Bezeau Scott C, Bogod Nicholas M, Mateer Catherine A
Department of Psychology, University of Victoria, Victoria, BC, Canada.
Brain Inj. 2004 Mar;18(3):299-313. doi: 10.1080/02699050310001617398.
Sexually intrusive behaviour, which may range from inappropriate commentary to rape, is often observed following a traumatic brain injury. It may represent novel behaviour patterns or an exacerbation of pre-injury personality traits, attitudes, and tendencies. Sexually intrusive behaviour poses a risk to staff and residents of residential facilities and to the community at large, and the development of a sound assessment and treatment plan for sexually intrusive behaviour is therefore very important. A comprehensive evaluation is best served by drawing on the fields of neuropsychology, forensic psychology, and cognitive rehabilitation. The paper discusses the types of brain damage that commonly lead to sexually intrusive behaviour, provides guidance for its assessment, and presents a three-stage treatment model. The importance of a multidisciplinary approach to both assessment and treatment is emphasized. Finally, a case example is provided to illustrate the problem and the possibilities for successful management.
创伤性脑损伤后常出现性侵犯行为，其范围从不当评论到强奸不等。它可能表现为新的行为模式，或受伤前人格特质、态度和倾向的加剧。性侵犯行为对寄宿设施的工作人员和居民以及整个社区都构成风险，因此制定完善的性侵犯行为评估和治疗计划非常重要。借鉴神经心理学、法医心理学和认知康复领域的知识，能最好地进行全面评估。本文讨论了通常导致性侵犯行为的脑损伤类型，为其评估提供指导，并提出了一个三阶段治疗模型。强调了多学科方法在评估和治疗中的重要性。最后，提供了一个案例来说明该问题以及成功管理的可能性。
