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Despite being integral parts of all our identities, sexuality, sex and intimacy are what many would call the Last Taboo in dementia care, usually seen as ‘problem behaviours’ to be stopped and dealt with.

Informed by a combination of accessible neuroscience and person-centred compassion, Danuta Lipinska’s new book shows that the human need for intimacy, attachment and sexual expression is as important for supporting the wellbeing and personhood of people with dementia as communication and care. Considering the brain as the body’s biggest sex organ, it examines the cognitive changes that occur in dementia and what these changes mean in the context of sexual behaviour and consent. Taking Carl Rogers’ Core Conditions and Tom Kitwood’s psychological needs of persons living with dementia as a starting point, Lipinska offers a unique model for person-centred conversations about sex and sexuality that we have not seen before.


Caroline Baker, Director of Dementia Care, Barchester Healthcare
Wonderful ... The case studies are really helpful in helping us to understand all aspects of dementia, sex and wellbeing, and the points for reflection could also be used as part of an informative discussion or training session with staff.
Peter Wells, Accredited sex and relationship therapist and supervisor, Anglican Priest and Honorary Canon
A very valuable and informative volume, bringing together the two complex issues of sex and dementia ... that cannot, and should not, be ignored.
Karen Borochowitz, DementiaSA ( and Stuward (
Danuta must be applauded for her sensitive and insightful book - it is refreshing and will go a long way to lifting the lid on a subject that is often dismissed and taboo. Well done and thank you Danuta! A must read for everyone.
Luke Tanner, body psychotherapist and dementia care trainer
In addressing human sexuality and its manifold expressions, this book demonstrates that talking about a person's sexual needs can be a profoundly caring act and a deeply humanising process. In exploring the sexual self with compassion, respect and openness, Danuta's reflections on the subject help us to understand more about who we are and what matters to us. After reading this book it is very hard to imagine how anyone could offer person centred dementia care without considering the sexual needs and sexual identities of people living with a dementia.
Uruakanwa Ekwegh, Specialty Doctor in Medicine for older people, British Geriatrics Society blog
Having read this book I know that at least one of the author's goals was accomplished with me: I have been able to "reflect on (my) innermost thoughts and feelings... to gain a real sense of where (my) blind spots may be". Anyone in health and social care who works with people living with dementia (patients or carers) will benefit from her passion, experience and expert knowledge passed on in this book.