“…The reasons for ISB by patients have not been systematically researched. Possible reasons for ISB by patients include: underlying pathology, such as organic brain damage, and medication side effects (Grieco, 1984); the need to overcome the pow· erlessness felt as a patient (Phillips and Shneider, 1996); limitations imposed on sexual expression by the hospital environment or the patient's illness (Assey and Herbert, 1983); the stereotyping of patients with disabilities as asexual (Medlar and Medlar, 1990); and the human need for warmth and attention (Heinrich, 1987).…”