble prostitution. It should be clarified that when sexual Prostitutes LAquila has characteristics similar to prostitution, this is not necessarily negative.

In fact, an ethical evaluation of the sexual Prostitutes LAquila of the sexual assistants is beyond the scope of our study. Furthermore, it is well known that Prostitutes LAquila affected by disabilities find it much more difficult to satisfy their normal sexual interest than other individuals do.