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Sex Therapy Surrogate Partners for Individuals with Very Limited Functional Ability Following Traumatic Brain Injury

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Abstract

The use of surrogate sex therapists for survivors after Traumatic Brain Injury (TBI) who have Very Limited Functional Ability (VLFA) is discussed. It includes the rationale of using surrogate therapy with this population as well as some of the professional and ethical issues that such therapy can evoke. It is suggested that surrogate therapy can provide satisfaction and positive experiences to the restricted lives of some of the VLFA-TBI survivors. The use of surrogate therapy is viewed as a part of the integral rehabilitation process aimed at improving the quality of life and the fulfillment of basic human intimacy needs. Often requiring help in this important area of life, they are not always able to initiate and control emotional behaviors to promote healthy sexual relationship and activity. Surrogate therapy is an activity that can help survivors with TBI monitor and initiate feelings, reactions and motivation in intimate relationships, as well as provide a certain amount of control over their lives. A case study is presented to illustrate the process of sex therapy with a surrogate partner for a VLFA-TBI survivor.

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References

  1. Katz, D.I., Zalsler, N.D., Zafonte, R.D.: Clinical continuum of care natural history. In: Zalsler, N.D., Katz, D.I., Zafonte, R.D. (eds.) Brain Injury Medicine, chapter 1, pp. 3–13. Demos (2007).

  2. Groswasser, Z., Stern, M.J.: A psychodynamic model of behavior after acute central nervous system damage. J. Head Trauma Rehabil. 13, 69–79 (1998).

    PubMed  Google Scholar 

  3. Griffith, E.R., Lemberg, S.: Sexuality and the Person with Traumatic Brain Injury: A Guide for Families. F. A. Davis, Philadelphia (1993).

    Google Scholar 

  4. Kreutzer, J.S., Zasler, N.D.: Psychosexual consequences of traumatic brain injury methodology and preliminary findings. Brain Inj. 3, 177–186 (1989).

    PubMed  Google Scholar 

  5. Armstrong, C.: Emotional changes following brain injury: psychological and neurological components of depression, denial, and anxiety. J. Rehabil. 2, 15–21 (1991).

    Google Scholar 

  6. Lezak, M.D., O’Brien, T.: Longitudinal study of emotional, social, and physical changes after TBI. J. Learn. Disabil. 21, 456–463 (1988).

    PubMed  Google Scholar 

  7. Lezak, M.D.: Brain damage is a family affair. J Clin Exp Neuropsychol. 10, 111–123 (1988).

    PubMed  Google Scholar 

  8. Ponsford, J., Sloan, S.M., Snow, P.: Traumatic Brain Injury: Rehabilitation for Everyday Adaptive Living. Erlbaum, Hilladale, NJ (1995).

    Google Scholar 

  9. Sandel, M.E., Delmonico, R., Kotch, M.J.: Sexuality, reproduction, and neuroendocrine disorders following TBI. In: Zalsler, N.D., Katz, D.I., Zafonte, R.D. (eds.) Brain Injury Medicine, chapter 37, pp. 673–695. Demos (2007).

  10. Perlesz, A., Kiinsella, G., Crow, W.: Impact of TBI on the family: a critical review. Rehabil. Psychol. 44, 6–35 (1999).

    Article  Google Scholar 

  11. Keren, O., Groswasser, Z., Stern, M.J.: Traumatic Brain Injury (TBI): evaluation at acute and sub-acute phase, assessment of outcome, description of neurobehavioral and some lines of recommendation for management. Sist. Nerv. 1, 23–33 (2000).

    Google Scholar 

  12. Wright, G.: Total Rehabilitation. Little, Brown, Boston (1988).

    Google Scholar 

  13. Strauss, D.: Biopsychosocial issues in sexuality with the neurologically impaired patient. Sex. Disabil. 9, 49–67 (1991).

    Article  Google Scholar 

  14. Kothari, S.: Prognosis after severe TBI: a practical, evidence abase approach. In: Zalsler, N.D., Katz, D.I., Zafonte, R.D. (eds) Brain Injury Medicine, chapter 14, pp. 169–199. Demos 2007.

  15. Masters, W.H., Johnson, V.E.: Human Sexual Inadequacy. Little Brown, Boston (1970).

    Google Scholar 

  16. Johnson, W., Kempton, W.: Sexual Education and Counseling of Special Groups, pp. 244–231. Charles C Thomas, Springfield, IL (1981).

    Google Scholar 

  17. Apfelbaum, B.: The myth of the surrogate. J. Sex Res. 13, 234–249 (1977).

    Article  Google Scholar 

  18. Aloni, R., Katz, S.: Sexuality Difficulties after Traumatic Brain Injury and Ways to Deal with It, pp. 14–19. Charles C Thomas Pub. LTD., Springfield, Illinois USA (2003).

    Google Scholar 

  19. Teasadale, G., Jennet, B.: Assessment of coma and impaired consciousness: a practical scale. Lancet 2, 81–84 (1974).

    Article  Google Scholar 

  20. Davis, D., Kolton-Schneider, L.: Ramifications of traumatic brain injury for sexuality. J. Head Trauma Rehabil. 5, 31–37 (1990).

    Article  Google Scholar 

  21. Cole, M.: Sex therapy—a critical appraisal. Br. J. Psychiatry 147, 337–351 (1985).

    Article  PubMed  Google Scholar 

  22. Oksenberg, A., Arons, E., Sazbon, L., Mizrahi, A., Radwan, H.: Sleep-related erections in vegetative state patients. Sleep 23, 953–957 (2000).

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Sexual Private Clinic, Tel-Aviv, Israel

    R. Aloni

  2. Rehabilitation Ward, Rehabilitation Medicine, Alyn, Rehabilitation Pediatric Center, Rehabilitation Medicine, P.O.B 9117, Jerusalem, 91090, Israel

    O. Keren

  3. Department of Psychology, Bar Ilan University, Ramat-Gan, Israel

    S. Katz

Authors
  1. R. Aloni
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  2. O. Keren
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  3. S. Katz
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Correspondence to O. Keren.

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Aloni, R., Keren, O. & Katz, S. Sex Therapy Surrogate Partners for Individuals with Very Limited Functional Ability Following Traumatic Brain Injury. Sex Disabil 25, 125–134 (2007). https://doi.org/10.1007/s11195-007-9047-7

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  • DOI: https://doi.org/10.1007/s11195-007-9047-7

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