CH 19 Gender and Sexuality

Question 1

What is the ratio of brain injuries from males to females?

Answer 1

2:1

Question 2

Of the 20 variables studied, females were shown to have ____ outcomes on ____.

Answer 2

worse
85%

Question 3

What do studies show about return to work for males and females?

Answer 3

23.6 males vs. 4.4% females return to full time work

Question 4

Review the results of studies of depression and PTSD in women with TBI.

Question 5

What symptoms are present in women who have sustained BI in domestic violence

Answer 5

cognitive and psychological
generalized distress, anxious arousal, PTSD

Question 6

Describe statistics associated with TBI for women in domestic violence

Answer 6

92% blows to the head
40% LOC
significant correlation b/w repeated blows and severity of cognitive symptoms

Question 7

What are the research findings that most reflect sexual intimacy for men and women?

Answer 7

-decreased sexual drive and desire due to fatigue and reduced drive in general
-decreased sensation in orgasm, also due to meds
- problems with pain, positioning and movement
-decreased ability to sexually satisfy partner (may not remember patterns of interaction or process in the moment.

Question 8

What brain regions are involved in sexual function?

Answer 8

Frontal and temporal lobes
Limbic System

Question 9

What are the primary causes of sexual dysfunction in brain injury?

Answer 9

neuroendocrine (hormone regulated)
hypothalamus and pituitary damage

hypothalamus is 42% of TBIs
Pituitary damage in 40-62% of TBIs

Question 10

How do physical, cognitive and emotional/behavioral changes from BI impact sexuality?

Answer 10

P: spasticity, ataxia
C: attention, initiation, exec fx
E: depression (14-61% of BIs)
B: disinhibition, child-like

• also, role changes and decreased communication b/w partners

Question 11

List 4 domains of sexual intimacy

Answer 11

psychological
emotional
operational
shared

Question 12

Provide examples of interpersonal dynamics for psychological domain of sexual intimacy

Answer 12

respect, commitment, intellectual compatibility

Question 13

Provide examples of interpersonal dynamics for emotional domain of sexual intimacy

Answer 13

shared emotional needs, communicate affection

Question 14

Provide examples of interpersonal dynamics for operational domain of sexual intimacy

Answer 14

sharing responsibilities, role expectations

Question 15

Provide examples of interpersonal dynamics for shared domain of sexual intimacy

Answer 15

activities, friends, hobbies

Question 16

What does benign neglect reflect in rehabilitation?

Answer 16

staff discomfort or inexperience in treating LGBT patients

Question 17

List 2 factors that contribute to benign neglect

Answer 17

heterosexism and homophobia

Question 18

What family relationship stressors relating to LGBT issues may be encountered in rehabilitation?

Answer 18

family has different ideologies than patient
family is unaware of patient’s orientation at time of injury

Question 19

Review the P(A_LISSIT intervention model that may be used by therapists to address issues

Answer 19

Permission
Affirmation
Limited Information
Specific Suggestions
Intensive Therapy
p.370 (look in book to develop summary of this)