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In Space, No-One Can Hear the Screams of Paternalism: A Response to Häyry's Immorality of Space Exploration.

Bioethics·2026
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Sexual citizenship: defending society's most disadvantaged.

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The place of sexuality in society: misplaced grand theorising will sideline disabled people's sexual rights.

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Anent the theoretical justification of a sex doula program.

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Related Experiment Video

Updated: Jun 26, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Whither a Welfare-Funded 'Sex Doula' Programme?

Steven J Firth1

  • 1Social and Moral Philosophy, Helsingin Yliopisto, Helsinki, Finland.

Journal of Medical Ethics
|June 15, 2019
PubMed
Summary

Disabled individuals have a right to sexual citizenship, including publicly funded access to sexual pleasure. A welfare-funded

Area of Science:

  • Bioethics
  • Disability Studies
  • Social Policy

Background:

  • Sexual citizenship for disabled persons is ethically complex and under-debated in academia.
  • Charitable organizations are increasingly addressing disabled individuals' needs, raising public awareness.
  • Existing academic debate focuses on disability, sexual rights, and public funding.

Purpose of the Study:

  • To support Appel's argument that sexual pleasure is a fundamental human right.
  • To advocate for public funding of sexual citizenship for severely disabled individuals.
  • To refute Di Nucci's criticisms and propose an alternative solution.

Main Methods:

  • Philosophical argumentation and ethical analysis.
  • Critique of existing literature on sexual rights and disability.
Keywords:
disabilityphilosophical ethicsright to healthcarerightssexuality/gender

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  • Development of a policy proposal for sexual citizenship support.
  • Main Results:

    • Appel's proposal for publicly funded sexual citizenship for the disabled is ethically sound.
    • Di Nucci's criticisms of Appel's proposals are refuted.
    • Di Nucci's alternative solution is deemed inequitable.

    Conclusions:

    • Sexual pleasure is a fundamental human right for all, including disabled individuals.
    • Public funding for sexual citizenship for disabled persons is ethically mandated.
    • A welfare-funded 'sex doula' program is proposed as a practical solution to address these needs.