Skip to main content

Part of the book series: Current Clinical Neurology ((CCNEU))

  • 128 Accesses

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. O’Carroll RE, Woodrow J, Marouns E Psychosexual and psychosocial sequelae of closed head injury. Brain Inj. 1991; 5: 303–313.

    Google Scholar 

  2. Lezak M. Brain injury is a family affair. J. Clin. Exp. Neuropsychol. 1988; 10: 111–123.

    Article  PubMed  CAS  Google Scholar 

  3. Garden FH, Bontke CF, Hoffman M. Sexual functioning and marital adjustment after traumatic brain injury. J. Head Trauma Rehabil. 1990; 5: 52–59.

    Article  Google Scholar 

  4. Zasler ND, Horn LJ. Rehabilitative management of sexual dysfunction. J. Head Trauma Rehabil. 1990; 5: 14–24.

    Article  Google Scholar 

  5. Kosteljanetz M, Jensen TS, Norgard B, Lunde I, Jensen PB, Johnsen SG. Sexual and hypothalamic dysfunction in the postconsussional syndrome. Acta Neurol. Scand. 1981; 63: 169–180.

    Article  PubMed  CAS  Google Scholar 

  6. Blumer D, Benson DE Personality changes with frontal and temporal lobe lesions. In: Benson DF and Blumer D (eds.), Psychiatric Aspects of Neurological Disease. New York: Grune and Stratton, 1975, pp. 151–170.

    Google Scholar 

  7. Miller BL, Cummings JL, McIntyre H, Ebers G, Grode M. Hypersexuality or altered sexual preference following brain injury. J. Neurol. Neurosurg. Psychiatry 1986; 49: 867–873.

    Article  PubMed  CAS  Google Scholar 

  8. Federoff JP, Jorge RE, Robinson RG. Depression in traumatic brain injury. In: Starkstein SE and Robinson RG (eds.) Depression in Neurologic Disease. Baltimore: Johns Hopkins, 1993, pp. 139–151.

    Google Scholar 

  9. Peters LC, Stambrook M, Moore AD, Esses L. Psychosocial sequelae of closed head injury: effects on the marital relationship. Brain Inj. 1990; 4: 39–47.

    Article  PubMed  CAS  Google Scholar 

  10. Berrol S. Issues of sexuality in head injured adults. In: Bullard DG and Knight SE (eds.), Sexuality and Physical Disability. St. Louis: C.V. Mosby, 1981, pp. 203–207.

    Google Scholar 

  11. Kraus JK, Sorenson SB. Epidemiology. In: Silver JM, Yudofsky SC, Hales RE (eds.), Neuropsychiatry of Traumatic Brain Injury. Washington: American Psychiatric, 1994, pp. 3–41.

    Google Scholar 

  12. Lobato RD, Cordobes F, Rivas JJ, de la Fuente M, Montero A, Barcena A, Perez C, Cabrera A, Lamas E. Outcome of severe head injury related to the type of intracranial lesion. J. Neurosurg. 1983; 59: 762–774.

    Article  PubMed  CAS  Google Scholar 

  13. Russell WR. Cerebral involvement in head injury: a study based on the analysis of 200 cases. Brain 1932; 35: 549–603.

    Article  Google Scholar 

  14. Russel WR. The Traumatic Amnesias. London: Oxford University Press, 1971.

    Google Scholar 

  15. Katz DK. Neuropathy and neurobehavioral recovery from closed head injury. J. Head Trauma Rehabil. 1992; 7: 1–15.

    Article  Google Scholar 

  16. Alexander MP. Some neurobehavioral aspects of closed head injury. In: Mueller J. (ed.), Neurology and Psychiatry. New York: Karger, 1989, pp. 175–191.

    Google Scholar 

  17. Tucker DM, Luu P, Pribram KH. Social and emotional self-regulation. In: Grafman J, Holyoak KJ, Boller F (eds.), Structure and Function of the Human Prefrontal Cortex. Ann. N. Y. Acad. Sci. 1995;769:213–239.

    Google Scholar 

  18. Yuen HK, Benzing P. Treatment methodology: guiding of behavior through redirection in brain injury rehabilitation. Brain Inj. 1996; 10: 229–238.

    Article  PubMed  CAS  Google Scholar 

  19. Turkat ID, Behner GW. Behavior therapy in the rehabilitation of brain injured individuals. Brain Inj. 1989; 3: 101–102.

