For a long time ignored in mental health services for patients with psychosis, sexuality has now become one of the fundamental dimensions of patients' quality of life.
Objective. - In order to improve the assessment and management of patients' sexual problems, this article proposes a dimensional and transnosographic assessment framework, structuring and linking of data on sexual and psychological functioning.
Method. - A narrative review of the scientific literature focusing on the sexual health. This article presents the conceptual, clinical and epistemological obstacles to taking into account the sexual health of patients, living with a psychological disability; then this article proposes an analysis framework of sexual and psychological dysfunctions; Finally, it illustrates the interest in its application through an example in people with schizophrenia.
Results. - We argue the relevance of the structuring of the assessment according to 2 axes - bio-psychosocial and diachronic-synchronic. These two axes take into account the complexity of sexual and psychological functioning, and allow a comprehensive approach of sexual dysfunctions, in connection with the alterations of psychological functions.
Conclusions. - The proposed assessment offers a support for the analysis of sexual functioning in a transnosographic way. (C) 2021 Sexologies. Published by Elsevier Masson SAS. All rights reserved.