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- Common changes
to sexuality after TBI include lower sex drive, decreased frequency,
erectile problems, and orgasmic problems, these can be due to both
primary and secondary causes.
- Influences and
values from family, culture, personal experiences and professional
training can all influence your clinical decision making in terms
of finding solutions to sexuality related problems for patients
with TBI.
- People with a disability
are entitled to the same rights as are enjoyed by every other citizen.
It is the responsibility of service providers to enforce and protect
these rights.
- Isolation and myths
about the sexuality, or lack of it, of people with disabilities have
deprived many people of information, skills or opportunities and
made it difficult for them to exercise their rights and responsibilities
in sexual functioning.
- All people,
including those with TBI, are entitled to have basic needs in human
relationships
and sexuality met. There are many strategies to help with this.
- It is important
to match verbal and non-verbal communication to get a message across
effectively.
- There may be
times when we feel distressed in response to a client sexual issue.
It is normal to feel emotional discomfort to socially and sexually
inappropriate behaviour. There are strategies for dealing with
these feelings.
- Questions on
sexuality can be incorporated into a patient interview to help
identify issues.
- There are a
range of treatment strategies that can be used to assist with physical
impairments, erectile problems, low sex drive, problems with orgasms,
masturbation problems and catheters.
- People after
TBI have sexual needs that should be met. Even when a person's
sexual needs are met, they may still behave in sexually disinhibited
ways.
- The level of
sexual drive only rarely increases after TBI - more usually it
remains the same or decreases. Problems with disinhibition are
far more common than problems with increased drive ('hypersexuality').
- Sexually
disinhibited behaviour is normally part of a broader pattern of disinhibited
behaviour
- Workers
and family members often misunderstand sexually disinhibited
behaviour as a derivative problem (sexual
frustration or increased drive).
- Sexually disinhibited behaviour will not be extinguished by the person
having more access to sexual activity.
- Sexually disinhibited
behaviour is best managed through the consistent use of simple
behavioural techniques. Setting professional boundaries and giving
verbal feedback are important.
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