Abstract
Little is written in the occupational therapy literature about sexual expression and professional practice. This opinion piece presents two opposing opinions. One argues for its inclusion as part of an holistic approach. The other, developed from published emails, argues for its exclusion, because sexual expression is not seen as an occupational activity. These professional perspectives are set against the lived experiences of physically disabled people. From this consumer perspective, the omission of sexual expression from practice can be viewed as potentially damaging. A proposed way forward is to increase the awareness and skills of occupational therapists in this domain of practice.
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