Sexuality in Children

When factors shaping children9s personality and behavior are considered, there is a tendency to overlook sexuality. In the broadest sense, sexuality is part of human development from birth onward, going through various stages before reaching adult meaning and expression. It is not limited to experiencing sexual feelings and procreating; it also involves the capacity for intimacy, affiliation, communication, mutual respect, and responsibility. These faculties are at least as important as the physical aspects, and their expressions imply complex social and emotional developmental processes. Unfolding sexuality must be supported externally so that it can reach maturity without major conflicts or distortions. The pediatrician involved with children and their families on a continuing basis is in a position to inform and assist parents and children in the healthy development of children9s sexuality. Pediatric intervention can take the form of anticipatory guidance, counseling whenever specific questions or concerns arise, and referral, as necessary, to other therapeutic resources. Healthy Development of Sexuality In all developmental stages, sexuality is intertwined with other basic developmental issues, such as formation of secure attachments, a positive self-concept, sense of trust and respect for others, realistic freedom from shame and guilt, and motivation to achieve. Good parenting is fundamental to all these issues.