ABSTRACT
This article is a case analysis of a 25-year-old man, named Michael, who has cerebral palsy, generalized athetosis. His physical disability is severe and he has a profound speech disorder. Michael is functioning cognitively within the range of borderline intelligence. Michael requested human sexuality counseling. At the onset of counseling Michael stated that due to his physical disability he was neither able to masturbate nor could he find a sexual partner. Four key areas in sexuality and disability are discussed: (1) recognition of the individual with a severe disability as a sexual being, (2) masturbation as a valid sexual activity, (3) seeking an appropriate romantic involvement, and (4) the process involved in making a referral to a sex surrogate. The entire course of treatment is outlined along with the impressions of the counselor.
