Position Paper No. 1: Comprehensive Sexuality Education Deb Ollis The Educating Young People about Sexuality Education Project (EYPSEP) aims to improve the sexual health of young people in Australia by improving sexuality education in secondary schools. Many terms are associated with the provision of school based sexuality education. The most common being ‘sex education’, which has its roots in the bio-medical and physiological aspects of sexuality or what we often hear referred to as the ‘plumbing’ or functional approach (Farrelly et al. 2007). A concern about hygiene, birth rates and family life focused early approaches to sex education around a traditionalist approach, concerned with sexual safety, abstinence and improving birth rates in the context of family life (Peppard 2008). Although the content of sexuality education has broadened over the past 40 years, the focus on safety and hygiene has remained. However, a key change occurred in the 1980s as Australia adopted a harm minimization approach to deal with the spread of HIV (Commonwealth Department of Health and Family services 1993, 1995). This was a major shift in positioning as it meant ‘accepting non-judgmentally the current prevalent behaviors and seeking to develop short term and immediate strategies that are likely to be and have some capacity to minimize the potential for harm in the existing situation’ (Moore et al. 1996, p 63). In terms of school based 1 sexuality education the harm minimization approach was also applied to other areas of sexual safety, such as pregnancy and sexual assault. The acknowledgement of the social context of sexuality and sexual health more broadly, first emerged in Australia during the 1970s and 80s. Health and human relationships education gain prominence (McLeod 1999) and curriculum policy frameworks positioned sexuality in the broader social context of relationships (c/f MOE Personal Development Framework, 1989). Many researchers argue that HIV was the single most important reason for this change (Peppard 2008; Altman 1992). However, another important influence was the clear link between sexuality issues, such as sexual violence and unintended pregnancy, and school retention rates, and girls’ educational performance (Commonwealth Schools Commission 1987). This led to the inclusion of strategies to address gender-based violence in sexuality education (Ollis and Tomaszewski 1993; Ollis 2009). In the late 1980s and early 1990s, the phrase sexuality education emerged as the preferred term for what had been previously referred to as sex education and/or health and human relations. The following official statement demonstrates the shift away from a bio-medical orientation to a more social orientation in sexuality education: Sexuality is an integral part of our selfhood. It involves more than just being anatomically and genetically female or male and it is not defined by ones sexual acts. It influences our perceptions, attitudes and behaviours in relation to other individual and society. From the beginning to the end of our lives sexuality affects all aspect of our existence- the way we think, the way we feel what we do and who we are. Sexuality education involves improving personal and social skills, such as understanding and managing a range of feelings and moods; trusting and being trusted; communication skills including active listening; coping with peer-pressure, sex-role stereotyping, sexual violence and other conflict situations related to sexuality (Ministry of 2 Education 1989 p.79) This broader approach was more inclusive of the personal and social aspects of intimate relationships. However, it failed to acknowledge sexual and gender diversity. It also failed to promote a sex positive approach to human sexuality that acknowledged sexual desire, pleasure, and intimacy, and worked towards alleviating shame, guilt and fear. In 2009, UNESCO released a policy framework and guidelines for teaching about sexuality education that maintained that sexuality education should be: …an age appropriate, culturally relevant approach to teaching about sex and relationships by providing scientifically accurate, realistic, non-judgmental information. Sexuality education provides opportunities to explore one’s own values and attitudes and to build decision-making, communication and risk reduction skills about many aspects of sexuality (UNESCO 2009. p.2). Further research with young people clearly showed that sexuality education needed to acknowledge the importance of intimacy, desire and pleasure in sexual relationships. This acknowledgement would assist young people to feel positive about themselves, their sexuality and their bodies (Harrison and Hillier 2002; Allen 2005; 2011). Most recently, the World Health Organization (WHO) released a statement defining sexuality in this broad sense. It has been used in the newly released Australian Curriculum in Health and Physical Education: …a central aspect of being human throughout life encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction. Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviours, practices, roles and relationships. While sexuality can include all of these dimensions, not all of them are always experienced or 3 expressed. Sexuality is influenced by the interaction of biological, psychological, social, economic, political, cultural, legal, historical, religious and spiritual factors (WHO 2014. p1). Comprehensive sexuality education in this project draws on this understanding of sexuality and therefore maintains that comprehensive, school based programs should address these issues in culturally sensitive, and age and developmentally appropriate ways within the context of everyday life. In line with the sentiments of Mazin (2014), we believe that ‘sexuality education is meaningful only when humanized - when placed in the landscape of our everyday life’. This helps young people make sense of the social world in which they make decisions about their sexuality and sexual health. In many ways Haberland (2013) captures the challenges and key components of how we define comprehensive sexuality education. Her definition assumes that sexuality is positive and links information and critical thinking with empowerment, choice and a celebration of gender and sexual diversity (Mazin 2014; Formby et al, 2010; Allen 2011; Ferguson et al, 2008; Sieg, 2003; Ollis, 2010; Family Planning Victoria, 2006). The real challenge is to enable young people to connect knowledge about their bodies with their lived experiences and the world around them. This means teaching them to reflect about emotions (including desire, anxieties and fears). It means helping them analyze the power imbalance that so fundamentally shape intimate relationships and sexual risk and develop competence to deal with them in positive and transformative ways. Sexuality education must therefore focus on developing young people’s analytic and critical thinking skills and fostering egalitarian and respectful norms (Haberland 2013 cited in Mazin 2014 p 1). In order to truly enable young people ‘to connect knowledge about their bodies with their lived experiences and the world around them’, they need to have a voice in what and how they are educated about sexuality in schools (Allen 2005). Research that informs this project 4 has shown that what teachers think students should learn is often not what they want to learn (Johnson 2012). In line with other evidence that has existed for over 20 years (Kirby 1999), Haberland (2013) found such an approach is far more likely than traditional and functionalist approaches to reduce rates of adolescent sexual assault, STI’s and unintended pregnancy. ‘This – and nothing less is what constitutes comprehensive sexuality education’ (Mazin 2014 p.2) References Allen, L (2011) Young People and Sexuality Education: Rethinking Key Debates. Palgrave Macmillan: Houndmills Allen, L. (2005) ‘Say everything’: exploring young people’s suggestions for improving sexuality education. Sex Education, 5(4) 389-404 Altman, D. (1992) ‘AIDS and the discourses of sexuality’, in Connell, R. W. and Dowsett, G. 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(2008) 'A matter of facts… and more: an exploratory analysis of the content of sexuality education in The Netherlands', Sex Education, 8: 1, 93-106 Formby, E., Hirst, J., Owen, J., Hayter, M. and Stapleton, H. (2010) 'Selling it as a holistic health provision and not just about condoms …' Sexual health services in school settings: current models and their relationship with sex and relationships education policy and provision, Sex Education, 10: 4, pp. 423-435 Haberland, N. What happens when programs emphasize gender? A review of the evaluation research. Presentation at expert group meeting on adolescent Sexual and Reproductive Health Programming. 46 February. Manhasset, N Y Harrison, L. and Hillier, L. 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