Simpson G, Blaszczynski A, Hodgkinson A
Brain Injury Rehabilitation Unit, Liverpool Hospital, New South Wales, Australia.
J Head Trauma Rehabil. 1999 Dec;14(6):567-80. doi: 10.1097/00001199-199912000-00005.
To describe the nature and extent of sexual offending after traumatic brain injury (TBI).
Retrospective file review.
A brain injury unit providing inpatient and outpatient rehabilitation services.
A review of five years of admissions to the Brain Injury Rehabilitation Unit (N = 477) identified a sample of 29 males who committed 128 incidents of sex offending.
A protocol to record data on demographic, injury, radiological, and psychosocial variables and offending behaviors.
Of the total population of 445 clients with TBI, 6.5% (n = 29) were identified as having committed some form of sexual offense. Alcohol was a factor in only three (2.3%) of the incidents, and only two clients had a preinjury history of sexual offending. The most common offenses were the "touching" offenses, followed by exhibitionism and overt sexual aggression. Staff members were the most common targets of the offenses, followed by members of the general public, other people with TBI, and family members.
Sex offending is a significant clinical problem among a small minority of men after TBI. The absence of alcohol and preinjury histories of sexual offending suggest that the brain injury and contingent sequelae were a significant etiological factor underlying the offenses. A number of implications for the clinical management of clients with sexually aberrant behaviors is identified and discussed.
描述创伤性脑损伤（TBI）后性犯罪的性质和程度。
回顾性档案审查。
一家提供住院和门诊康复服务的脑损伤治疗机构。
对脑损伤康复治疗机构五年收治病例（N = 477）的回顾确定了29名男性样本，他们实施了128起性犯罪事件。
记录人口统计学、损伤、放射学和心理社会变量以及犯罪行为数据的方案。
在445名TBI患者中，6.5%（n = 29）被认定实施了某种形式的性犯罪。酒精仅在3起（2.3%）事件中作为一个因素，且仅有2名患者有受伤前的性犯罪史。最常见的犯罪类型是“触摸”类犯罪，其次是露阴癖和公然的性侵犯。工作人员是最常见的犯罪目标，其次是普通公众、其他TBI患者和家庭成员。
性犯罪是一小部分TBI男性患者中的一个重要临床问题。酒精的缺乏和受伤前的性犯罪史缺失表明脑损伤及其相关后遗症是这些犯罪行为的一个重要病因。本文确定并讨论了对有性异常行为患者进行临床管理的若干启示。
