Sexual Well-Being as a Factor of Social and Psychological Rehabilitation of Persons with Disabilities

The article introduces the genetic connection between the synthetic multiple-factor activity-based personality-oriented neosocial model of rehabilitation of a person with disabilities by A. Shevtsov and the structural functional model of human sexuality by V. Hupalovska. In the multiple-factor model of rehabilitation, the socio-psychological component is important, which corresponds to the dispositional model of Allport and the provisions on the “fully functioning person” according to Rogers. An attempt to consider the self-actualisation of a person with a disability and his/her subjective well-being through the lens of sexual well-being as a factor in the social construction by the person with disability of his/her life at the internal level is made. The study investigates the role of sexual well-being as a factor contributing to the social and psychological rehabilitation of people with disabilities (PwD) who acquired lifelong severe somatic diseases. Based on a comparative empirical analysis involving 125 PwD and 121 conditionally healthy participants, it was found that sexual attitudes and subjective well-being in PwD are comparable to those of their healthy peers. Notably, PwD report higher levels of positive relationships and affect balance but encounter challenges in goal-setting due to their health limitations. Predictors of subjective well-being include the adoption of romantic, patriarchal, and traditional-parental sexual scenarios, while self-realisation, market-oriented, and passionate sexual scripts negatively influence subjective well-being. The study highlights that transcendental and hedonistic-communicative scripts enhance subjective satisfaction with life, while intimate and market scripts demonstrate an inverse relationship. These findings emphasise the importance of addressing sexual well-being in rehabilitation programs. Sexuality, functioning across physical, emotional, and spiritual dimensions, plays a crucial role in enabling PwD to construct meaningful lives and achieve subjective psychological balance. The research supports the integration of personal, social, and psychological factors into rehabilitation strategies, aligning with the neosocial model of rehabilitation.