Sexual Agency of Women Who Have Suffered from Incest(s)

First meeting with the presentation of a "sexo-psychomotor" questionnaire targeting patients' sexual agency. This questionnaire was made specifically for this study, based on the levels of sexual agency established by Denise Medico and Julie Lavigne.

7 Levels of sexual agency are described, with associated levels 4 and 5 (detailed and explained in the CRF document):

• Level 1 : Corporeality and self-presence. We'll be dealing with the participants' bodily sensations (sensory, tonic, etc.): exploring them, identifying them, naming them, and becoming aware of any associated thoughts and representations. The aim would be to validate and develop their physical and emotional awareness, identify what they do or don't want, and enable them to explore how to welcome their feelings.
• Level 2 : Sexual subjectivity. We will be working on the participants' self-definition regarding their gender and associated representations, their sexual and romantic orientation, and their experiences and feelings about their sexuality (sensations, emotions, representations, fantasies). The aim would be to enrich their body knowledge and representations (body schema and body image), to identify what is negative for them to distance themselves from it/protect themselves from it, and to clarify what is meaningful, positive, and beneficial for them to promote it.
• Level 3 : Affirmation and identity. Based on the activities, situations, or elements identified as positive/pleasant/appreciated by the participants in the previous levels, we seek to give value to their feelings, tastes, and choices, and to support their expression for themselves and others (especially intimate partners).
• Level 4 and 5 : Intimacy and relational and communicational skills. The aim will be to reinforce the interpersonal and communication skills of participants in their intimate time by identifying and expressing their needs as well as their partners. We want to increase their communication and empathy.
• Level 6 : Mutuality and play. We want to develop the playfulness of the participants to boost both the discovery between their partners and them during intimacy (not exclusively)
• Level 7 : Perspective of transcendence. For this last level, after all the work done previously, we want the participant to be spontaneous and independent about their agency.

These different levels build on each other and are rooted in women's physical and emotional experiences. In the questionnaire I suggest, levels 4 and 5 (Intimacy and Relational and Communicative Capacities) are combined for practical reasons, as the notions are particularly intertwined. Some aspects of these different levels may also overlap.

The questionnaire will be used as an initial assessment to determine more specific sex therapy goals based on each woman's sexual agency and to establish whether she wants to address her sexual agency after this assessment.