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Making and Communicating Decisions About Sexual Consent During Drug-Involved Sex: A Thematic Synthesis
Lauren A Smith1, Katerina Z Kolokotroni1, Tamara Turner-Moore1
1Leeds School of Social Sciences, Leeds Beckett University.
Journal of Sex Research
|January 7, 2020
Summary
Drug use significantly impacts sexual consent by altering norms and diminishing decision-making capacity. New frameworks are needed to assess consent in drug-involved sexual situations.
Area of Science:
- Psychology
- Sociology
- Public Health
Background:
- Sexual consent is crucial for preventing sexual violence.
- Alcohol's effect on sexual consent is documented, but research on other drugs is limited.
- Existing models of sexual consent may not adequately address drug-involved contexts.
Purpose of the Study:
- To review and synthesize existing literature on drug use and sexual consent.
- To explore how drug consumption influences the capacity to give or withhold sexual consent.
- To propose a more comprehensive framework for assessing sexual consent in drug-involved scenarios.
Main Methods:
- A comprehensive literature search was conducted across multiple academic databases (PsycINFO, Scopus, MEDLINE, etc.) and Google.
- Included unpublished reports and government/charity documents.
- Thematic synthesis was used to analyze 21 qualitative or mixed-methods studies.
Main Results:
- Three key themes emerged: drug use alters sexual norms, impairs decision-making capacity, and hinders communication of consent.
- Drug-involved sex presents unique challenges to established consent models.
- Drug use affects an individual's freedom and capacity to consent.
Conclusions:
- Current sexual consent models are insufficient for drug-involved contexts.
- The medical model of capacity to consent offers a broader framework for assessment.
- Social and situational factors are vital for understanding sexual decision-making after drug use.
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