ABSTRACT
This chapter explores the effects of traumatic brain injury (TBI) and stroke on sexuality and ways of addressing these. Recently, Simpson, Sabaz and Dayar investigated inappropriate sexual behaviour (ISB) among a community-based cohort of 507 clients of a statewide brain injury rehabilitation programme who had severe TBI. Therapeutic interventions for sexuality in individuals with TBI clearly need to address specific barriers to social participation, facilitate opportunities to form social relationships and possibly provide specific sexual therapy in individuals who are less independent in daily activities. In spite of the reported high frequency of change in sexual behaviour and experience following both TBI and stroke, in many instances sexual issues are not even discussed in the course of rehabilitation. Unfortunately none of the studies of sexuality following ABI have explicitly addressed the impact of acquired brain injury (ABI) on sexuality for individuals who are lesbian, gay, bisexual, trans and/or intersex (LGBTI).
