The doctoral dissertation addresses the sexual autonomy of women with intellectual disabilities in institutional settings and the impact of deinstitutionalization processes on their independence and rights. The research is grounded in feminist and postmodern theoretical frameworks and is based on an intersectional approach that connects gender, disability, and institutionalization.
The research problem focuses on how institutional practices shape the identity of women with intellectual disabilities, how they affect their sexual and reproductive autonomy, and what possibilities exist for change through social action and social work. The qualitative methodology includes autoethnography, participatory action research, in-depth interviews, focus groups, observation, and critical discourse analysis. Special attention is given to communication challenges and the use of accessible information for participants.
The empirical part is based on the testimonies of women who have lived or are living in institutions, their relatives, and staff. The analysis shows that women in institutions have often been subjected to practices that restrict their bodily autonomy, including medical interventions without full consent. The findings also highlight institutional control over relationships and the stigmatization of sexual expression.
The research contributes to understanding mechanisms of control and exclusion and offers concrete proposals for improving practices. A support model has been developed, based on the right to sexual autonomy and dignity.
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