Evidence and Clinical Significance of Homosexuality in 100 Unanalyzed Cases of Dementia Praecox

Norman, Jacob P.

doi:10.1097/00005053-194810750-00006

Cited by 19 publications

(5 citation statements)

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“…11 Early psychoanalytic theories suggested that psychosis might derive from unconscious homosexual tendencies. 12 Erotic sexual behaviors were also seen as possible causal factors for schizophrenia in pre-schizophrenic patients. 13 As these ideas were not based on any empirical research, they have gradually been abandoned.…”

Section: Schizophrenia and Sexual Functioningmentioning

confidence: 99%

The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings

Boer

Castelein

Wiersma

et al. 2015

Schizophrenia Bulletin

138

115

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A limited number of studies have evaluated sexual functioning in patients with schizophrenia. Most patients show an interest in sex that differs little from the general population. By contrast, psychiatric symptoms, institutionalization, and psychotropic medication contribute to frequently occurring impairments in sexual functioning. Women with schizophrenia have a better social outcome, longer lasting (sexual) relationships, and more offspring than men with schizophrenia. Still, in both sexes social and interpersonal impairments limit the development of stable sexual relationships. Although patients consider sexual problems to be highly relevant, patients and clinicians not easily discuss these spontaneously, leading to an underestimation of their prevalence and contributing to decreased adherence to treatment. Studies using structured interviews or questionnaires result in many more patients reporting sexual dysfunctions. Although sexual functioning can be impaired by different factors, the use of antipsychotic medication seems to be an important factor. A comparison of different antipsychotics showed high frequencies of sexual dysfunction for risperidone and classical antipsychotics, and lower frequencies for clozapine, olanzapine, quetiapine, and aripiprazole. Postsynaptic dopamine antagonism, prolactin elevation, and α 1 -receptor blockade may be the most relevant factors in the pathogenesis of antipsychotic-induced sexual dysfunction. Psychosocial strategies to treat antipsychotic-induced sexual dysfunction include psychoeducation and relationship counseling. Pharmacological strategies include lowering the dose or switching to a prolactin sparing antipsychotic. Also, the addition of a dopamine agonist, aripiprazole, or a phosphodiesterase-5 inhibitor has shown some promising results, but evidence is currently scarce.

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Section: Schizophrenia and Sexual Functioningmentioning

confidence: 99%

The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings

Boer

Castelein

Wiersma

et al. 2015

Schizophrenia Bulletin

138

115

View full text Add to dashboard Cite

show abstract

“…Psychosis has also been linked to ''latent transvesticism'' (Lukianowicz, 1962) and ''homosexual tendencies'' due to mothers who have ''homosexually toned'' relationships with their daughters who subsequently developed schizophrenia (Lidz & Lidz, 1969). Examples of studies in the area include the use of sodium amytal to facilitate participants with schizophrenia more readily admitting to ''homosexualism'' (Norman, 1948) and descriptions of ''homosexual drives'' as being successfully ''discharged'' after electroconvulsive therapy (Sachs & Titievsky, 1967). It should be noted, however, that homonegative and heterosexist perspectives in the research on this topic are not relegated to historical anecdote.…”

Section: Transgendermentioning

confidence: 99%

Lesbian, Gay, and Transgender Persons with Severe Mental Illness: Negotiating Wellness in the Context of Multiple Sources of Stigma

Kidd

Veltman

Gately

et al. 2011

American Journal of Psychiatric Rehabilitation

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“…In 1943 Hoskins suggested that schizophrenia represented an immature level of psychosexual development due to a deficiency of sex hormones. Strong conscious and unconscious homosexual tendencies were thought to lead to psychosis (Norman, 1948). Other authorities asserted that erotic sexual behaviors in the preschizophrenic person caused schizophrenia (Arieti, 1967).…”

Section: Effects Of Schizophrenia On Sexual Behaviormentioning

confidence: 99%

Sexual Needs of the Schizophrenic Client

Jacobs¹,

Bobek²

2009

Perspectives in Psychiatric Care

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While a potentially volatile subject, discussion of sex between a nurse and schizophrenic client is a key to improving the patient's overall condition. Despite fears early in the century that schizophrenia caused a breakdown of moral inhibitions, it is now believed that most schizophrenic individuals are very similar, in sexual contexts, to “normal” people. Research shows that schizophrenic men and women are still interested in sexual relations but do not know how to bring their feelings into the open. They also may be resisting neuroleptic drugs because the medication causes varying sexual dysfunction. In order to help these clients, nurses first must examine their own feelings toward clients’sexual behavior. The nurse needs to work with clients on developing social and communication skills as well as on informing them about safe methods of sexual contact.

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Evidence and Clinical Significance of Homosexuality in 100 Unanalyzed Cases of Dementia Praecox

Cited by 19 publications

References 0 publications

The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings

The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings

Lesbian, Gay, and Transgender Persons with Severe Mental Illness: Negotiating Wellness in the Context of Multiple Sources of Stigma

Sexual Needs of the Schizophrenic Client

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