Sexual assistance for people with disabilities: A case study in the Portuguese context

Abstract

Introduction: Sexuality is a fundamental dimension of life, yet people with disabilities often face systemic oppressions that hinder their sexual agency. This study addresses the lack of formal sexual assistance in Portugal by exploring the insights of a disability rights collective regarding the implementation, challenges, and empowerment potential of such services. Methods: A qualitative case study was conducted with “The DEFiants” (As DEsaFiantes), an anti-ableist Portuguese feminist collective. Data collection occurred between October 2023 and July 2024, involving three stages of exploratory and semi-structured interviews with two representative members to capture the collective’s public stance. The data were analyzed using Reflexive Thematic Analysis. Results: The findings identified six key themes: the need for broad and flexible definitions of sexual assistance, the transition from theory to practice, the potentialities of sexual assistance for self-knowledge and empowerment, ethical challenges (particularly regarding intellectual disabilities), the strategic distinction between personal and sexual assistance, and the necessary alliance with the sex work movement. Conclusions: The study concludes that sexual assistance should be framed as a human right that prioritizes pleasure, autonomy, and self-determination. The participants advocate for a model that moves away from medicalized perspectives and instead embraces a “body revolution” that empowers non-normative bodies. Policy Implications: To operationalize sexual assistance in Portugal, policies must focus on the decriminalization of sex work to provide a legal framework for the service. Additionally, the study suggests utilizing existing mechanisms, such as the Social Benefit for Inclusion, to fund these services, thereby ensuring equitable access while protecting the privacy of people with disabilities.