A human right to pleasure? Sexuality, autonomy and egalitarian strategies

Journal of Medical Ethics 50 (4):263-267 (2024)
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Abstract

A growing focus on pleasure in human rights discourse has been used to address patterns of sexual exclusion, often when addressing the problems of people with disabilities (PWD). As convincingly argued by Liberman, however, not all PWD suffer from sexual exclusion, and not all who suffer from sexual exclusion are PWD. Danaher and Liberman have thus argued in various ways for a broader range of measures, addressing sexual exclusion. This article builds on previous research and offers a conceptual framework for addressing sexual pleasure and exclusion in terms of human rights. It argues that human rights aim to safeguard autonomy, which is interpreted as multidimensional. It, thus, divides autonomy into the four dimensions of liberty (freedom from threat and coercion), opportunity (options to choose between), capacity (what an agent is capable of doing) and authenticity (the extent to which choices are genuine). Furthermore, it distinguishes between distinct egalitarian strategies, which offer different problems and possibilities, and may be combined. Thus, there is direct egalitarian distribution, indirect egalitarian distribution, baseline or threshold strategies and general promotion strategies. By way of conclusion, the importance of sexual authenticity as the ultimate aim of sexual rights is emphasised.

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References found in this work

Dignity: Its History and Meaning.Michael Rosen - 2012 - Harvard University Press.
A Defence of Sexual Inclusion.John Danaher - 2020 - Social Theory and Practice 46 (3):467-496.
Sexual Rights and Disability.Ezio Di Nucci - 2011 - Journal of Medical Ethics 37 (3):158-161.
Prostitution, disability and prohibition.Frej Klem Thomsen - 2015 - Journal of Medical Ethics 41 (6):451-459.

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