Johnson C, Knight C, Alderman N
Townsend and Kemsley Division, St Andrew's Hospital, Northampton, UK.
Brain Inj. 2006 Jun;20(7):687-93. doi: 10.1080/02699050600744137.
The subject of Inappropriate Sexual Behaviour (ISB) amongst clients with neurological impairment, specifically Acquired Brain Injury (ABI) and dementia, has received limited coverage to date within the literature. This paper discusses some of the problems encountered in the definition and quantification of ISB, in particular the absence of standardized measurement tools to record ISB within an inpatient setting. Whilst ISB is reported to be less prevalent than other behavioural sequelae of brain injury or dementia, it is suggested that its impact on patients and carers can be significant. Ill-defined terminology and the absence of relevant assessment tools add to the specific challenges of understanding and managing ISB within a care or rehabilitation setting. As a result, it is argued that the subjective attitudes of staff and the culture of an institution can dominate the approach taken to dealing with ISB for these client groups.
神经功能受损的患者，特别是获得性脑损伤（ABI）和痴呆患者中的不当性行为（ISB）问题，在目前的文献中报道有限。本文讨论了在ISB的定义和量化过程中遇到的一些问题，特别是在住院环境中缺乏记录ISB的标准化测量工具。虽然据报道ISB比脑损伤或痴呆的其他行为后遗症的发生率要低，但它对患者和护理人员的影响可能很大。术语定义不明确以及缺乏相关评估工具，增加了在护理或康复环境中理解和管理ISB的特殊挑战。因此，有人认为工作人员的主观态度和机构文化可能主导处理这些客户群体ISB的方式。
