Archibald Carole
Dementia Services Development Centre, University of Stirling, Stirling, UK.
Health Soc Care Community. 1998 Mar;6(2):95-101. doi: 10.1046/j.1365-2524.1998.00104.x.
There is a growing literature on the subject of sexuality and an increased knowledge of sexuality and older people, but there is a dearth of information about sexuality and people with dementia, particularly those in residential care. The concern of this paper is with people with dementia; it also considers the impact of gender on their sexual expression. The expression of sexuality by people with dementia is an area which has been largely neglected by research, yet in practice appears to be of concern. The types and prevalence of sexual expression by people with dementia in residential care and staff's responses to such expression are examined. A postal questionnaire sent to managers of social work residential homes in one region in Scotland explored a number of different issues, including: the public versus private expression of sexuality by people with dementia, the public response versus the private feelings of managers to such expression, the influence of carer involvement on staff's responses, exploitation of one resident by another and sexual expression directed at staff by residents. Permeating all these was the issue of gender. The majority of homes were staffed predominantly by female managers and female care staff. Most residents were female yet the majority of incidents involving sexual expression, reported by managers, involved male residents directing their attention towards female staff or other residents. Female residents with dementia do express sexuality but numbers reported are considerably less with staff actions tending towards the protective. Some types of sexual expression appear to be of more concern than others, and some are reported to occur more frequently.
关于性取向的文献越来越多，人们对老年人的性取向也有了更多了解，但关于痴呆症患者的性取向，尤其是那些住在养老院的患者，却缺乏相关信息。本文关注的是痴呆症患者；同时也考虑了性别对他们性表达的影响。痴呆症患者的性表达是一个在很大程度上被研究忽视的领域，但在实践中似乎受到关注。本文研究了住在养老院的痴呆症患者的性表达类型和发生率，以及工作人员对这种表达的反应。向苏格兰一个地区的社会工作养老院管理人员发送了一份邮政调查问卷，探讨了一些不同的问题，包括：痴呆症患者性表达的公开与私下情况、管理人员对这种表达的公开反应与私下感受、护理人员的参与对工作人员反应的影响、居民之间的相互剥削以及居民对工作人员的性表达。贯穿所有这些问题的是性别问题。大多数养老院的管理人员和护理人员主要是女性。大多数居民是女性，但管理人员报告的涉及性表达的事件中，大多数是男性居民将注意力指向女性工作人员或其他居民。患有痴呆症的女性居民确实会表达性取向，但报告的数量要少得多，工作人员的行动往往倾向于保护她们。某些类型的性表达似乎比其他类型更令人担忧，而且据报告某些类型发生得更频繁。
