The aim of this study was to investigate the impact of traumatic brain injury (TBI) on sexual ability, activity and satisfaction and to relate the findings to neurological status, functioning and well-being. A total of 92 TBI persons (65 men, 27 women) participated. Their ages ranged from 20-70 years (median 40 years); the median age at injury was 32 years, ranging from 16-56 years. The elapsed time since injury ranged from 1-20 years (median 9 years). The participants were examined according to a procedure including neurological examination, self-assessment of general health status and functioning and mood, and collection of data on social conditions. A structured study-specific questionnaire was developed to assess various aspects of sexuality before and after the injury. Fifty-three of the participants had a stable partner relationship at the time of the investigation. This study showed that a TBI commonly alters sexual functioning as well as desire. Many of the respondents reported decreased ability to achieve an erection, decreased ability to experience organism, decreased sexual desire and diminished frequency of intercourse. A high degree of physical independence and maintained sexual ability were the most important predictors for sexual adjustment. Considering that many TBI persons in this study reported physiological sexual disturbances and decreased sexual ability, it is important to inform patients about possibilities of optimizing their sexual ability. Organized programmes of sexuality education should be an integral component of TBI rehabilitation.

Introduction:Compliance has been mainly researched in the context of custodial interrogation and peer pressure to commit offences. In the present study compliance was studied in relation to adult romantic attachment. It was hypothesized that the relationship between compliance and romantic attachment would be strongest with maladaptive attachment and lowest with secure attachment.Methods:377 pregnant women attending clinics for pregnant women at Primary Health Care Centres completed the Gudjonsson Compliance Scale (GCS), the Depression Anxiety Stress Scales (DASS), the Rosenberg Self-Esteem Scale, and the Multi-item measure of adult Romantic Attachment consisting of Anxious and Avoidant dimensions (and additional quadrant framework consisting of Secure, Preoccupied, Dismissing, and Fearful attachment types).Results:Compliance was significantly related to both Anxious and Avoidant attachment after controlling for self-esteem, anxiety and depression. A further analysis showed that compliance was highest among the Fearful type and lowest among the Secure type.Discussion:The findings suggest that compliance is an important factor in relation to maladaptive adult romantic attachment.

No abstract

This paper describes the case of an elderly man who battered his wife to death, and presented with amnesia about the actual attack. Psychological testing revealed significant impairment in recognition of faces and names which was specifically related to the gender of the material presented. No organic basis was found for the deficit suggesting that repressive and/or dissociative mechanisms can have powerful effects upon recognition memory.