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Search terms used included \u2018hypersexuality\u2019, \u2018inappropriate sexual behaviors\u2019, and \u2018dementia\u2019. Publications found through this indexed search were reviewed for further relevant references. Sexuality is a human's need to express intimacy, but persons with dementia may not know how to appropriately meet their needs for closeness and intimacy due to their decline in cognition. Generally, the interaction among brain, physical, psychological, and environmental factors can create what we call <jats:styled-content style=\"fixed-case\">ISB<\/jats:styled-content>. The most likely change in the sexual behaviour of a person with dementia is indifference. However, <jats:styled-content style=\"fixed-case\">ISB<\/jats:styled-content> in dementia appear to be of two types\u2014intimacy\u2010seeking and disinhibited\u2014that differ in their association with dementia type, dementia severity and, possibly, other concurrent behavioural disorder. Tensions develop from uncertainties regarding which, or when, behaviours are to be considered \u2018inappropriate\u2019 (i.e. improper) or abnormal. While most <jats:styled-content style=\"fixed-case\">ISB<\/jats:styled-content> occur in the moderate to severe stages of <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's dementia, they may also be seen in early stages of frontotemporal dementia because of the lack of insight and disinhibition. <jats:styled-content style=\"fixed-case\">ISB<\/jats:styled-content> are often better managed by non\u2010pharmacological means, as patients may be less responsive to psychoactive therapies, but non\u2010pharmacological interventions do not always stop the behaviour.<\/jats:p>","DOI":"10.1111\/psyg.12143","type":"journal-article","created":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T09:45:23Z","timestamp":1438076723000},"page":"145-153","source":"Crossref","is-referenced-by-count":70,"title":["Sexual disinhibition and dementia"],"prefix":"10.1111","volume":"16","author":[{"given":"Gabriele","family":"Cipriani","sequence":"first","affiliation":[{"name":"Neurology Unit Versilia Hospital  Lido di Camaiore Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Ulivi","sequence":"additional","affiliation":[{"name":"Neurology Unit Versilia Hospital  Lido di Camaiore Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Danti","sequence":"additional","affiliation":[{"name":"Neurology Unit Versilia Hospital  Lido di Camaiore Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Lucetti","sequence":"additional","affiliation":[{"name":"Neurology Unit Versilia Hospital  Lido di Camaiore Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Nuti","sequence":"additional","affiliation":[{"name":"Neurology Unit Versilia Hospital  Lido di Camaiore Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,28]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/0-387-22621-4_49"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/30.2.121"},{"key":"e_1_2_4_4_1","volume-title":"The Starr\u2010Weiner Report on Sex and Sexuality in Mature Years","author":"Starr BD","year":"1981"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/46.6.S338"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2008.09.001"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050600744137"},{"key":"e_1_2_4_8_1","first-page":"M325\u20109","article-title":"An observational study of sexual behavior in demented male patients","volume":"51","author":"Zeiss AM","year":"1996","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(02)00026-2"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0891988705277541"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000163219"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317508329479"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195-010-9187-z"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211000676"},{"key":"e_1_2_4_15_1","unstructured":"Fab\u00e0J VillarF.Dementia and inappropriate sexual behavior (ISB): What we know and what we need to know. 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