“If you go to a doctor and you have a secondary medical condition and you ask, ‘How can I adapt my life so I can maintain sexual health?
,’ that is not going to be addressed.”Janna Dorren and Andrew Jacobs, both members of Little People of America, are a young couple that work closely with Naccarato.
To her surprise, everyone was having challenges and all were excited to talk about it. She started with Little People of America, an umbrella organization that provides support to people of short stature, from information on scholarships and medical procedures to artist’s funds and specially designed kitchen appliances.
LPA gave her permission to develop a workshop at the conference in 2004 in San Francisco.
They adapted a side-by-side position to cope with her pain.
“So when I saw the program on TV I thought, ‘Wow, I wonder what other people are doing in our community because no one is talking about it.’”What followed was a series of phone calls to her close friends asking what they were doing in bed.
“[I’ve heard] everything under the sun about how we can better our lives and how we can help each other understand adaptive tips and things, but no one talks about sex.
They will talk about marriage, they will talk about relationships, or parenting, or adopting, or having children—medical aspects, social aspects.”“Take any medical issue, a disability of some sort, or some kind of spinal cord injury–until recently, they [would not talk] to you about sex,” she laments.
“She is the first person I know of in the Little People community who has had the courage and the wherewithal to design and implement programs and materials designed specifically for the Little People community around their specific sexual needs.”Naccarato’s doctoral studies showed that among other issues, 20 percent of Little People have trouble reaching their genitals with their own hands without using assistive devices. “Dressing sticks, bottom wipers—there are tools to help in their everyday routine to help manage all of this.
She couldn’t find real, helpful information in libraries, bookstores, or online: “I thought, well I am going to have to create content myself.” Naccarato hired an illustrator to draw up a manual with 17 alternative sexual positions that would make sex not only easier, but more pleasurable for Little People.
She called it, “,” a resource manual used in conjunction with her workshops.
It addressed everything from living with a disability, chronic illness, and injury, to LQBTQ topics, to explicit details of techniques, sexual positions, and even personal hygiene.
In addition, it tackled the broad topics of intimacy and sensuality, body image issues, safe sex resources, and even topics like how to kiss, how to have non-intercourse sex, and how to simply embrace or caress another.“I put together a booklet with all kinds of sexuality information that I thought was helpful and it was about intimacy and sexuality and how to cherish yourself and your partner and how to bridge that gap,” she explains.