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.
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References
O’Carroll RE, Woodrow J, Marouns E Psychosexual and psychosocial sequelae of closed head injury. Brain Inj. 1991; 5: 303–313.
Lezak M. Brain injury is a family affair. J. Clin. Exp. Neuropsychol. 1988; 10: 111–123.
Garden FH, Bontke CF, Hoffman M. Sexual functioning and marital adjustment after traumatic brain injury. J. Head Trauma Rehabil. 1990; 5: 52–59.
Zasler ND, Horn LJ. Rehabilitative management of sexual dysfunction. J. Head Trauma Rehabil. 1990; 5: 14–24.
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.
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.
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.
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.
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.
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.
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.
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.
Russell WR. Cerebral involvement in head injury: a study based on the analysis of 200 cases. Brain 1932; 35: 549–603.
Russel WR. The Traumatic Amnesias. London: Oxford University Press, 1971.
Katz DK. Neuropathy and neurobehavioral recovery from closed head injury. J. Head Trauma Rehabil. 1992; 7: 1–15.
Alexander MP. Some neurobehavioral aspects of closed head injury. In: Mueller J. (ed.), Neurology and Psychiatry. New York: Karger, 1989, pp. 175–191.
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.
Yuen HK, Benzing P. Treatment methodology: guiding of behavior through redirection in brain injury rehabilitation. Brain Inj. 1996; 10: 229–238.
Turkat ID, Behner GW. Behavior therapy in the rehabilitation of brain injured individuals. Brain Inj. 1989; 3: 101–102.
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.
Wesolowski MD, Zencius AH. A Practical Guide to Head Injury Rehabilitation. New York: Plenum, 1995, pp. 140–149.
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.
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.
Brooks N. Head injury and the family. In: Brooks N. (ed.) Closed Head Injury. Oxford: Oxford University Press, 1984, pp. 123–147.
Mooney TO, Cole TM, Chilgren RA. Sexual Options for Paraplegics and Quadriplegics. Boston: Little Brown, 1975.
Dechesne BHHD, Pons C, Schellen AMCM. Sexuality and Handicap. Springfield, Charles C Thomas, 1986.
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.
Levy RH, Mattson RH, Meldrum BS. Antiepileptic Drugs, 4th ed., 1995.
Penny JK, Dean JC. The scope of use of valproate in epilepsy. J. Clin. Psychiatry 1989; 50 (Suppl): 17–22.
Hsu JW, Shen WW. Male sexual side effects associated with antidepressants. Int. J. Psychiatry Med. 1995; 25: 191–201.
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.
Gardner EA, Johnston A. Bupropion: an antidepressant without sexual pathophysiological action. J. Clin. Psychopharmacol. 1985; 5: 24–29.
Clay TH, Gualtieri CT, Evans RW, Gullion CM. Clinical and neuropsychological effects of the novel antidepressant, bupropion. Psychopharmacol Bull. 1988; 24: 143–148.
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.
Feeney DM, Sutton RL: Pharmacotherapy for recovery of function after brain injury. CRC Crit. Rev. Neurobiol. 1987; 3: 135–197.
Zasler ND. Sexual dysfunction. In: Silver JM, Yudofsky SC, and Hales RE (eds.) Neuropsych. of TBI Washington: American Psychiatric Press, 1994, pp. 443–469.
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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
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DOI: https://doi.org/10.1007/978-1-4757-2576-6_13
Publisher Name: Humana Press, Totowa, NJ
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Online ISBN: 978-1-4757-2576-6
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