Laura Klepping uses a case study to explore issues relating to sexuality, learning disabilities and dementia. She reflects on how a particular model of practice could have been used as a framework to discuss sexuality with the couple concerned

People with learning disabilities have been marginalised as a result of majority social views, and their sexual needs and rights are commonly ignored by health and social care providers. Where sexuality has been recognised, healthcare providers have tended to adopt a protective or repressive approach, overlooking individual rights and the notion of pleasure (Gilbert 1998).