 Disability theorists and activists reject the assumption that disabilities pose unique difficulties for personal relationships on the grounds that this assumption reflects an overly narrow view of the mutuality required in an intimate relationship. That said, not all persons with and without disabilities have the same views about possibility of combining intimacy with disability-specific personal assistance. To accommodate these differences, some theorists and activists have argued for options that separate instrumental assistance from close relationships. These options involve providing by paid staff for personal assistance in cases where this helps to preserve the mutuality, sharing, and interdependence of friendships, partner relations, and family life (Litvak et al. 1987; Asch 1993; Ratzka 2004). There is much to be said in favor of making third-party assistance available. The lack of education and training of family members in meeting a person’s disability-related needs, the societal treatment of these needs as different from and more shameful than other needs, and the scarcity and inaccessibility of other supportive services for meeting these needs, can indeed place enormous strain on intimate relationships between nondisabled and disabled persons. Further, the constant reliance upon intimates for assistance with travel, communication, or preparation for work or school may thwart the desires of persons with disabilities to select what they wear, when they come and go, or with whom they associate in their free time. The idea of an entitlement to state-subsidized personal assistance has been developed on a policy level by Litvak, Heumann, and Zukas (1987), Adolf Ratzka (2004), and Americans Disabled For Attendant Programs Today (ADAPT). 