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Young children and those individuals with Down syndrome who have severe cognitive or language impairment may learn best from a good touch/bad touch model : "Just say no to unwanted advances or touching" (Haka-Ikse and Mian, 1993; Monat-Haller, 1992).Older children and individuals with mild language and cognitive deficits may be able to learn the "Circles Concept", a paradigm of physical and emotional distance (Walker-Hirsch and Champagne, 1992).As individuals with Down syndrome take their place in these areas, we can expect some of them to assume the sexual roles that the general population takes for granted: lover, spouse, parent (Van Dyke et al., 1995).Review of developmentally appropriate sexual issues should be part of the medical and psychological evaluation of all individuals with Down syndrome.You must explain to your friend and say "STOP" (Walker-Hirsch and Champagne, 1992)".Like typical young people, then, students with Down syndrome need early sex education accompanied by open discussion Because of significant variations within this population in cognitive levels, learning styles, living arrangements, and health problems, they require an individualized approach to sex education (Van Dyke et al, 1995).

The development of a secure sexual identity is a difficult task even in the absence of a physical or mental disability (Grant, 1995).Improved medical care, laws ensuring appropriate education and related services for the disabled, and slow changes in societal attitudes have brightened the outlook for individuals with Down syndrome (Van Dyke et al, 1995).An active life, including participation in work, social, and worship environments, is now possible.Other contributing factors include multiple living situations and transient caregivers, some of whom may be paedophiles.(Schor, 1987) Personal safety education should begin early in childhood (Haka-Ikse and Mian, 1993).

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