    Article  PubMed  CAS  Google Scholar 

  20. Rosenthal M, Bond MR. Behavioral and psychiatric sequelae. In: Rosenthal M, Griffith ER, Bond MR, Miller JD (eds.), Rehabilitation of the Adult and Child with Traumatic Brain Injury, 2nd ed. Philadelphia: FA Davis, 1990, pp. 179–192.

    Google Scholar 

  21. Wesolowski MD, Zencius AH. A Practical Guide to Head Injury Rehabilitation. New York: Plenum, 1995, pp. 140–149.

    Google Scholar 

  22. Davis JR, Goldstein G. Behavior therapy in head injury rehabilitation. In: Finlayson MAJ and Garner SH (eds.), Brain Injury Rehabilitation-Clinical Considerations. Baltimore: Williams and Wilkins, 1994, pp. 287–288.

    Google Scholar 

  23. Rosenthal M, Bond MR. Behavioral and psychiatric sequelae. In: Rosenthal M, Griffith ER, Bond MR, Miller JD. Rehabilitation of the Adult and Child with Traumatic Brain Injury, 2nd ed. Philadelphia: FA Davis, 1990, pp. 179–192.

    Google Scholar 

  24. Brooks N. Head injury and the family. In: Brooks N. (ed.) Closed Head Injury. Oxford: Oxford University Press, 1984, pp. 123–147.

    Google Scholar 

  25. Mooney TO, Cole TM, Chilgren RA. Sexual Options for Paraplegics and Quadriplegics. Boston: Little Brown, 1975.

    Google Scholar 

  26. Dechesne BHHD, Pons C, Schellen AMCM. Sexuality and Handicap. Springfield, Charles C Thomas, 1986.

    Google Scholar 

  27. Cosman F, Seliger G, Herrington BS, Shen V, Abrams G, Lindsay R. Alterations in pituitary function and skeletal homeostatis after severe closed head injury. Endocrine Society Annual Meeting, Atlanta, Georgia, 1990.

    Google Scholar 

  28. Levy RH, Mattson RH, Meldrum BS. Antiepileptic Drugs, 4th ed., 1995.

    Google Scholar 

  29. Penny JK, Dean JC. The scope of use of valproate in epilepsy. J. Clin. Psychiatry 1989; 50 (Suppl): 17–22.

    Google Scholar 

  30. Hsu JW, Shen WW. Male sexual side effects associated with antidepressants. Int. J. Psychiatry Med. 1995; 25: 191–201.

    Article  PubMed  CAS  Google Scholar 

  31. Potter WZ, Manji HK, Rudorfer MV. Tricyclics and tetracyclics. In: Schatzberg AF, Nemeroff CB (eds.) American Psychiatric Press Textbook of Psychopharmacology. Washington: American Psychiatric Press, 1995, pp. 141–160.

    Google Scholar 

  32. Gardner EA, Johnston A. Bupropion: an antidepressant without sexual pathophysiological action. J. Clin. Psychopharmacol. 1985; 5: 24–29.

    Article  PubMed  CAS  Google Scholar 

  33. Clay TH, Gualtieri CT, Evans RW, Gullion CM. Clinical and neuropsychological effects of the novel antidepressant, bupropion. Psychopharmacol Bull. 1988; 24: 143–148.

    PubMed  CAS  Google Scholar 

  34. Gilman AG, Rall TW, Nies AS, Taylor P. In: Gilman AG (ed.) Goodman and Gilman’s The Pharmacological Basis of Therapeutics, New York: Pergamon Press, 1990.

    Google Scholar 

  35. Feeney DM, Sutton RL: Pharmacotherapy for recovery of function after brain injury. CRC Crit. Rev. Neurobiol. 1987; 3: 135–197.

    CAS  Google Scholar 

  36. Zasler ND. Sexual dysfunction. In: Silver JM, Yudofsky SC, and Hales RE (eds.) Neuropsych. of TBI Washington: American Psychiatric Press, 1994, pp. 443–469.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media New York

About this chapter

Cite this chapter

Hornstein, A., Seliger, G. (1997). Traumatic Brain Injury. In: Aisen, M. (eds) Sexual and Reproductive Neurorehabilitation. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4757-2576-6_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-2576-6_13

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-018-2

  • Online ISBN: 978-1-4757-2576-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics