ABSTRACT
Eight patients are described in whom either hypersexuality (four cases) or change in sexual preference (four cases) occurred following brain injury. In this series disinhibition of sexual activity and hypersexuality followed medial basal-frontal or diencephalic injury. This contrasted with the patients demonstrating altered sexual preference whose injuries involved limbic system structures. In some patients altered sexual behaviour may be the presenting or dominant feature of brain injury.
Subject(s)
Brain Injuries/complications , Paraphilic Disorders/etiology , Adult , Brain Injuries/pathology , Brain Injuries/psychology , Diencephalon/pathology , Frontal Lobe/pathology , Homosexuality , Humans , Male , Middle Aged , Paraphilic Disorders/pathology , Pedophilia/etiology , Voyeurism/etiologyABSTRACT
The etiological significance of the actually observed primal scene in fetishism and other perversions is discussed. The impact of the primal scene on the pathology of part object relationships, self and object image, and on the development of superego structures in perversion is stressed.
