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She couldn’t find real, helpful information in libraries, bookstores, or online: “I thought, well I am going to have to create content myself.” Naccarato hired an illustrator to draw up a manual with 17 alternative sexual positions that would make sex not only easier, but more pleasurable for Little People.She called it, “,” a resource manual used in conjunction with her workshops.To her surprise, everyone was having challenges and all were excited to talk about it. She started with Little People of America, an umbrella organization that provides support to people of short stature, from information on scholarships and medical procedures to artist’s funds and specially designed kitchen appliances.LPA gave her permission to develop a workshop at the conference in 2004 in San Francisco.“This is so critical,” Naccarato explains, “because it tells me that Little People do want more satisfaction in their sex life even if they are physically limited, and are receptive to change and education.”According to the Little People of America website, there are roughly 200 types of medical dwarfism.A Little Person is usually 2’8” to 4’8” in height, but it varies.They both work at Universal Studios in Los Angeles in the scare maze dressed as Chucky, the killer doll.

In addition, it tackled the broad topics of intimacy and sensuality, body image issues, safe sex resources, and even topics like how to kiss, how to have non-intercourse sex, and how to simply embrace or caress another.“I put together a booklet with all kinds of sexuality information that I thought was helpful and it was about intimacy and sexuality and how to cherish yourself and your partner and how to bridge that gap,” she explains.

On average, they are 4 feet tall with a wide range of difficulty in medical conditions.“When I speak regarding Little People,” Naccarato says, “there are Little People who don’t consider themselves disabled because they don’t have any really strong physical limitation—but most Little People do.

There is a variety, a spectrum.” Some have no medical limitations—they are just short. Typical issues that affect sex and sexuality include arms that are too short to reach and touch one’s genitals, hip rotation limitations that prevent the possibility of straddling, and severe spinal stenosis that can often result in paralysis from the waist down.“I have been involved with Little People of America since I was 9 years old and I have attended numerous conferences and workshops,” Naccarato says.

Naccarato is the first in her field to extensively study the sexual needs specific to the Little People community on the physical, emotional, and psychosocial level.

“She is really a true pioneer in her own right,” says Dr.

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