Unspoken Needs: Exploring Family Perspectives on the Sexuality of People with Disabilities

Abstract This qualitative study explores family members’ attitudes, knowledge, and educational needs regarding the sexuality of people with disabilities (PwDs) in Turkey. Drawing on data from 100 adult relatives of disabled individuals aged 13 and above, the study employed content analysis of responses to a structured questionnaire. Most participants recognized the sexual development and needs of their disabled relatives, yet many expressed discomfort and uncertainty in addressing sexuality-related topics. This hesitancy was shaped by cultural taboos, conservative family values, and limited intergenerational dialogue—particularly salient in collectivist societies. Family-based sexuality education was generally confined to hygiene and safety, while complex issues such as masturbation, sexual abuse, and gender and sexual diversity were often overlooked. Attitudes toward romantic relationships and non-normative sexual expressions revealed tensions between traditional norms and evolving social discourses. Importantly, 83% of participants indicated a need for structured, state-supported sexuality education programs for families, with psychologists seen as the most trusted facilitators. The findings underscore the importance of culturally responsive, inclusive, and family-centered sexuality education, contributing to a growing body of international research in underexplored conservative contexts.