Social disinhibition is becoming increasingly recognised in the neuropsychological literature as a complex and debilitating sequalae associated with acquired frontal lobe damage. Despite this, the term has been inconsistently defined and described in both clinical and research contexts. The purpose of this paper was to explore and examine the concept of social disinhibition in the context of brain injury and other organic neurological conditions.

A literature search for articles published in the English language from journal inception to June 2021 was conducted using MEDLINE, PsycInfo, Embase, CINAHL and Web of Science. A ‘concept analysis’ was conducted on the identified literature using Walker & Avant’s (2019) framework.

The analysis suggested that while several terms are often used interchangeably with social disinhibition, including impulsivity and behavioural dysregulation, these terms may be differentiated and defined separately within the broader domain of ‘behaviours of concern’. Attributes, antecedents and consequences of social disinhibition were also identified and discussed.

Clarifying the concept of social disinhibition has important implications in both clinical and research contexts, including increased understanding of the behaviours, more accurate estimates of incidence and prevalence, and the development and implementation of targeted rehabilitation programmes.

神经心理学文献越来越多地认识到，社会抑制解除是一种与获得性额叶损伤相关的复杂且令人衰弱的后遗症。尽管如此，该术语在临床和研究背景下的定义和描述并不一致。本文的目的是探讨和研究脑损伤和其他器质性神经系统疾病背景下的社会去抑制的概念。

使用 MEDLINE、PsycInfo、Embase、CINAHL 和 Web of Science 对从期刊创刊到 2021 年 6 月期间以英语发表的文章进行了文献检索。使用 Walker & Avant (2019) 框架对确定的文献进行“概念分析”。

分析表明，虽然有几个术语经常与社会去抑制互换使用，包括冲动和行为失调，但这些术语可以在更广泛的“关注行为”领域内进行区分和单独定义。还确定并讨论了社会去抑制的属性、前因和后果。

澄清社会抑制解除的概念对临床和研究都有重要意义，包括增加对行为的理解，更准确地估计发病率和患病率，以及制定和实施有针对性的康复计划。