Treatment of sex offenders with antiandrogenic medication: Conceptualization, review of treatment modalities, and preliminary findings

F. S. Berlin, C. F. Meinecke

Research output: Contribution to journalArticlepeer-review

Abstract

Sexual deviation disorders, or paraphilias, are diagnosable psychiatric syndromes manifested by 1) recurrent fantasies about deviant sex, 2) intense associated cravings, and 3) stereotypic behavioral responses. Pedophiles seek out children in response to their erotic thoughts and urges, whereas exhibitionists expose themselves. Paraphiliac syndromes ordinarily follow a chronic course and may be associated with biological pathology, but etiological factors are poorly understood. Treatment becomes a consideration when the well-being or rights of others are compromised. Proposed treatments have included psychotherapy, behavior therapy, surgery, and medication. Medroxyprogesterone acetate, which reduces testosterone, may diminish sexual preoccupation and urges, making self-control easier.

Original languageEnglish (US)
Pages (from-to)601-607
Number of pages7
JournalAmerican Journal of Psychiatry
Volume138
Issue number5
DOIs
StatePublished - Jan 1 1981

ASJC Scopus subject areas

  • Psychiatry and Mental health

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