They often lack normal early learning experience too, if they missed out on adolescent experimentation because friends didn't have the patience, or inclination to include them. Some people with short or missing limbs, weak muscles or bad coordination may find it impossible to masturbate, and obviously get unbearably frustrated. Although most people prefer not to think about such things, and the frustration goes unmentioned and ignored, there are a few rare creatures who I call Sex Angels , often nurses or care assistants who act as unofficial volunteers using their uninhibited minds and fingers to rescue the situation. This is always hush-hush. Deaf people and those with speech difficulties are unable to phone up to make an appointment, and the hurdles for people with mobility problems can be enormous.
Most working flats are upstairs, massage parlours inaccessible.
The response of sex workers to disability is varied. I've had a man with cerebral palsy on my doorstep in tears after he'd been robbed whilst trying to negotiate with a Soho girl, having travelled all the way down from Scotland. Most sex workers are open-minded about disability but many feel apprehensive, feeling ignorant and worried they might do damage. Part of my paper aimed to take sex workers through the various types of disability to familiarise them with the various problems. The general message was to listen, try things, and see what works.