Inappropriate sexual behaviors in cognitively impaired older individuals

Inappropriate sexual behaviour and dementia: An exploration of staff experiences

“…Whilst previous research has focused on defining ISB and ascertaining prevalence in patients with neuropsychological impairments (Guay, 2008;, an exploration of the psycho-social processes involved whilst working in dementia care and in particular, a fuller understanding of the psychological and emotional impact ISB has on staff has been overlooked. This research responded to that need and uncovered a range and complexity of experience that provides a framework for understanding staff experiences of ISB within inpatients settings.…”

“…The findings provide a valuable account of the complex psychological and social processes associated with staff experiences of ISB exhibited by older people with a dementia and will help to enrich a growing body of literature regarding ISB exhibited by persons with neurological impairment (Guay, 2008;. Quality checks (e.g., prolonged engagement with the material, peer debriefing) and a systematic and transparent approach to write-up further ensure that the resultant model is credible, trustworthy and grounded (Meyrick, 2006).…”

“…Precise aetiology has not been defined; rather, neurobiological, psychological and environmental explanations have been offered to understand ISB exhibited by people with a dementia (Guay, 2008;. Frontal cortex and hypothalamic pathology have been advanced in addition to social factors, such as being attended to by opposite-sex caregivers (Black et al, 2005).…”

Uncontrolled Sexual Behaviour in Dementia

“…These patients are characterized by social inappropriate behaviour, including uncontrolled sexual behaviour. Injury to the striatal region, as in Huntingtons and Parkinson disease, may result in obsessive-compulsive sexual behaviour [21]. Lesions to the right hypothalamus can cause manic symptoms, including increased sexual desire.…”

“…First, some behavioural problems, including depression, hyperactivity, or mania, may increase sexual interest and result in uncontrolled sexual behaviour [19]. Other diagnoses, such as delirium, epileptic seizures and alcohol abuse may also cause uncontrolled sexual behaviour [7,21]. Second, the amount of sexual interest is also determined by premorbid patterns of sexual activity [20].…”