Autism & Developmental

An Empirical Qualitative Investigation into Psychosexual Development in and Sex Education for Autistic Youth: Insights from Autistic and Non-Autistic Young Adults.

Au Yeung et al. (2026) · Journal of autism and developmental disorders 2026
★ The Verdict

Autistic young adults want sex ed that is visual, peer-led, and lasts past high school so they can date safely.

✓ Read this if BCBAs teaching social or sex-ed skills to teens and adults with autism.
✗ Skip if Clinicians only serving clients under 10 or focusing on non-social domains.

01Research in Context

01

What this study did

Griffin et al. (2026) asked autistic and non-autistic young adults what sex ed felt like for them.

They ran open interviews and grouped answers into themes. No tests, no lessons—just listening.

02

What they found

Autistic adults said romance and sex scared them. They wanted pictures, step-by-step demos, and peer-run groups.

They said classes should keep going after high school and teach dating safety, not just body parts.

03

How this fits with other research

Sappok et al. (2024) tried exactly that: a Zoom sex-ed group for nine autistic adults. Attendees loved the role-plays and peer talks, backing up the wish list W et al. heard.

Bloor et al. (2022) show the other side. UK teachers say tight lesson plans and sudden student urges make sex ed hard. The adult plea for more time and visuals clashes with classroom limits, not with the data itself.

Gibbs et al. (2023) and Pearson et al. (2023) add a darker note: many autistic adults are hurt by people they trust. The call in W et al. for safety and refusal skills fits these real risks.

04

Why it matters

You can act on this today. Add picture cards, small peer groups, and dating-safety role-plays to your social-skills sessions. Push for classes that run into adulthood—clients don’t stop learning at 18.

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Add a five-minute dating-safety role-play with picture cues to your next social group.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
20
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

The present study was designed to examine autistic and non-autistic young adults' lived experience in psychosexual development and sex education and to solicit recommendations on how to improve sex education programs. Participants included 10 autistic young adults and 10 non-autistic young adults aged 18 to 24 years. The two groups were matched for sex and education level. One-on-one semi-structured interviews were conducted. Participants' responses were analyzed using comparative interpretative phenomenological analysis. Four superordinate themes emerged: (1) "Who am I as a sexual being"; (2) Making sense of psychosexual development; (3) Sources of information; and (4) "Dear developers of sex education programs". Most autistic participants shared feelings of intense anxiety about romantic and sexual relationships, in part due to anticipated difficulties in social communication. Interestingly, although interview questions mostly focused on sex and adolescence, issues surrounding romantic relationships and their links to current self-concept were prominent themes in many autistic participants' responses, suggesting that autism-friendly sex education programs need to address issues related to romance and should target not only adolescents but also young adults. Also, autistic participants learned from peer interactions within the autistic community, highlighting the importance of facilitating peer exchanges and continuous learning beyond completing a program. Regarding delivery format, autistic participants valued concreteness and a mixed-sex small-group setting, and recommended using visual cues, real life examples, and role play. Autistic individuals have unmet psychosexual educational needs. Further research may consider their needs, lived experience, and recommendations when developing new autism-friendly sex education programs.

Journal of autism and developmental disorders, 2026 · doi:10.1080/13625180701300293