Connaissez-moi, voyez-moi, écoutez-moi : une revue de portée des attitudes et des approches relatives à l’éducation aux relations et à la sexualité pour les personnes autistes et leurs familles
Titre original en anglais : Know Me, See Me, Hear Me: A Scoping Review of the Attitudes and Approaches to Relationships and Sexuality Education for Autistic Individuals and Their Families
Southby, M., Afsharnejad, B., Milbourn, B., Lawson, W., Bölte, S., & Girdler, S. (2026). Know Me, See Me, Hear Me: A Scoping Review of the Attitudes and Approaches to Relationships and Sexuality Education for Autistic Individuals and Their Families. Autism in Adulthood. https://doi.org/10.1177/25739581251365916
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Auteurs
Résumé
Contexte : Bien que les données montrent que l’éducation aux relations et à la sexualité (RSE) a un impact positif sur le développement personnel et social, elle est dispensée de diverses manières selon les environnements et les contextes sociaux. La recherche sur l’autisme a montré que les personnes autistes vivent davantage d’expériences de vie défavorables que leurs pairs neurotypiques, avec moins de relations et des relations de moindre qualité, ainsi que des taux plus élevés de violence et d’abus. Malgré cela, les apprenants neurodivergents, y compris les personnes autistes, sont souvent complètement privés de RSE ou ne la reçoivent qu’en réponse à un risque ou à un comportement sexuel problématique. Par conséquent, les personnes ne bénéficient pas du plein potentiel de la RSE en tant que système de soutien au développement. Méthode : Cette revue de portée a exploré la littérature sur les attitudes et les approches relatives à la RSE pour les personnes autistes, en se concentrant sur les voix des personnes autistes, des parents d’enfants autistes et des professionnels paramédicaux (AHP) qui les soutiennent. Les chercheurs ont recherché, dans les principales bases de données électroniques de santé et d’éducation, des études menées dans des pays à revenu élevé de 1990 à ce jour, dans lesquelles la RSE hors milieu scolaire destinée aux personnes autistes constituait l’objet de l’étude. Les chercheurs ont établi les paramètres de la revue et les termes de recherche par une approche de coproduction entre chercheurs autistes et non autistes. Ils ont réalisé l’extraction des données, y compris leur mise en correspondance avec un cadre socioécologique, ainsi qu’une évaluation de la qualité, et ont utilisé une analyse méta-ethnographique pour déterminer les thèmes qualitatifs. Les thèmes ont été synthétisés avec les résultats quantitatifs issus des mêmes données et mis en correspondance avec un cadre socioécologique. Résultats : La revue a inclus 34 études, dont la majorité rapportait la RSE du point de vue des personnes autistes, et une minorité de trois études présentait les perspectives des AHP. Les chercheurs ont identifié quatre thèmes : Connaissez-moi, voyez-moi, écoutez-moi et collaborons. La mise en correspondance avec le cadre socioécologique a révélé un manque de compréhension de l’autisme et une RSE variable pour les personnes autistes à travers les niveaux socioécologiques. Un fort appel a été lancé en faveur d’une approche collaborative à travers les niveaux socioécologiques pour dispenser la RSE, avec une formation pour toutes les personnes responsables de sa prestation. Conclusion : Le manque de compréhension tant de l’autisme que de la RSE, de manière générale, à travers les niveaux de la société entraîne des interventions souvent sporadiques et réactives pour les personnes autistes, au détriment de l’objectif de la RSE consistant à apporter un soutien proactif au développement et à promouvoir la santé. La prestation efficace de la RSE nécessite des efforts collaboratifs et centrés sur la personne afin d’obtenir des résultats optimaux en matière de qualité de vie pour les personnes autistes et leurs parents. Les chercheurs doivent explorer davantage les obstacles sociétaux à une RSE efficace, et les parents ainsi que les AHP ont besoin d’un soutien pour remplir leur rôle dans l’apprentissage contextualisé.
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