Hypersexuality in nursing care facilities—a descriptive study

Nagaratnam, Nages; Gayagay, George

doi:10.1016/s0167-4943(02)00026-2

Cited by 43 publications

(30 citation statements)

References 18 publications

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“…The third category referred to behaviors best characterized as disinhibited, but erotomania and morbid jealousy would be classified as dementia-related delusional states [27] rather than improper sexual behaviors. Nagaratnam and Gayagay [7] classified 8 neuropsychiatric inpatients admitted from a nursing home into three groups, but their data are difficult to compare with ours since all 8 were essentially disinhibited. Ehrenfeld et al [18] observed 48 residents with moderate dementia selected from nursing homes in Israel for 14 weeks, and categorized the sexual behaviors on the basis of expert opinion: (1) loving and caring, reflecting affectionate behaviors; (2) romance, reflecting courting behaviors, and (3) eroticism, reflecting abnormal behaviors such as compulsive masturbation, intrusive overtures and aggressive acts.…”

Section: Discussionmentioning

confidence: 67%

“…Tensions also develop from uncertainties regarding which, or when, behaviors are to be considered 'inappropriate' (i.e. improper) or abnormal; some behaviors present as coarse derangements in which rudeness and aggression are prominent aspects [6][7][8] , while others, such as touching, cuddling, caressing or kissing, may seem innocuous to a casual observer [9] . Therefore 'inappropriateness' may derive from the disapproving attitudes and judgments of observers (clinicians, nurses and other staff, family, other residents) rather than the behaviors per se [10][11][12] , and may reflect the lack of privacy inherent in residential care environments [13] .…”

Section: Introductionmentioning

confidence: 99%

“…Correlations with age at onset of dementia, education, marital status and the setting of care are unknown. One report proposed an association of abnormal sexual behavior with type of dementia, linking 'silent cerebral infarctions' observed on brain CT scans to disinhibited sexual behaviors in a small case series [7] . Another study showed that contrary to expectation, frontotemporal dementias are not necessarily associated with disinhibited or intrusive sexual behavior [19] .…”

Section: Introductionmentioning

confidence: 99%

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Improper Sexual Behaviors in Elders with Dementia Living in Residential Care

Medeiros

Rosenberg

Baker

et al. 2008

Dement Geriatr Cogn Disord

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Objectives: There exists little information describing the spectrum and correlations of sexual behaviors manifested by elders with dementia living in residential care. Methods: Data are from a retrospective case-control study of improper sexual behaviors manifested by 165 elders with dementia living in a residential care facility in 2005. Results: Three types of behavior were evident: (1) intimacy-seeking, (2) disinhibited, and (3) nonsexual. Intimacy-seeking behaviors were associated with Alzheimer disease, and disinhibited behaviors with non-Alzheimer dementias. Behavior type was associated with dementia severity. Conclusions: Delineation of the types of improper sexual behaviors occurring in dementia has practical implications for practice and research. Progress will require prospective studies with systematic ascertainment of cases and variables, and recruitment from large sampling frames.

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Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improper Sexual Behaviors in Elders with Dementia Living in Residential Care

Medeiros

Rosenberg

Baker

et al. 2008

Dement Geriatr Cogn Disord

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“…La desinhibición sexual es frecuente, principalmente en lesiones del lóbulo frontal y especialmente en ambientes residenciales, en forma de manipulación de los genitales, proposiciones sexuales inadecuadas, tocamientos, lenguaje obsceno, masturbación sin vergüenza, (40). Se presenta también en otras psicosis deficitarias (P.G.…”

Section: La Desinhibiciónunclassified

Aspectos psicopatológicos de la desinhibición

Guimón¹

2004

Rev. Asoc. Esp. Neuropsiq.

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José Guimón ASPECTOS PSICOPATOLÓGICOS DE LA DESINHIBICIÓNPSICHOPATOLOGY OF DESINHIBITION RESUMEN La ansiedad social , la timidez y la inhibición conductual tienen bases genéticas aún no bien aclaradas. La desinhibición se puede producir por trastornos cerebrales orgánicos, psicosis funcionales, consumo de substancias psicoactivas y situaciones estresantes que bloquean las formacion es reactivas de vergüenza y timidez. El autor cree que la idea de un continuum desde la desinhibición social de la manía hasta las formas más graves de la ansiedad social, la personalidad evitativa, es prematura para la investigación etiológica. Como alternativa propone que se consideren varios espectros que se solapen en esta área basadas en la fenomenología, la psicología cognitiva y la biología.Palabras clave: Desinhibición, desvergüenza, timidez, Psicopatología ABSTRACT Social phobia, shyness and behavioral inhibition have genetic bases yet to be clarified. Desinhibition can be found in organic brain disorders, functional psychoses, substance abuse, and in the course of stressful situations blocking reaction formations of shame and shyness. The author believes that the hypothesis of a continuum ranging from social disinhibition seen in manic episodes to avoidant personality is still premature for etiological research purposes. He proposes that further efforts should be made in conceptualizing this area of psychopathology with insights coming from phenomenology, cognitive psychology and biology.

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“…A nursing home study of demented patients noted behaviors such as inappropriate cuddling, touching of the genitals, sexual propositions, grabbing and groping, use of obscene language, and masturbating without shame (Nagaratnam & Gayagay, 2002). A case report of urethral masturbation and sexual disinhibition as manifestations of behavioral and psychological symptoms of dementia have been described in a 90-year-old patient who repeatedly selfinserted foreign bodies into his urethra (Rosenthal, Berkman, Shapira, Gil, & Abramovitz, 2003).…”

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confidence: 99%

Grossly Disinhibited Sexual Behavior in Dementia of Alzheimer's Type

2007

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A 70-year-old male patient reported to the Department of Neurology, Dr. Ram Manohar Lohia Hospital in New Delhi for the chief complaint of forgetfulness for the last 8 years with agitated behavior and disinhibited sexuality. For the last five years, the patient started using sexually explicit language, which was out of keeping with his premorbid history. He then started touching and grabbing his wife's genitals in front of family members.Upon further probing, it was found that he forced his wife to have sexual intercourse with him 3-4 times during the night and when he gets the opportunity during the daytime. If she refused, he would become aggressive and violent and beat her severely. He also made sexual advances towards other females around him and passes indecent remarks. He has been observed masturbating by caregivers.A mental status examination revealed that the patient was poorly groomed and unkempt. He had delusions of persecution, reference, and infidelity. Auditory hallucinations were present. His Mini Mental Status Examination score was 16/30, indicating severe cognitive impairment. His routine general physical systemic examination and laboratory investigations were within normal limits. His liver and kidney function tests reveled no abnormality and he tested negative V. Dhikav ( )

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Hypersexuality in nursing care facilities—a descriptive study

Cited by 43 publications

References 18 publications

Improper Sexual Behaviors in Elders with Dementia Living in Residential Care

Improper Sexual Behaviors in Elders with Dementia Living in Residential Care

Aspectos psicopatológicos de la desinhibición

Grossly Disinhibited Sexual Behavior in Dementia of Alzheimer's Type

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