Twenty male paraphilic sex offenders were followed for from 1 to 13 years (median, 4 years, 9 months) in a program of combined antiandrogen (medroxyprogesterone acetate [MPA]) and counseling therapy. Duration of the MPA treatment ranged from three months to five years, nine months (median, two years, five months). The current legal status of the men proved to be a multivariate function of being a treatment dropout; time elapsed since last hormonal injection; compliancy; use of alcohol, 'street' drugs, or prescription antiepileptic drugs; and establishment of pair-bondedness with an erotosexual partner. Though overall the long-term prognosis with this form of treatment is statistically modest, for some patients it proved to be the only form of treatment that induced a long-term remission of symptoms and kept them off a treadmill of imprisonment.
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health