The American Journal of Occupational Therapy 311 Sexuality After Spinal Cord Injury: The Greek Male’s Perspective Dikaios Sakellariou, Yuji Sawada OBJECTIVE. This study explored how Greek men with spinal cord injury experience sexuality. METHODS. Six men with spinal cord injury acted as key informants and data collection consisted of in-depth unstructured interviews, field notes, and a reflective log. The transcribed interviews were analyzed thematically. RESULTS. The themes that emerged were: Barriers, Metamorphoses, and Enjoying. Sexuality was important in the life of the informants and they were engaged in various patterns of adaptation. Rather than impairment as such, certain social beliefs and values prevalent in Greek society were found to act upon the informants in compromising ways. CONCLUSION. The results suggest that the process of reclaiming one’s sexuality is a process of meaning- finding. The data support a conclusion that occupational therapists should respect the cultural nature of sexu- ality. Moreover, the topic of sexuality should be approached in a holistic manner, perceiving it as extending in a continuum, which may be positively or negatively affected as a result of an acquired impairment. Sakellariou, D., & Sawada, Y. (2006). Sexuality after spinal cord injury: The Greek male’s perspective. American Journal of Occupational Therapy, 60, 311–319. S exuality is an integral part of human nature and permeates everything people do (Merleau-Ponty, 1962/2002; Weeks, 2003). It encompasses the act of sex but extends beyond it and incorporates physical, sociological, and psychological dimensions (Shakespeare, Gillespie-Sells, & Davies, 1996). Williamson (2000) asserts that sexuality can be expressed through and give meaning to occupations. According to the Occupational Therapy Practice Framework (American Occupational Therapy Association [AOTA], 2002), sexual activity is a part of activities of daily living and thus a legitimate area of concern for occupational ther- apists. Moreover, several studies (Kreuter, Sullivan, & Siösteen, 1994; Phelps, Albo, Dunn, & Joseph, 2001) have revealed that sexuality is one of the main con- cerns of men with spinal cord injury (SCI); therefore, it should not be overlooked during rehabilitation. Occupational therapy has recently returned to a humanitarian scientific paradigm, where the mandates of holism and client-centered practice as well as a wellness model of health assume a primary role in guiding and informing practice (Finlay, 2001; Whiteford, Townsend, & Hocking, 2000). Occupational therapists treat the whole person and direct therapy according to the wishes of the client, who should be at the core of the intervention (Finlay, 2001). This philosophy, combined with occupational therapists’ knowledge of medical as well as social sci- ences and their focus on enabling engagement in occupation (AOTA, 2002), places them in an ideal position to address sexuality issues during rehabilitation (Couldrick, 1998a). In the last two decades, a number of studies have explored various issues per- taining to sexuality and the practice of occupational therapy. A review of the liter- ature dealing with sexuality and its relevance to occupational therapy revealed that the majority of occupational therapists believe sexuality to be a legitimate and important area of concern for the profession and consider clients as sexual beings Dikaios Sakellariou, MSc, SROT, was a graduate student at the time of this study, Sapporo Medical University, School of Health Sciences, Department of Occupational Therapy, Sapporo, Japan. Mailing address: Athinas 6, Petroupoli 132-31, Greece; dikaiossakellariou@yahoo.gr Yuji Sawada, PhD, OTR, is Professor, Sapporo Medical University, School of Health Sciences, Department of Occupational Therapy, Sapporo, Japan.