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Shaping Effective Masturbation in Persons with Developmental Disabilities: A Review of the Literature

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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.

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References

  1. Patterson, T., Scott, C.: Behavioral management of inappropriate masturbation in an 8-year-old girl. Child Fam. Behav. Ther. 35, 256–263 (2013)

    Article  Google Scholar 

  2. 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)

    Article  Google Scholar 

  3. Meizner, I.: Sonographic observation of in utero fetal “masturbation”. J. Ultras. Med. 6, 111 (1987)

    Article  Google Scholar 

  4. Kul, M., Baykan, H., Kandemir, H.: A case of excessive masturbation treated with aripiprazole. Bull. Clin. Psychopharmacol. 24, 93–96 (2014)

    Article  Google Scholar 

  5. Franić, T., Ujević Franić, I.: Infantile masturbation-exclusion of severe diagnosis does not exclude parental distress-case report. Psychiatr. Danub. 23, 398–399 (2011)

    PubMed  Google Scholar 

  6. 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)

    Article  PubMed  Google Scholar 

  7. 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)

    Article  Google Scholar 

  8. Walsh, A.: IMPROVE and CARE: responding to inappropriate masturbation in people with severe intellectual disabilities. Sex. Disabil. 18, 27–39 (2000)

    Article  Google Scholar 

  9. Tarnai, B.: Review of effective interventions for socially inappropriate masturbation in persons with cognitive disabilities. Sex. Disabil. 24, 151–168 (2006)

    Article  Google Scholar 

  10. Ruble, L.A., Dalrymple, N.J.: Social/sexual awareness of persons with autism: a parental perspective. Arch. Sex. Behav. 22, 229–240 (1993)

    Article  PubMed  Google Scholar 

  11. Stokes, M.A., Kaur, A.: High-functioning autism and sexuality: a parental perspective. Autism. 9, 266–289 (2005)

    Article  PubMed  Google Scholar 

  12. 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)

    Article  Google Scholar 

  13. 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)

    Article  Google Scholar 

  14. Van Bourgondien, M.E., Reichle, N.C., Palmer, A.: Sexual behavior in adults with autism. J. Autism Dev. Disord. 27, 113–125 (1997)

    Article  PubMed  Google Scholar 

  15. 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)

  16. Hingsburger, D.: Masturbation: a consultation for those who support individuals with developmental disabilities. Can. J. Human Sex. 3, 278–282 (1994)

    Google Scholar 

  17. Calabro, R.S., Gali, A., Marino, S., Bramanti, P.: Compulsive masturbation and chronic penile lymphedema. Arch. Sex. Behav. 41, 737–739 (2012)

    Article  PubMed  Google Scholar 

  18. Kaeser, F.: Developing a philosophy of masturbation training for persons with severe or profound mental retardation. Sex. Disabil. 14, 295–308 (1996)

    Article  Google Scholar 

  19. Ferguson, L.N., Rekers, G.A.: Non-aversive intervention in public childhood masturbation: a case study. J. Sex Res. 15, 213–223 (1979)

    Article  Google Scholar 

  20. Rudolf, G.D.: An experiment in the treatment of masturbation in oligophrenia. Am. J. Ment. Defic. 58, 644–649 (1954)

    PubMed  Google Scholar 

  21. Stirt, S.S.: Overt mass masturbation in the classroom. Am. J. Orthopsychiatr. 10, 801–804 (1940)

    Article  Google Scholar 

  22. 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)

    Google Scholar 

  23. 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)

    Article  PubMed  Google Scholar 

  24. 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)

    Article  PubMed  Google Scholar 

  25. Marshall, W.L.: A combined treatment approach to the reduction of multiple fetish-related behaviors. J. Consult. Clin. Psychol. 42, 613–616 (1974)

    Article  PubMed  Google Scholar 

  26. 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)

    Article  PubMed  Google Scholar 

  27. 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)

  28. Barmann, B.C., Murray, W.J.: Suppression of inappropriate sexual behavior by facial screening. Behav. Ther. 12, 730–735 (1981)

    Article  Google Scholar 

  29. Kornreich, C., Den Dulk, A., Verbanck, P., Pelc, I.: Fluoxetine treatment of compulsive masturbation in a schizophrenic patient. J. Clin. Psychiat. 56, 334 (1995)

    Google Scholar 

  30. Brooks III, J.O., Waikar, M.V.: Inappropriate masturbation and schizophrenia. J. Clin Psychiat. 61, 451 (2000)

    Article  Google Scholar 

  31. 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)

    Article  PubMed  Google Scholar 

  32. Ozmen, M., Erdogan, A., Duvenci, S., Ozyurt, E., Ozkara, C.: Excessive masturbation after epilepsy surgery. Epilepsy Behav. 5, 133–136 (2004)

    Article  PubMed  Google Scholar 

  33. Sansone, R.A., Ferlan, M.: Pramipexole and compulsive masturbation. Psychiatry 4, 57–59 (2007)

    PubMed  Google Scholar 

  34. Wagner, M.K.: A case of public masturbation treated by operant conditioning. J. Child Psychol. Psychiatry 9, 61–65 (1968)

    Article  Google Scholar 

  35. 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)

    Article  Google Scholar 

  36. Janzen, W.B., Peacock, R.: Treatment of public masturbation by behavioral management. Am. J. Psychother. 32, 300–306 (1978)

    Article  PubMed  Google Scholar 

  37. 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)

    Google Scholar 

  38. 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)

    Article  Google Scholar 

  39. Polvinale, R.A., Lutzker, J.R.: Elimination of assaultive and inappropriate sexual behavior by reinforcement and social-restitution. Ment. Retard. 18, 27–30 (1980)

    PubMed  Google Scholar 

  40. 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)

    Article  Google Scholar 

  41. 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)

    Article  Google Scholar 

  42. 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)

    Article  PubMed  Google Scholar 

  43. Tarnai, B., Wolfe, P.S.: Social stories for sexuality education for persons with autism/pervasive developmental disorder. Sex. Disabil. 26, 29–36 (2008)

    Article  Google Scholar 

  44. 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)

    Article  Google Scholar 

Download references

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Correspondence to Frank R. Cicero.

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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

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