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Demenza e comportamento sessuale
Titolo Rivista: RIVISTA DI SESSUOLOGIA CLINICA 
Autori/Curatori: Luigi Lombardo, Roberta Rossi 
Anno di pubblicazione:  2016 Fascicolo: Lingua: Italiano 
Numero pagine:  18 P. 33-50 Dimensione file:  276 KB
DOI:  10.3280/RSC2016-001002
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Sebbene la sessualità, i sentimenti e l’intimità rimangano aspetti importanti della vita nelle persone anziane e nei soggetti affetti da Demenza, un falso mito persistente nella società vorrebbe i pazienti affetti da Demenza asessuati ed i desideri ed i bisogni di relazione come qualcosa di destinato a dissolversi con l’avanzare dell’età. In realtà la sessualità espressa da pazienti con Demenza può essere espressa, talora drammaticamente, sotto forma di comportamenti sessuali inappropriati (ISB). Sulla definizione di tali sintomi comportamentali, non c’è al momento, nella letteratura scientifica internazionale una concordanza di vedute, tuttavia gli ISB comprendono una qualsiasi forma di agito verbale o fisico messo in atto in un contesto socialmente inappropriato. Esempi di ISB sono: esposizione dei genitali in pubblico o nel luogo di ricovero, masturbazione in pubblico e forme di aggressione sessuale nei confronti di degenti, operatori o familiari tanto che questi aspetti sono spesso fonte di preoccupazione, imbarazzo e fatica per chi si relaziona con questa tipologia di pazienti. La ricerca e di conseguenza la letteratura disponibile sui trattamenti è al momento piuttosto limitata. Interventi di tipo non farmacologico (tecniche comportamentali, strategie di distrazione, terapia occupazionale) possono essere efficaci se personalizzate. Numerosi trattamenti farmacologici (con antidepressivi, antiandrogeni, antipsicotici, ed anticonvulsivanti) vengono utilizzati empiricamente, tuttavia solo poche evidenze sono disponibili nella letteratura scientifica riguardo l’efficacia e la consistenza degli effetti collaterali, tanto che non esistono chiare linee guida in grado di precisare quali siano da considerare trattamenti di prima o di seconda linea.


Keywords: Demenza, comportamento sessuale, malattia di Alzheimer, Demenza fronto-temporale, disinibizione, ipersessualità, comportamento aggressivo

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  1. Vaitsa Giannouli, Social Issues Surrounding Harassment and Assault pp. 625 (ISBN:9781522570363)
  2. Vaitsa Giannouli, Social, Psychological, and Forensic Perspectives on Sexual Abuse pp. 207 (ISBN:9781522539582)

Luigi Lombardo, Roberta Rossi, in "RIVISTA DI SESSUOLOGIA CLINICA" 1/2016, pp. 33-50, DOI:10.3280/RSC2016-001002

   

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