title: Iatrogenic sexual dysfunction and the protective withholding of information: in whose best interest?
abstract: In recent years a growing body of evidence has highlighted the impact of neuroleptics and antidepressants on sexual function. Research from a service user's perspective suggested that service users are dissatisfied with the information that they received on drugs, and would like more education, in particular, on the side effects of medication that impact on sexual function. This paper reports some of the findings of a grounded theory study that explored how psychiatric nurses responded to issues of sexuality in practice. Emphasis within the paper is given to how nursing staff addressed the side effects of drugs that impact on sexual function. Findings suggested that nurse addressed the issue of prescribed medication and sexual function in practice, using a 'Veiling Sexualities Cycle', which had three subcategories: 'Hanging the Veil', 'Lifting the Veil' and 'Re-veiling'. In the light of contemporary mental health policy, findings from the study are discussed and recommendations for practice and education made.
authors.affiliation: School of Nursing and Midwifery Studies, Trinity College Dublin, Dublin, Ireland. aghiggins@tcd.ie
authors.forename: A
authors.initials: A
authors.lastname: Higgins
authors.forename: P
authors.initials: P
authors.lastname: Barker
authors.forename: C M
authors.initials: CM
authors.lastname: Begley
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007049:Iatrogenic Disease; D007258:Informed Consent; D007494:Ireland; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy / Q000451:nursing* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D010344:Patient Advocacy; D010353:Patient Education as Topic; D011568:Psychiatric Nursing / Q000458:organization & administration; D011619:Psychotropic Drugs / Q000009:adverse effects*; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced*; D020018:Sexual Dysfunctions, Psychological / Q000139:chemically induced*; D012752:Shame; D011795:Surveys and Questionnaires; D014342:Truth Disclosure
chemical_list: D011619:Psychotropic Drugs