All health insured persons in Germany have the right to medical treatment. However, some are actually denied this right. These are people who need a different form of communication than the usual verbal one: people who are severely speech impaired and cognitively impaired. Your "mother tongue" often consists only of sounds or is predominantly non-verbal. You will not find any counselors or therapists who are willing to change. They also learn best when they behave; the best way to express themselves is by staging. With the qualification and establishment of sexual assistants, the "Institute for the Self-Determination of Disabled People" has put an end to the actual withdrawal of sexual counseling for these target groups. ISBB sexual assistants have learned to adapt to the individual language habits of the person seeking advice. The basis for their understanding is the individual sexual history of the person seeking advice. They learn this story through the individual behavior of the men and women seeking advice in a highly emotional staging.
As usual in experiential education, the sexual companions pose life challenges. This is usually a sexual encounter. Unlike prostitution, they always start from the level of development of the person seeking advice. He is physically mature, but is usually not emotionally, cognitively and / or socially equipped with age-appropriate skills. The goal is never to increase sexual desire in the short time of encounter, but rather personality developments, the culturally compatible integration of sexuality. In contrast to prostitution, it is not orientations towards standardized sexual practices that form the basis of cooperation, but rather time spent learning together. In contrast to prostitution, it is not an illusion that is sold, but rewarded time lived in which both are obliged to see whether the other is doing well. In contrast to prostitution, communication must be honest. Often enough, this does not include pleasurable feedback. If there is a desire during coaching, this is an advantage for learning success.
Sexual guidance in the ISBB is comparable to the methods of experiential education. Like the tree in the high climbing forest, the sexual companions set various challenges as a surrogate. They set opportunities, but also obstacles. They are trained to let the person seeking advice act. They motivate, but also set limits. A vivid sexual history is always sought for the person seeking advice. Abuse in this advisory encounter is not possible because everything that develops requires the non-verbal or verbal mandate of the person seeking advice. Even people who have been traumatized by sexualized violence rarely want to live anymore sexuality. Sooner or later they are grateful for the idea, for the hope that sexuality is possible even in their life experiences. Even perpetrators are more likely to give up hurtful patterns if they are not only forbidden, but shown how legal sexuality is possible for them. Dipl.-Psych. Lothar Sandfort