Abstract
Individuals with developmental disabilities often encounter problems when engaging in sexual behavior through masturbation. Although sometimes taking the form of inappropriate behavior, such as public masturbation, ineffective masturbation, such as the inability to achieve orgasm through masturbation, is also encountered. The current study investigated the peer-reviewed literature as it pertains to empirically supported treatments for inappropriate and ineffective masturbation. Out of an original 1066 articles from 1940 to 2017, only 38 articles met criteria as treatment articles with masturbation as the target of study. Articles were analyzed by years of publication, desired direction of target, orientation of treatment, participant characteristics and behavioral treatments employed. Treatments were then discussed in detail with the purpose of establishing a body of empirically supported treatments for the shaping of effective masturbation in individuals with developmental disabilities. Unfortunately, results highlighted the need for significantly more clinical research before clinicians are able to rely on the literature for treatment ideas.
Similar content being viewed by others
References
Patterson, T., Scott, C.: Behavioral management of inappropriate masturbation in an 8-year-old girl. Child Fam. Behav. Ther. 35, 256–263 (2013)
Dufrene, B.A., Watson, T.S., Weaver, A.: Response blocking with guided compliance and reinforcement for a habilitative replacement behavior: effects on public masturbation and on-task behavior. Child Fam. Behav. Ther. 27, 73–84 (2005)
Meizner, I.: Sonographic observation of in utero fetal “masturbation”. J. Ultras. Med. 6, 111 (1987)
Kul, M., Baykan, H., Kandemir, H.: A case of excessive masturbation treated with aripiprazole. Bull. Clin. Psychopharmacol. 24, 93–96 (2014)
Franić, T., Ujević Franić, I.: Infantile masturbation-exclusion of severe diagnosis does not exclude parental distress-case report. Psychiatr. Danub. 23, 398–399 (2011)
Davis, T.N., Machalicek, W., Scalzo, R., Kobylecky, A., Campell, V., Pinkelman, S., Sigafoos, J.: A review and treatment selection model for individuals with developmental disabilities who engage in inappropriate sexual behavior. Behav. Anal. Pract. 9, 389–402 (2016)
Kaeser, F., O’Neill, J.: Task analyzed masturbation instruction for a profoundly mentally retarded adult male: a data based case study. Sex. Disabil. 8, 17–24 (1987)
Walsh, A.: IMPROVE and CARE: responding to inappropriate masturbation in people with severe intellectual disabilities. Sex. Disabil. 18, 27–39 (2000)
Tarnai, B.: Review of effective interventions for socially inappropriate masturbation in persons with cognitive disabilities. Sex. Disabil. 24, 151–168 (2006)
Ruble, L.A., Dalrymple, N.J.: Social/sexual awareness of persons with autism: a parental perspective. Arch. Sex. Behav. 22, 229–240 (1993)
Stokes, M.A., Kaur, A.: High-functioning autism and sexuality: a parental perspective. Autism. 9, 266–289 (2005)
Armstrong, K.J., Drabman, R.S.: Treatment of a nine year old girl’s public masturbatory behavior. Child Fam. Behav. Ther. 20, 55–62 (1998)
Hellemans, H., Roeyers, H., Leplae, W., Dewaele, T., Deboutte, D.: Sexual behavior in male adolescents and young adults with autism spectrum disorder and borderline/mild mental retardation. Sex. Disabil. 28, 93–104 (2010)
Van Bourgondien, M.E., Reichle, N.C., Palmer, A.: Sexual behavior in adults with autism. J. Autism Dev. Disord. 27, 113–125 (1997)
Haracopos, D., Pedersen, L.: Sexuality and autism: Danish report. United Kingdom Society for the Autistically Handicapped. Retrieved April 19, 2011 from www.autismuk.com/autism/sexuality-and-autism/sexuality-and-autism-danish-report/ (1992)
Hingsburger, D.: Masturbation: a consultation for those who support individuals with developmental disabilities. Can. J. Human Sex. 3, 278–282 (1994)
Calabro, R.S., Gali, A., Marino, S., Bramanti, P.: Compulsive masturbation and chronic penile lymphedema. Arch. Sex. Behav. 41, 737–739 (2012)
Kaeser, F.: Developing a philosophy of masturbation training for persons with severe or profound mental retardation. Sex. Disabil. 14, 295–308 (1996)
Ferguson, L.N., Rekers, G.A.: Non-aversive intervention in public childhood masturbation: a case study. J. Sex Res. 15, 213–223 (1979)
Rudolf, G.D.: An experiment in the treatment of masturbation in oligophrenia. Am. J. Ment. Defic. 58, 644–649 (1954)
