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‘Inappropriate’ sexual behaviours in dementia

Published online by Cambridge University Press:  14 December 2012

Rosalind F Ward  and
Simon Manchip
Rosalind F Ward*
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, Swindon, UK
Simon Manchip
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, Swindon, UK
*
Address for correspondence: Dr Rosalind Ward, Older Peoples Mental Health Services, Victoria Centre, 53 Downs Way, Swindon, Wiltshire SN3 6BW, UK. Email address: [email protected]
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Summary

Human sexuality is a complex interaction of biological, social and emotional factors. When any or all of these factors are disrupted by a progressive dementia it is unsurprising that sexual ‘problems’ are identified. Most sexual behaviour ‘problems’ relate to expressions of normal sexuality complicated by changes in relationships, care needs and cognitive function, and complex ethical and legal considerations emerge. Rarely, new and severe hypersexual or paraphilic behaviours arise de novo, usually due to damage to certain brain areas, and sometimes due to medication side-effects, psychiatric disorder or delirium. Evidence and approaches to assess and to manage sexual behaviour problems in dementia are discussed.

Keywords

dementiasexual behaviourhypersexualitysexual disinhibition
Type
Neuropsychiatry of old age
Information
Reviews in Clinical Gerontology , Volume 23 , Issue 1 , February 2013 , pp. 75 - 87
Copyright
Copyright © Cambridge University Press 2012

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