Traumatic Brain Injury

  • Andrew Hornstein
  • Glenn Seliger
Part of the Current Clinical Neurology book series (CCNEU)


Patients recovering from traumatic brain injury often face drastic changes in sexual interests, activities, performance, behavior, and social demeanor (1). This can pose major and sometimes insurmountable challenges for patients and their families (2). However, counseling and support from a knowledgeable, communicative therapy staff can often significantly improve postinjury sexual satisfaction of both patients and their partners (3, 4). Effective counseling requires that both patients and their significant others become comfortable in discussing almost any aspect of sexuality with appropriate professional staff. This implies that staff have an open, nonjudgmental attitude towards the sexual lives of their patients. A respectful commitment to restoring as much premorbid satisfaction as possible is certainly a reasonable goal for rehabilitation specialists. Caregivers may be faced with subjective reservations and some moral quandaries when faced with patients whose premorbid sexual adaptations are different from that of the caregiver. However, as professionals, we are bound to respect our patients’ choices, and must avoid proselytizing either for or against any type of sensual activity.


Traumatic Brain Injury Head Injury Sexual Arousal Professional Staff Inappropriate Behavior 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Andrew Hornstein
  • Glenn Seliger

There are no affiliations available

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