Related Experiment Video
Updated: Jun 9, 2025
06:58
Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
7.3K
From Gatekeeper to Facilitator: Balancing Between Sexual Rights and Protection From Harm in Dementia Adults
1School of Medicine (HYC), College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Centre for Gender Studies (HYC), University of Cambridge, Cambridge, United Kingdom.
Summary
Assessing sexual consent capacity in people with dementia is complex. This review suggests a balanced approach to support sexual autonomy while ensuring safety, recognizing the benefits of sexual expression.
Area of Science:
- Gerontology
- Neuroscience
- Bioethics
Background:
- Assessing sexual consent capacity is challenging due to dynamic factors and intensified complexities in people with dementia.
- Practitioners face a dilemma balancing protection with supporting sexual expression in this population.
- Dementia's impact, care settings, and legal issues further complicate sexual consent evaluations.
Purpose of the Study:
- To provide a framework for assessing sexual consent capacity in people with dementia.
- To support sexual autonomy while mitigating risks of exploitation or perpetration.
- To address the ethical and practical challenges in evaluating sexual consent in this demographic.
Main Methods:
- A narrative review of literature from 1990 to 2023 was conducted.
- Searches were performed on PubMed, focusing on dementia and sexuality.
- Relevant articles were scrutinized for themes related to sexual consent capacity.
Main Results:
- Identified themes include cognitive impairment's effect on sexuality, challenges in residential care, and existing consent capacity models.
- Ethical frameworks for sexual rights and law were also identified.
- 41 relevant articles were analyzed.
Conclusions:
- Prolonged suppression of sexual expression negatively impacts well-being and identity in people with dementia.
- Existing consent capacity models have limitations requiring a more balanced ethical and practical approach.
- A shift towards a facilitator role, with educational programs and policies, is proposed to support sexual rights and safeguard vulnerable individuals.
Related Concept Videos
01:30Dementia
97
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
97
01:30Ethical Dilemmas II
938
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
938
01:27Nursing Ethical Principles II
924
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
924
01:30Cognitive Development During Adulthood
61
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
61
02:12Relationship Formation
39.8K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.8K
01:17Ethical Dilemmas I
848
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
848