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Much of the sexual biases in the United States are traced back to Puritan ethics.
Issues on the acceptance of sexuality and disability root back to 2000 years.
Healthy sex meant a good performance that led into an orgasm.
If a person was not able to orgasm during sex they were seen as inadequate for sexual intercourse.
For physical disabilities that change a person's sexual functioning, such as spinal cord injury there are methods, that assist where needed.
A disabled person may enjoy sex with the help of sex toys and physical aids (such as bed modifications), by finding suitable sex positions, or through the services provided by a qualified sex worker.
With this a sex therapist would help the individual explore oral sex, and clitoral orgasm.
When a person with a disability is not able to achieve an orgasm it was not seen as problematic, because they did not have sexual desires.
Self-image may suffer as a result of disfigurement, or lack of confidence.
The review of history on sexuality in philosophy, religion, and science leads to the modern day views on sexuality and disability.
Religious institutions were the first entities to combat sexuality.
A New York disabled dating service manager explains, "Sexuality, travel, mobility, pain: Everything takes on a different dimension." In The Ultimate Guide to Sex and Disability, Miriam Kaufman points out that attempting to hide a disability or minimize its existence is ultimately an added burden, encouraging readers to "come out" to themselves as disabled, to accept their disability.