Sexual Needs of the Schizophrenic Client

Jacobs, Phyllis M.; Bobek, Susan C.

doi:10.1111/j.1744-6163.1991.tb00328.x

Cited by 24 publications

(9 citation statements)

References 8 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such psychotic manifestations related to sexuality are uncommon and usually disappear after starting antipsychotic medication. 11,14,15 According to Skopec et al 16 most patients with schizophrenia do not differ from controls in terms of actual sexual behavior. On the other hand, relationships of people with serious mental illness are characterized by less intimacy and commitment than in the general population.…”

Section: Schizophrenia and Sexual Functioningmentioning

confidence: 99%

See 1 more Smart Citation

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

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.

show abstract

Section: Schizophrenia and Sexual Functioningmentioning

confidence: 99%

“…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.…”

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

Section: Schizophrenia and Sexuality—an Overviewmentioning

confidence: 99%

“…Individuals, in the acute phase of the disorder, have reported experiencing cenesthetic hallucinations of sexual nature, erotomanic delusions, delusions pertaining to sexual identity and hypersexualism (extremely frequent or suddenly increased libido), most of which disappear with the introduction of antipsychotic medications. [11][12] Negative symptoms, like avolition, anhedonia, social withdrawal, etc, are also associated with lack of desire and/or arousal. 13 Unravelling and identifying the pure influence of the symptoms of schizophrenia on the sexual functionality of the individual is difficult as most patients with schizophrenia take antipsychotic or neuroleptic medicines that also influence sexual activity.…”

Section: Schizophrenia and Sexuality-an Overviewmentioning

confidence: 99%

Female Sexual Dysfunction and Schizophrenia: A Clinical Review

Lodha¹,

Sousa

2020

Journal of Psychosexual Health

View full text Add to dashboard Cite

Female sexual dysfunction (FSD) is understudied and unexplored in clinical practice. There is a need for psychiatrists to acknowledge the same and explore this symptom in patients with schizophrenia. The following article is a clinical review that looks at various facets of FSD in relation to schizophrenia. The various types of FSD seen in schizophrenia are elaborated and factors that affect the same are discussed. The role of various factors and antipsychotic-induced FSD is also discussed. The role of estrogens in women with schizophrenia from a clinical and sexual perspective, the role of oral contraceptives in schizophrenia, schizophrenia and pregnancy related complications along with menopause, and its effect on schizophrenia and sexual function in these patients are discussed. The neurobiology of FSD is explored briefly along with the role of female sexuality in recovery and enhancing outcome in schizophrenia is also elaborated. The victimization of female patients with schizophrenia and future research needs in FSD in schizophrenia are laid out.

show abstract

“…Esta actividad pasa tanto por relaciones heterosexuales y homosexuales (con parejas estables o no) como por masturbaciones. Sin embargo, no todos tendrían una actividad sexual satisfactoria [1][2][3] .…”

Section: Prevalencia Y Peculiaridades De La Actividad Sexual En El Paunclassified

La esquizofrenia y su sexualidad

Pascual¹,

Martí²

2017

Rev Enferm Salud Ment.

View full text Add to dashboard Cite

INTRODUCCIÓNLa sexualidad es un acto fisiológi-co que permite la perpetuación de la especie humana y, además, produce placer en el ser. Siendo así, no es difícil de entender que todo ser humano deba tener una vida sexual plena o lo más plena dentro de sus posibilidades. No obstante, en los pacientes con esquizofrenia, se ha priorizado el trastorno de base y su conducta sexual ha sido desestimada e infravalorada, considerando que no es importante por el mero hecho de padecer un trastorno mental, excluyéndose de la entrevista clínica por pensar que el paciente no tiene interés por ella y por la propia incomodidad del clínico al interrogar sobre ella. Este gran error se ha de subsanar, pues se ha demostrado que las alteraciones en el área sexual repercuten negativamente en la evolución de la patología psiquiátrica, disminuyendo la autoestima y dificultando las relaciones. PREVALENCIA Y PECULIARIDADES DE LA ACTIVIDAD SEXUAL EN EL PACIENTE CON ESQUIZOFRENIAVarios autores evidencian que un gran porcentaje de pacientes del ámbito ambulatorio e intrahospitalario han sido y son activos sexualmente. Esta actividad pasa tanto por relaciones heterosexuales y homosexuales (con parejas estables o no) como por masturbaciones. Sin embargo, no todos tendrían una actividad sexual satisfactoria 1-3 .Por otro lado, debido a las características propias de la enfermedad, presentan determinadas peculiaridades que, aunque no son exclusivas de ellos, por su gran impacto, requieren mención específica:• Probabilidad de experimentar abuso sexual: varios estudios avalan una mayor prevalencia de abuso sexual en comparación con la población sana.

show abstract

Sexual Needs of the Schizophrenic Client

Cited by 24 publications

References 8 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

Female Sexual Dysfunction and Schizophrenia: A Clinical Review

La esquizofrenia y su sexualidad

Contact Info

Product

Resources

About