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In this article, Rachel Fyson of the Centre for Social Work in the School of Sociology and Social Policy at the University of Nottingham reports the findings of a study into sexually inappropriate or abusive behaviour occurring between pupils in special schools in four local authorities in England.
The behaviours identified ranged from relatively…. Clinical correlates of verbal aggression, physical aggression and inappropriate sexual behaviour after brain injury. To explore the relationships between verbal aggression, physical aggression and inappropriate sexual behaviour following acquired brain injury.
Multivariate statistical modelling of observed verbal aggression, physical aggression and inappropriate sexual behaviour utilizing demographic, pre-morbid, injury-related and neurocognitive predictors.
Clinical records of participants with acquired brain injury were reviewed, providing an important data set as disordered behaviours had been recorded at the time of occurrence with the Brain Injury Rehabilitation Trust BIRT Aggression Rating Scale and complementary measures of inappropriate sexual behaviour.
Three behavioural components verbal aggression, physical aggression and inappropriate sexual behaviour were identified and subjected to separate logistical regression modelling in a sub-set of 77 participants. Pre-morbid history of aggression predicted verbal but not physical aggression. No variables predicted inappropriate sexual behaviour. Verbal aggression, physical aggression and inappropriate sexual behaviour following acquired brain injury appear to reflect separate clinical phenomena rather than general behavioural dysregulation.
Clinical markers that indicate an increased risk of post-injury aggression were not related to inappropriate sexual behaviour. Inappropriate sexual behaviour in adolescents with autism spectrum disorder: Autism spectrum disorder ASD is a neurodevelopmental disorder impairing social skills and communication. Adolescents with ASD have sexual needs, but may not understand their physical and emotional development resulting in inappropriate sexual behaviour. The aim of this review is to describe the type of inappropriate behaviour that presents in these adolescents, explain why such behaviours occur, suggest what education is suitable and identify current gaps in research.
In total, articles were found, with an additional 15 sources found via soft searches, of which 42 met inclusion criteria and were subsequently reviewed. Sexual behaviours that occur in these adolescents with ASD include hypermasturbation, public masturbation, inappropriate romantic gestures, inappropriate arousal and exhibitionism. Such behaviours are thought to be caused via a lack of understanding of normal puberty, the absence of appropriate sex education, the severity of their ASD and other associated problems.
It is suggested that individualized, repetitive education should be started from an early age in an accessible form. Social skills development is also important before more technical aspects of sex education are taught. Despite being such a common problem for schools, institutions and families to manage, it is surprising how sparse literature is particularly regarding why inappropriate behaviour occurs and what education is effective.
Modelling verbal aggression, physical aggression and inappropriate sexual behaviour after acquired brain injury. Understanding the underpinnings of behavioural disturbances following brain injury is of considerable importance, but little at present is known about the relationships between different types of behavioural disturbances.
This approach offers a powerful test of the architecture of these behavioural disturbances by testing the fit between observed behaviours and different theoretical models. We chose models that reflected alternative theoretical perspectives based on generalized disinhibition Model 1 , a difference between aggression and inappropriate sexual behaviour Model 2 , or on the idea that verbal aggression, physical aggression and inappropriate sexual behaviour reflect broadly distinct but correlated clinical phenomena Model 3.
Model 3 provided the best fit to the data indicating that these behaviours can be viewed as distinct, but with substantial overlap. These data are important both for developing models concerning the architecture of behaviour as well as for clinical management in individuals with brain injury. Evaluation of electrical aversion therapy for inappropriate sexual behaviour after traumatic brain injury: Inappropriate sexual behaviour after acquired brain injury is a severe complication.
Evidence for effective treatment is not available. Electrical aversion therapy EAT is a behavioural therapeutic option used in persons with intellectual disabilities, which might be suitable for brain-injured individuals for whom other therapies are not effective.
The effect of EAT in brain injury has not been investigated previously. A single case experimental design was used. In an ABBA baseline-treatment-treatment-withdrawal design the frequency of the target behaviour ie, inappropriate sexual behaviour in a year-old man was measured daily. A total of measurements were recorded. A significant reduction of the target behaviour was seen after the first treatment phase baseline We conclude that EAT was effective in this patient with inappropriate sexual behaviour due to severe brain injury.
EAT can therefore be considered in therapy resistant inappropriate sexual behaviour in brain-injured patients. Inappropriate sexual behaviours of patients towards practising physiotherapists: Recent research recognizes the occurrence of inappropriate sexual behaviour ISB by patients towards health professionals.
The objective of this study was to explore in-depth the clinical context and effect of incidents of ISB towards practising physiotherapists.
In-depth interviews were conducted with a sub-sample of nine physiotherapists who were part of a larger survey on ISB. Quantitative analyses of the survey responses are reported elsewhere. Interview participants were asked to describe an incident of ISB by a patient that was either perceived to be the worst or was the most recent. They were asked questions on a variety of themes, such as their relationship with the patient prior to incident, the effects of the incident, the strategies used to deal with the incident, and changes in practice as a result of the incident.
