The sexual partnerships of people with serious mental illness

Perry, Brea L.; Wright, Eric R.

doi:10.1080/00224490609552312

Cited by 41 publications

(70 citation statements)

References 42 publications

(30 reference statements)

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“…On the other hand, relationships of people with serious mental illness are characterized by less intimacy and commitment than in the general population. 17 Schizophrenia may influence sexual behavior in men and women in different ways. 18 This may be related to differences in the age of onset of schizophrenia.…”

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

“…Yet, as in the US (Perry & Wright, 2006), the institutions strongly impacted patients' sexual networks. Staff were aware of risky behavior occurring between patients but reported feeling ill-equipped to mount prevention efforts within their institutions and help their patients move toward healthier sexual lives.…”

Section: Discussionmentioning

confidence: 99%

Targeted ethnography as a critical step to inform cultural adaptations of HIV prevention interventions for adults with severe mental illness

Wainberg

Gonzalez

McKinnon

et al. 2007

Social Science & Medicine

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As in other countries worldwide, adults with severe mental illness (SMI) in Brazil are disproportionately infected with HIV relative to the general population. Brazilian psychiatric facilities lack tested HIV prevention interventions. To adapt existing interventions, developed only in the U.S., we conducted targeted ethnography with adults with SMI and staff from two psychiatric institutions in Brazil. We sought to characterize individual, institutional, and interpersonal factors that may affect HIV risk behavior in this population. We conducted 350 hours of ethnographic field observations in two mental health service settings in Rio de Janeiro, and 9 focus groups (n = 72) and 16 key-informant interviews with patients and staff in these settings. Data comprised field notes and audiotapes of all exchanges, which were transcribed, coded, and systematically analyzed. The ethnography characterized the institutional culture and identified: 1) patients' risk behaviors; 2) the institutional setting; 3) intervention content; and 4) intervention format and delivery strategies. Targeted ethnography also illuminated broader contextual issues for development and implementation of HIV prevention interventions for adults with SMI in Brazil, including an institutional culture that did not systematically address patients' sexual behavior, sexual health, or HIV sexual risk, yet strongly impacted the structure of patients' sexual networks. Further, ethnography identified the Brazilian concept of "social responsibility" as important to prevention work with psychiatric patients. Targeted ethnography with adults with SMI and institutional staff

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“…This is often associated with the side effects of anti-psychotic and anti-depressant medication. The majority of individuals with SMI do not have long-term partners and are more likely to have short-term relationships (Perry & Wright, 2006). Where individuals do engage in sexual relationships they often involve high-risk practices (Carey et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…With the move towards community based psychosocial rehabilitation case managers are likely to play an important role in assisting people in recovery to develop rewarding intimate relationships (Perry & Wright, 2006). This should involve ensuring that case managers discuss sexuality issues with people in recovery as part of the initial needs assessment and ongoing case management practices (McCann, 2000;Volman & Landeen, 2007).…”

Section: Discussionmentioning

confidence: 99%

Do Therapeutic Homework Assignments Address Areas of Need for Individuals with Severe Mental Illness?

Kelly

Deane

2009

Community Ment Health J

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The current study explores the types of homework assignments used in a recovery orientated case management approach. It also examines the relationship between the types of homework used and the clients' area of need as rated on the CANSAS. There were 129 client and mental health case manager dyads that participated in the study. Written copies of all homework assignments administered during the 12-month research period were collected (N = 1,054). The homework assignments were categorised according to the 'type' and the 'need domain addressed by the task' . The majority of these tasks were behavioural in nature. On a group level homework tended to broadly address areas of need for clients in the study. Only 2 of the 1,054 homework assignments administered directly addressed areas of Intimate Relationships or Sexual Expression. The importance of addressing Intimate Relationship and Sexual Expression within mental health case management is discussed. The current study explores the types of homework assignments used in a recovery orientated

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The sexual partnerships of people with serious mental illness

Cited by 41 publications

References 42 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

Targeted ethnography as a critical step to inform cultural adaptations of HIV prevention interventions for adults with severe mental illness

Do Therapeutic Homework Assignments Address Areas of Need for Individuals with Severe Mental Illness?

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