Sexual relationships following brain injury

Oddy, Michael

doi:10.1080/14681990120064487

Cited by 5 publications

(15 citation statements)

References 22 publications

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“…However, the implications of the problems faced by partners of someone who has suffered a severe acquired brain injury need to be seen in a broad context (Oddy, 2001). Sexual dysfunction, in the presence or absence of disabling conditions, has many causes.…”

Section: The Impact Of Brain Injury On Intimacymentioning

confidence: 99%

Broken hearts and mending bodies: the impact of trauma on intimacy

Mills¹,

Turnbull²

2004

Sexual and Relationship Therapy

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Links have already been forged between sexualized trauma and difficulties with intimacy in clinical practice. This article seeks to examine those links more closely by exploring both the psychological and biological impact of traumatic life events on intrapsychic and interpersonal intimacy. In addition, the progression of grief within couple relationships, the impact of brain injury and the adverse effects that residual disabilities can cause with intimacy are examined in detail. Two case samples highlight the real difficulties experienced in sharing emotions and the need for prior acknowledgement of the impact of trauma before attempts to reassure are made. Finally, this article aspires to increase the insight of couple therapists who tackle the problems created by the impact of trauma by introducing them to new developments in the assessment and treatment of traumatic stress injuries.

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Section: The Impact Of Brain Injury On Intimacymentioning

confidence: 99%

Broken hearts and mending bodies: the impact of trauma on intimacy

Mills¹,

Turnbull²

2004

Sexual and Relationship Therapy

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“…. Consider more intensive couple therapy where there are strong negative attributions of blame and hostility (One Plus One, 1998, 2001. .…”

Section: Good Practicementioning

confidence: 99%

“…The gender of the patient and age of partners did not affect outcome; but less severe brain damage, and a longer partnership prior to injury did protect couples in some measure. Oddy (2001) provides a comprehensive account of how brain injury has a long-term effect on sexual functioning and sexual relationships. Injury can directly affect sexual function, but it can also indirectly affect it by affecting motor, sensory, cognitive, behavioural and emotional function.…”

Section: Organic Brain Injurymentioning

confidence: 99%

The couple sharing long-term illness

Dardenne¹

2004

Sexual and Relationship Therapy

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Many patients given a diagnosis of a long-term illness have to make substantial adjustments to their own lives, as do their partners. There is evidence to show that partnerships are subject to intense stress throughout long-term illness, and that the 'unaffected partner' may paradoxically be more affected than the patient. This paper provides evidence for this and for the need for couples to devise coping strategies right from the initial diagnosis through rehabilitation to share the burden as much as possible, and to avoid unilateral dependency. The paper considers the pressures facing the couple, and the range of healthcare and community supports for the couple wishing to use their relationship as a primary source of support in chronic illness. Certain illnesses are considered in more detail, and guidelines for good practice for clinicians working with couples who are sharing the load are given. Specific focus for the sexual and relationship therapist is also suggested.

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“…Some individuals report a conscious 'shutting down' of their sexuality in the immediate post injury period, and an assumption sexual pleasure was now impossible (Richards et al 1997). Other impairments such as brain injury (Oddy, 2001) can damage the areas of the brain associated with sexual functioning leading to the loss of confidence and increase in anxiety and depression affecting sexual functioning. Research into the impact of chronic pain indicates that it negatively affects intimacy and self-identity (Schlesinger, 2003), and long term health conditions can affect sexual relationships through specific physical effects and/or treatment alongside negative psychological effects on self-image (D'Ardenne ,2004).…”

Section: Exploring the Impact Of Relationships On Sexual Well-beingmentioning

confidence: 99%

Sexual Well-Being and Physical Disability

Lee

Fenge

2016

Br J Soc Work

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The meaning of sexual well-being for physically disabled people is a little researched area of social work practice. The traditionally hidden nature of sexuality and sexual well-being in disability research means that practitioners have little evidence based guidance to help offer inclusive person-centred care. Because sexual well-being is a sensitive topic, and one which professionals can feel uncomfortable discussing, the absence of guidance reinforces the barriers to its inclusion in practice. So, although sexual well-being is potentially one of the most meaningful aspects of human life, it has rarely been addressed in health and social care practice (Taylor, 2011). As a result disabled people can experience discrimination regarding their sexual well-being, with the notion of asexuality or deviance remaining prevalent in their personal accounts. Sexuality and sexual relationships are often the source of disabled people's deepest oppression and therefore should be the focus for disability action (Shakespeare, 2000). This paper will explore the importance of sexual well-being to personal identity, selfesteem and mental and physical well-being. This is particularly relevant to the context of social work with adults in England which is underpinned by the Care Act (2014) with its focus on promoting well-being. Issues for practitioners and future research will be identified.

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Sexual relationships following brain injury

Cited by 5 publications

References 22 publications

Broken hearts and mending bodies: the impact of trauma on intimacy

Broken hearts and mending bodies: the impact of trauma on intimacy

The couple sharing long-term illness

Sexual Well-Being and Physical Disability

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