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Beyond the Management of Sexual Problems: Creating a Therapeutic Environment for Addressing Sexuality Issues -- Ducharme, Stanley H.  In C.J. Durgin, N. D. Schmidt, & L. J. Fryer (Eds.), Staff Development and Clinical Intervention in Brain Injury Rehabilitation.  Gaithersburg, MD: Aspen Publishers.  (1993)   The purpose of this chapter is to describe how traumatic brain injury affects sexuality and sexual functioning, identify the most common barriers to sexual adjustment in the rehabilitation setting, outline the staff competencies needed to effectively address areas of sexuality, state the various educational modalities available for staff training and for clients in the areas of sexuality and identify program development strategies that will assist rehabilitation programs to become more responsive to clients' emotional recovery and sexual health.


The Impact of Brain Injury on Relationships: Three Personal Stories (Video) -- Kreutzer, Jeffrey; Goodall, Patricia.  Richmond, VA: Rehabilitation Research and Training Center on Severe Traumatic Brain Injury, Virginia Commonwealth University Medical College of Virginia.  (1992)   In this video four individuals share their person stories in an interview with Dr. Kreutzer and Ms. Goodall. Kimberly Jordan and her mother, Rebecca Golda, talk about how Kim's injury changed the course of their lives and the effect it has had on Kim's relationship with her family and others. Jane Brittingham candidly discusses the immense struggle she has had adjusting to her husband's brain injury. Lack of appropriate services for the family and impact of sexuality are two to the topics she addresses. Finally, Jay McLaughlin, a young man who was injured on his bicycle while training for a triathlon, shares the personal tragedy of a broken marriage, unemployment, and depression as a result of his injury.


Neuroanatomy and Neurophysiology of Sexual Function: Horn, Lawrence J.; Zasler, Nathan D. Journal of Head Trauma Rehabilitation, 5(2), June 1990, pp. 1-13. (1990). This article reviews the neuroanatomical, endocrine, and chemical underpinnings to normal sexual behavior. The neuroanatomical influence over sexual function is followed from the peripheral nervous system through the spiral cord to brainstem, limbic, and cortical structures. The role of hormones in sexual function, fertility, and puberty is reviewed, with a discussion of TBI-related disturbances in normal endocrine physiology. Neurochemical correlates to sexual function are discussed primarily with reference to modulatory systems. The article should provide a basis for understanding some of the medical management strategies in treating sexual dysfunction after TBI.


Sex and the Brain-Injured Patient: Regaining Love, Pleasure, and Intimacy -- Miller, Lawrence.  Journal of Cognitive Rehabilitation, 12(3), May-June 1994, pp. 12-20.  (1994). This article explains how brain injury can impact the sexuality of both the survivor and family members. Examples of possible sexual problems and suggestions for treatment are presented.


Sexuality and the Person with Traumatic Brain Injury: A Guide for Families --Griffith, Ernest R;Lemberg, Sally. Philadelphia: F. A. Davis Company.  (1993) This book is designed to share with families current information on sexuality and sexual function of the brain injured person. Various treatment options are discussed and the authors identify resources and services.

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