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Module 6 |
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Rights,
needs and issues 6.2c Responding to individual needs 6.3d
Interviewing 6.4b
Case studies |
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| 7.Case management | |
| 8.Supervising staff | |
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This section includes an outline of:
Types of inappropriate sexual behaviour Common types of inappropriate sexual behaviour encountered by staff after TBI include:
Touching genital areas refers to breast, buttocks or penis. Touching non-genital areas refers to anywhere else on the body including patting a person on the knee, touching a person's shoulder, arm, back etc. Coercive sexual assault refers to the forcible grabbing of a person, attempting to undress a person, attempting to have non-consenting intercourse with a person. The following chart shows the relative incidents of these behaviours after TBI.
Staff are a significant target group for inappropriate sexual behaviour encountered by people after TBI.
Most commonly, sexually inappropriate behaviour is the result of disinhibition not hypersexuality. We know this because low sex drive is far more common than increased sex drive after TBI. So a person can have low sex drive but still act in a sexually disinhibited way. This is because different mechanisms within the brain are involved. This is an important distinction. Some forms
of brain damage may lead to "loss of moral-ethical restraints
and to gross sexual misconduct without any hypersexuality,
i.e. without
increased frequency of sexual arousal." "Injury
to the older baso-orbital region may produce disinhibited, sexually
inappropriate behaviour, which may be verbal and devoid of any true
sexual arousal." "...make
a distinction between disinhibited sexual behaviour and hypersexual
behaviour. According to this view, true hypersexuality is more common
with damage to the limbic system of the brain, whereas disinhibited
sexual behaviour, as a part of general disinhibition, seems to be
related to involvement of the frontal lobes and associated structures."
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