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Expanding the Scope of a Dynamic Perspective on Positive Adolescent Sexual Development

The World Health Organization (WHO) convened a meeting on sexual health in 2002 to clarify definitions of healthy sexual development and concluded with a powerful statement testifying to the central and multifaceted role of sexuality in human health and well-being [World Health Organization, 2004]. According to their model, sexuality incorporates eroticism, intimacy, pleasure, reproduction, and one’s own gender identity, and it is manifested in sexual behaviors, wishes, desires, fantasies, attitudes, roles, and relationships. The WHO also views sexuality as inherently multidimensional, integrating biological, cultural, social, economic, psychological, ethical, and spiritual factors. Positive or healthy sexuality, then, requires that individuals have adequate freedom and knowledge to pursue safe and satisfying sexuality. In the compelling words of the WHO [2004]: