The hormonal treatment of paraphiliacs with depo-provera

Michael K. Spodak, Z. Ann Falck, Jonas R. Rappeport

Research output: Contribution to journalArticle

Abstract

Psychological therapies as described by Marshall are but one means of reducing the rapist's and child molester's sexual aggressive urges and behaviors. Various organic therapies have been recommended, including psychosurgery and surgical castration. Spodak, Falck, and Rappeport review a newer and more reversible form of castration, chemical castration by the use of the female hormone medroxyprogesterone acetate and the new antiandrogen, cyproterone acetate. These drugs are used to decrease the functioning level of the male hormone, testosterone. Reduction of testosterone appears to decrease overall sexual drive and rather rapidly allows the rapist or child molester to gain greater control (in some cases complete control) of his aggressive sexual urges. Spodak, Falck, and Rappeport describe the use of these hormonal agents, their effects and side effects, and give therapists some guidelines to follow when using these chemical interventions. Although not seen as a panacea, these agents do appear rapidly to assist the deviant in gaining control of his urges, and when coupled with psychotherapy they serve a valuable adjunct to the therapist armamentarium.

Original languageEnglish (US)
Pages (from-to)304-314
Number of pages11
JournalCriminal Justice and Behavior
Volume5
Issue number4
DOIs
StatePublished - 1978

Fingerprint

Medroxyprogesterone Acetate
Castration
Testosterone
Hormones
Psychosurgery
Cyproterone Acetate
Androgen Antagonists
therapist
Ovariectomy
Psychotherapy
Guidelines
Psychology
psychotherapy
Therapeutics
Pharmaceutical Preparations
drug
carbosulfan
Drive

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Law
  • Psychology(all)

Cite this

The hormonal treatment of paraphiliacs with depo-provera. / Spodak, Michael K.; Falck, Z. Ann; Rappeport, Jonas R.

In: Criminal Justice and Behavior, Vol. 5, No. 4, 1978, p. 304-314.

Research output: Contribution to journalArticle

Spodak, Michael K. ; Falck, Z. Ann ; Rappeport, Jonas R. / The hormonal treatment of paraphiliacs with depo-provera. In: Criminal Justice and Behavior. 1978 ; Vol. 5, No. 4. pp. 304-314.
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