Focusing on disabled people's sexual needs


BY SAORI
KAN

The Daily Yomiuri

TOKYO - (KRT) - "My sexual desires used to be satisfied with the help of a 
male friend, who was very kind to me. But we no longer see each other. So I'd 
like to meet another man and build up a relation of mutual trust with him, 
starting out with e-mail correspondence."
This message, which sounds like something that would appear on a Web dating 
site, was posted on a site for the physically and mentally disabled by a woman
who said she was suffering from severe cerebral palsy. The site caters to 
disabled people who cannot fulfill their sexual needs without the help of 
others.
Another example taken from the Web site, which is run by a group of disabled 
people, was posted by a
Kyoto man who said he had a muscular disorder.
"As I have trouble coordinating my hands, I can't masturbate. I'm really 
frustrated," the man wrote. "I registered myself as a member of this site 
because I want help in relieving myself. As I live with my parents, I want to 
receive this kind of assistance somewhere else."
Such sentiments, though, seem to be conveniently veiled from public view.
"People want to avert their gaze from the reality that disabled people have 
sexual desires just like everyone else," says Kaori Kawai, 30, a writer whose 
first book, "Sex Volunteer," was published by Shinchosha Co. earlier this 
year.
In the book, she reports the reality of disabled people's sexuality based on 
interviews she conducted over a period of three years with dozens of disabled
people and volunteers who provide assistance in helping the disabled achieve
sexual relief.
While the title of the book sounds sensational, the content of the work 
reveals Kawai's sincerity in bringing the matter to attention. The book has sold 
more than 100,000 copies_a big success for an unknown writer on such a serious
theme.
Kawai said: "Their sexuality isn't a new issue for them, their families, or 
people working at welfare institutions taking care of them. But as a topic,
it's  never touched upon by the mass media because it's considered a taboo in
our  society. I wanted to challenge that."
Three years ago, the freelance writer was shocked when she saw a videotape 
filmed by an art college student that had disabled sexuality as a theme. In the
black-and-white documentary, which was completed as a graduation project,
the  student could be seen helping a wheelchair-bound man in his late 60s to 
masturbate.
The man, who was living at a
Tokyo facility for the disabled, was suffering 
from cerebral palsy and a respiratory function disorder that meant his 
wheelchair had to be fitted with a ventilator and a pair of air tanks. Dialogue 
about his predicament is also featured in the film.
Among the few occasions the man is taken off his ventilator are his visits to
receive sexual relief at a sex parlor on his birthday or New Year's Day.
Kawai, having seen the film, decided to look more deeply into the topic. She 
interviewed the man featured in the video who "spoke" to her using a dialogue
board on which he could point to printed hiragana characters.
"It can be hard for me to breathe (without the machine), but my sexuality is 
fundamental to the life I live. I can't stop (having sex)," the old man 
explained.
"I'll never forget his words," Kawai said.
On the aforementioned Web site, there are people registered as volunteers to 
assist sexual activities of disabled people. One of them, a man who lives in 
Hyogo Prefecture, writes on the site: "I'm married, so I can't be of service
to  any women, but I think I can help men to masturbate. I would be happy to 
help."
A
Tokyo woman, the only volunteer registered with the site who actually has 
sex with those she helps, explains in her online message that she can only 
assist people in
Tokyo or Kanagawa Prefecture.
PARENTAL OVERPROTECTION
In many cases, parents constitute the main barrier preventing their 
handicapped sons or daughters from fulfilling their sexual desires, Kawai  said.
"I think parents, especially those of people with intellectual deficiencies, 
tend to overprotect their (adult) children and steer them away from sexual 
relationships. Some parents cannot accept that their children have independent 
personalities. Instead they seem to want them to remain as innocent `angels' 
forever."
Some disabled people, though, give up on the prospect of having a boyfriend 
or girlfriend and choose to use "delivery health" services that specialize in 
dispatching women or men to customers' houses or other locations to provide 
sexual services.
Kawai spoke to one woman in her 20s, who has a congenitally dislocated hip 
joint. The woman enjoys "dates" she has with a male prostitute sent by an
agency  in Shinjuku.
The decision to start using such a service was made by the woman. Her 
parents, who wanted to help their "unhappy" daughter, pay for it. The parents 
judged their daughter incapable of maintaining a romantic relationship with a  man,
according to Kawai.
The day before her encounters with the man, she usually has a pedicure, and 
on the day itself wears make-up and her favorite clothes. Kawai believes the 
woman is in love with the man but is unable to bring herself to say so.
Such complications are not uncommon, according to Kawai.
"I met another physically handicapped woman who was shocked to discover that 
the man who had been providing her with sexual assistance had gotten a 
girlfriend," she said.
"I came to realize that these people just want to have a normal, romantic and
intimate relationship."
Kawai's book describes another example of how it can become difficult to draw
a line between gratification of sexual needs and an intimate bond.
She spoke to a married woman in
Saitama Prefecture, who had sex a total of 
four times with two separate men, including a
Tokyo man with cerebral palsy who
at the time was in his 30s.
According to Kawai, the woman, a mother of two boys, was a member of a 
nonprofit organization that instructed disabled people on how to operate  personal
computers.
While giving advice on sexual issues as part of the organization's 
activities, the woman decided to participate in the sexual volunteer  activity.
But she soon sensed that the
Tokyo man was falling in love with her. Finding 
herself unable to gain understanding about how she was trying to improve 
people's quality of life, she felt she had to give up, Kawai said.
In the book, the Saitama woman tells Kawai how communication is a major 
hurdle in dealing with this issue of sexuality.
"(Disabled) people can talk about dietary needs or a need to use the 
bathroom, but they can't say anything about their sexuality," she said. "Many of 
them believe their very existence is just a nuisance for the people around them. 
So how do I best deal with such people?"
NO RIGHT ANSWER
Kawai also conducted research abroad, visiting SAR, a Dutch organization that
dispatches staff members as sexual assistants for disabled people.
The organization was established in the
Netherlands in the early 1980s by 
disabled people. Every year about 2,000 people, not all of them from the 
Netherlands, reportedly use the services of SAR, which has about 10 staff  members.
To avoid possible complications, all married staff at SAR are required  to
gain consent from their partners for their activities.
Some municipalities in the
Netherlands even offer subsidies to users of 
sexual services, providing they fulfill stipulated criteria, according to  Kawai.
But others question whether such arrangements are necessary.
"I don't think we need such a systematized sex service like the Dutch have 
put so much work into. It goes too far. This goes beyond a `quality of life' 
problem, I believe," said a male worker at a welfare facility in
Tokyo, who
said  he fulfilled the request of a disabled man to help him masturbate. The man 
seemed unclear as to whether he even accepted the idea of sexual volunteer 
activities at all.
"I believe there is no right answer regarding sexual issues as each person's 
way of thinking about sexuality differs so much," Kawai said. "What I can say
is...that people are trying to live their lives and they can find comfort in
doing so even with just a tiny bit of hope. I learned of the kind of human 
strength my interviewees could gain."
Kawai added, "I also learned a lot from people I met in writing this book. 
Talking to them, I felt it necessary to think again about my own sexuality.
I've  received many e-mails or letters from readers who said the same."
_http://www.fortwayne.com/mld/newssentinel/living/10459240.htm_
( http://www.fortwayne.com/mld/newssentinel/living/10459240.htm )