Stirt, S.S.: Overt mass masturbation in the classroom. Am. J. Orthopsychiatr. 10, 801–804 (1940)
Rosenthal, M., Berkman, P., Shapira, A., Gil, I., Abramovitz, J.: Urethral masturbation and sexual disinhibition in dementia: a case report. Isr J. Psychiatry Rel. Sci. 40, 67–72 (2003)
Beddows, N., Brooks, R.: Inappropriate sexual behaviour in adolescents with autism spectrum disorder: what education is recommended and why. Early Interv. Psychiatry 10, 282–289 (2016)
Olson, K.A., Kelley, W.R.: Reduction of compulsive masturbation by electrical aversive conditioning to verbal cues: a case report. Can. Psychiatr. Assoc. J. 14, 303–305 (1969)
Marshall, W.L.: A combined treatment approach to the reduction of multiple fetish-related behaviors. J. Consult. Clin. Psychol. 42, 613–616 (1974)
Cook, J.W., Shaw, J.: Use of contingent lemon juice to eliminate public masturbation by a severely retarded boy. Behav. Res. Ther. 16, 131–134 (1978)
Behavior Analysis Certification Board® (BACB®): Professional and Ethical Compliance Code for Behavior Analysts. Retrieved from: https://www.bacb.com/wp-content/uploads/2017/09/170706-compliance-code-english.pdf (2016)
Barmann, B.C., Murray, W.J.: Suppression of inappropriate sexual behavior by facial screening. Behav. Ther. 12, 730–735 (1981)
Kornreich, C., Den Dulk, A., Verbanck, P., Pelc, I.: Fluoxetine treatment of compulsive masturbation in a schizophrenic patient. J. Clin. Psychiat. 56, 334 (1995)
Brooks III, J.O., Waikar, M.V.: Inappropriate masturbation and schizophrenia. J. Clin Psychiat. 61, 451 (2000)
Coskun, M., Karakoc, S., Kircelli, F., Mukaddes, N.M.: Effectiveness of mirtazapine in the treatment of inappropriate sexual behaviors in individuals with autistic disorder. J. Child Adolesc. Psychopharmacol. 19, 203–206 (2009)
Ozmen, M., Erdogan, A., Duvenci, S., Ozyurt, E., Ozkara, C.: Excessive masturbation after epilepsy surgery. Epilepsy Behav. 5, 133–136 (2004)
Sansone, R.A., Ferlan, M.: Pramipexole and compulsive masturbation. Psychiatry 4, 57–59 (2007)
Wagner, M.K.: A case of public masturbation treated by operant conditioning. J. Child Psychol. Psychiatry 9, 61–65 (1968)
Mellstrom, M., Gelsomino, J.: Contingency management of an adult’s inappropriate urination and masturbation in a family context. J. Behav. Ther. Exp. Psy. 7, 89–90 (1976)
Janzen, W.B., Peacock, R.: Treatment of public masturbation by behavioral management. Am. J. Psychother. 32, 300–306 (1978)
Foxx, R.M., McMorrow, M.J., Fenlon, S., Bittle, R.G.: The reductive effects of reinforcement procedures on the genital stimulation and stereotypy of a mentally retarded adolescent male. Anal. Interv. Dev. Disabil. 6, 239–248 (1986)
Luiselli, J.K., Helfen, C.S., Pemberton, B.W., Reisman, J.: The elimination of a child’s in-class masturbation by overcorrection and reinforcement. J. Behav. Ther. Exp. Psychiatry 8, 201–204 (1977)
Polvinale, R.A., Lutzker, J.R.: Elimination of assaultive and inappropriate sexual behavior by reinforcement and social-restitution. Ment. Retard. 18, 27–30 (1980)
Robison, C.P., Conahan, F., Brady, W.: Reducing self-injurious masturbation using a least intrusive model and adaptive equipment. Sex. Disabil. 10, 43–55 (1992)
Withers, P.S., Gaskell, S.L.: A cognitive-behavioural intervention to address inappropriate masturbation in a boy with mild learning disabilities. Br. J. Learn. Disabil. 26, 58–61 (1998)
Hellemans, H., Colson, K., Verbraeken, C., Vermeiren, R., Deboutte, D.: Sexual behavior in high-functioning male adolescents and young adults with autism spectrum disorder. J. Autism Dev. Disord. 37, 260–269 (2007)
Tarnai, B., Wolfe, P.S.: Social stories for sexuality education for persons with autism/pervasive developmental disorder. Sex. Disabil. 26, 29–36 (2008)
Wolfe, P.S., Condo, B., Hardaway, E.: Sociosexuality education for persons with autism spectrum disorders using principles of applied behavior analysis. Teach. Except. Child. 42, 50–61 (2009)
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Author declare that he has no conflict of interest.
Ethical Approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Cicero, F.R. Shaping Effective Masturbation in Persons with Developmental Disabilities: A Review of the Literature. Sex Disabil 37, 91–108 (2019). https://doi.org/10.1007/s11195-018-9551-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11195-018-9551-y