All interview participants reported encountering some level of ISB from patients. Although the overall frequency of these behaviours was relatively low, the range of behaviours was diverse. Regardless of the perceived severity of the incident, only four participants labelled their experience as ' sexual harassment'. Many reported negative effects on work performance. Participants mainly used physical measures to prevent further incidents, rather than confronting the perpetrator or reporting the incident.
The findings are discussed in the context of theory pertaining to boundaries and issues of transference and counter-transference. This emphasized the need for effective communication skills training of both undergraduate and graduate physiotherapists in the prevention and management of ISB from patients. This paper presents the results of a three-stage Delphi study examining the current level of consensus among 24 professionals in the United Kingdom regarding definitions of and distinctions between normal, inappropriate and sexually abusive behaviours in children under 10 years, as well as factors influencing their views.
Can attribution theory explain carers' propensity to help men with intellectual disabilities who display inappropriate sexual behaviour? This study examined the responses of care managers and direct care staff to vignettes of inappropriate sexual behaviour by a man with an intellectual disability. The aim was to test the theory that helping behaviour is determined by emotional responses positive and negative emotional reactions, and optimism , which in turn are determined by causal attributions respectively: The vignettes varied in response topography and the age of the victim.
Regression analysis was used to examine the relationships between causal attributions, emotional responses, and willingness to invest extra time and effort in the service user's care. No support was found for the pathway: However, strong support was found for the pathway: High levels of sympathy were also associated with increased helping, the effect again being mediated by feelings of optimism.
The data provide support for one but not the other strand of attribution theory as applied to inappropriate sexual behaviour. The discussion considers the discrepancy between the present data and the far less encouraging literature on attribution theory as applied to challenging behaviour.
Pharmacological Management of Inappropriate Sexual Behaviours: The management of inappropriate sexual behaviours ISB including sexual offending is difficult, especially when the person treated has intellectual disabilities ID. Psychological therapies are the accepted first line of treatment.
Pharmacological treatments have also been advocated, particularly for people who have committed serious…. Bullying and Inappropriate Behaviour among Faculty Personnel. Teachers' Beliefs about Inappropriate Behaviour: This paper focuses on taking a first step in the process of influencing teachers' attitudes by building a description of beliefs about inappropriate behaviour that can be used in staff development work to provoke dissonance-led change.
It describes a study, undertaken in two parts, exploring teachers' attitudes to inclusion, and ascertaining their…. Description, Family Dynamics, and Effects. This paper reviews the research literature from to relative to inappropriate sexual contact between children. Because of the difficulty in making a clear comparison between studies, the normal child sexual development literature was reviewed to establish a baseline for determining the nature of inappropriate sexual interactions between….
Elementary Schools and the Social Organization of Sexuality. This dissertation responds to the question: How is sexuality organized in elementary schools? I argue that despite the absence of overt discussions on sexuality in elementary schools, sexuality is "organized" through social processes that are recursively linked to ideology.
Due to the widely held belief that "children" and…. The owner of a 6-months-old tomcat came to seek help because the cat had attacked her face on a near-daily basis.
Through a detailed behavioural history, the cat's behaviour was diagnosed as human-directed predatory attack behaviour , play-related aggression and reduced motor as well as emotional self-control. Within a few weeks, behavioural therapy produced a significant improvement. After 5 months of therapy, the cat showed neither predatory attacks nor inappropriately rough or aggressive behaviour in play towards its owner or other humans.
Predictive validity of the HCR for violent and non-violent sexual behaviour in a secure mental health service. Violent and non-violent sexual behaviour is a fairly common problem among secure mental health service patients, but specialist sexual violence risk assessment is time-consuming and so performed infrequently.
We aimed to establish whether a commonly used violence risk assessment tool, the Health Clinical Risk management 20 HCR , has predictive validity specifically for inappropriate sexual behaviour. A pseudo-prospective cohort design was used for a study in the adult wards of a large provider of specialist secure mental health services. HCR total score, clinical and risk management subscales, predicted violent and non-violent sexual behaviour.
Prediction of violent sexual behaviour may be regarded as well within the scope of the HCR as a structured professional judgement tool to aid violence risk prediction, but we found that it also predicts behaviours that may be of concern but fall below the violence threshold. High negative predictive values suggest that HCR scores may have some utility for screening out patients who do not require more specialist assessment for inappropriate sexual behaviour.
Quetiapine effective in treatment of inappropriate sexual behavior of lewy body disease with predominant frontal lobe signs. Dementia of Lewy body disease is the second most common degenerative cause of dementia after Alzheimer's disease, among all the dementias. The core features are a progressive dementia, fluctuations in cognitive functions, visual hallucinations, and spontaneous parkinsonism.
Rapid eye movement sleep behavior disorder, severe neuroleptic sensitivity, and low dopamine transporter uptake in basal ganglia are other suggestive features.
Behavioral abnormalities are commonly present in the form of aggressive behavior, irritability, and uninhibited behaviors.
These are mostly seen in the advanced stages of dementia. However, inappropriate sexual behavior is uncommonly seen in such cases. Three types of inappropriate sexual behaviors commonly found in cases of dementia are sex talks, sexual acts, and implied sexual acts.
Such inappropriate sexual behaviors have not been described adequately in dementia of Lewy body disease.
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