neuromorphogenesis:

Sexuality, traumatic brain injury, and rehabilitation

Critical review in NeuroRehabilitation highlights impact of TBI on sexuality and importance of rehabilitation strategies

Each year more than three million Americans are living with traumatic brain injury (TBI), a condition that is associated with physical, cognitive, and emotional problems that often affect their sexuality, and subsequently their marital stability, identity, and self-esteem. Taking an in-depth look at the impact of TBI on sexuality, an investigative team critically reviews fourteen studies representing a collective study sample of nearly 1,500 patients, partners, spouses, control individuals, and rehabilitation professionals to examine brain injury and sexuality. It is published in NeuroRehabilitation: An International Journal.

“Sexuality in patients with chronic disease or physical handicaps warrants attention and consideration so that effective intervention plans can be formulated. A healthy sex life may decrease muscular and emotional tension, increase pain threshold, reduce physical stress, improve sleep, and diminish emotional stress within relationships,” says Jhon Alexander Moreno, doctoral candidate in the Department of Psychology at Université de Montréal, Québec, Canada. He has made this important issue the central topic of his research work, which is conducted under the international direction of Professors Michelle McKerral at the Centre for Interdisciplinary Research in Rehabilitation in Montréal, and Juan Carlos Arango Lasprilla from the University of Deusto, Spain, in collaboration with Caron Gan from Holland Bloorview Kids Rehabilitation Hospital in Toronto, Canada. “A lack of information and education on sexuality and disability is a major contributing factor towards the stigma attached to them.”

To help clinicians understand the complexity of interactions between psychological factors, physical factors, and relationship factors, investigators have applied a biopsychosocial model in which all three areas intersect to affect sexuality after TBI:

• Neuropsychological and psychological effects — A review of existing literature reveals that cognitive deficits and changes in body image, loss of identity, adjustment, depression, and anxiety can affect an individual’s confidence level and ease in forming new relationships.
• Medical and physical issues — Medications prescribed to those with TBI may interfere with sexual function. Drugs such as antihypertensives, antidepressants, stimulants, and anticonvulsants can lower libido and cause erectile, ejaculatory, arousal, or orgasmic problems. Physical changes after TBI can also pose additional limitations in sexual functioning.

• Relationship changes — Stress on the patient and family members can cause marked shifts in relationships. For example, spouses of TBI survivors often perceive important personality changes. Social skills such as meeting people, explaining the TBI to others, and learning appropriate boundaries may need to be taught or relearned.

The critical review also provides perspectives from multiple viewpoints: Professional, survivor, and patient/partner. The team’s evaluation of the existing literature notes methodological limitations that include insufficient sample sizes and an underrepresentation of women.

“Sexual difficulties are common in TBI survivors and affect both the individual and the family system. Sexual dysfunction is only one part of sexual difficulties observed in TBI patients, as the existence of other deficits in cognition, emotion and functionality may affect the expression of sexuality,” says Moreno. “Assessment, treatment, and systematic follow-up of post-TBI sexual difficulties should always be part of the clinical agenda throughout all rehabilitation and post-rehabilitation stages.”

The research team further notes that future studies need to explore the partner’s perspectives and that researchers should favor studies considering both the patient’s and the partner’s viewpoints. In addition, they mention the need to include Lesbian, Gay, Bisexual, Transgender and Intersex (LGBT) considerations in the assessment and rehabilitation agenda of TBI.

ikenbot:

Study: Proof That We Sexually Objectify Women

We look at women the same way we look at houses and sandwiches: as composites of attractive parts.

Problem: Few would argue that the objectification of women is a real thing — and a real problem — but as yet there’s been no cognitive explanation for it in a literal sense. Do we really look at women differently than we do men, and are they actually objectified in the eye — and brain — of the beholder?

Methodology: Images of average, fully clothed individuals were quickly flashed before the eyes of participants. After each one, the participants would then be shown two side-by-side images that zoomed in on one, “sexual” aspect of the individual (for example, a woman’s midriff) and asked to identify the version that hadn’t been modified. The experiment was also reversed, so that participants first looked at a specific part and then had to identify it in the context of an entire body. The test was designed to clue researchers in on whether the participants were using global or local cognitive processing while looking at the images — in other words, whether they perceived the individuals as a whole or as an assemblage of their various parts.

Results: Regardless of gender, participants consistently recognized women’s sexual body parts more easily when presented in isolation. Men’s sexual body parts, on the other hand, were more memorable as part of their entire bodies.

Conclusion: The cognitive process behind our perception of objects is the same that we use when looking at women, and both genders are guilty of taking in the parts instead of the whole. When we look at men, we use global processing to see them more fully as people.

The full study,”Seeing women as objects: The sexual body part recognition bias,” is published in the European Journal of Social Psychology.