Jo India
Legend Member
What are the basic human needsโand where does sex fit into the picture whether or not we live with chronic illness?
Iโve been considering these questions in light of Maslowโs hierarchy of needs, a highly-respected theory that views basic human needs in a hierarchy of importance, with the most basic on the bottom of the pyramid. Here โs a diagram I put together of the hierarchy:







Physiological needs โ air, food, water, shelter, sleep, clothingโare the most important for human beings. Without these, living gets very hardโeven impossible. Some argue that sex should fall here as it is so integral to human life. I disagree and believe it belongs under love and belongingโbut I get ahead of the hierarchy.






Moving up the pyramid, we find ourselves at safety or security. This type of need includes family, property, income, and health. As chronic illness patients, we especially know what an important role trying to achieve a healthy state plays in our lives.
That middle step is where we find love and belonging. This involves our social ties and friendships, family, connection to others, and intimate relationships. This is where I personally place sexual intimacy. Please note that thatโs just my personal hierarchy due to the nature of my relationship with my husband and sexual partner.

















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Iโve been considering these questions in light of Maslowโs hierarchy of needs, a highly-respected theory that views basic human needs in a hierarchy of importance, with the most basic on the bottom of the pyramid. Here โs a diagram I put together of the hierarchy:







Physiological needs โ air, food, water, shelter, sleep, clothingโare the most important for human beings. Without these, living gets very hardโeven impossible. Some argue that sex should fall here as it is so integral to human life. I disagree and believe it belongs under love and belongingโbut I get ahead of the hierarchy.






Moving up the pyramid, we find ourselves at safety or security. This type of need includes family, property, income, and health. As chronic illness patients, we especially know what an important role trying to achieve a healthy state plays in our lives.
That middle step is where we find love and belonging. This involves our social ties and friendships, family, connection to others, and intimate relationships. This is where I personally place sexual intimacy. Please note that thatโs just my personal hierarchy due to the nature of my relationship with my husband and sexual partner.






















