This article analyzes the 2017 WHO publication "Sexual Health and its linkages to reproductive health: an operational approach" (symbolized by the rosette) versus the Positive Health concept of Huber in the Netherlands (symbolized by the spiderweb). A plea, previously published in the Tijdschrift voor Seksuologie, to fully transfer Huber's approach to a new definition of sexual health is criticized. The author considers the views of the WHO and Huber from a perspective of rehabilitation sexology. The focus is on the position of people with disabilities, emphasized by the UN Convention on the Rights of Persons with Disabilities, as recently ratified by the Netherlands. The author states that a multilayered vision of sexual health, which includes both the individual and social aspects, is indispensable. In his view, society is part of quality of life. This aspect is underlined in the WHO approach, but ignored in the concept of Huber. Now that the Dutch government promotes the Positive Health policy, the author calls for a dialogue to integrate sexuality into the Positive Health concept.
Recently, the Dutch government started a discussion on the definition of health, leading to another perspective on health, the so-called ‘positive health’. The main stakeholders in sexual health share this perspective. In this article a new definition of sexual health is pleaded, in order to increase the focus on patients’ perspective on health, and to emphasize more realistic aims of sexual health. Possible implications for healthcare, education, research and policy are discussed.