Excerpts

Let's Talk About Sex

Many professionals, caregivers, family members, couples, and survivors are not comfortable talking about sexuality and sexual intercourse. After a brain injury, the physical ability to be sexual often changes for survivors. Yet, for some, it stays the same. Survivors of brain injury are more likely to report physiological, physical, and emotional difficulties with sex compared to “healthy” individuals.

Professionals have their own approaches to sexuality. Many are not comfortable talking about it, preferring to employ something like a “don't ask, don't tell policy.” Patients or clients may interpret this avoidance as an indication that these issues are unhealthy, unrealistic, or unimportant. Just the opposite is true. Sexual health is a critical part of rehabilitation after brain injury.

What's the difference between sexuality and intimacy?

Intimacy is described as a close personal relationship that involves emotional and/or physical closeness. Emotional intimacy means a deep sharing of one's self, communication, and a feeling of connectedness. Intimate relationships are often friendships and spiritual relationships, as well as dating and marital relationships. Physical intimacy is defined as romantic attachment, love, or sexuality. It is important to note that physical intimacy does not require sexual expression or intercourse. Sexuality is comprised of a person's sexual orientation, thoughts and desires, erotic fantasies, preferences for sexual touch, and personal expression.