"Offenders castrated under coercion might, for example, illicitly obtain testosterone or other anabolic steroids and thereby reverse the effects of surgery. Although this has not been reported to be a problem to date according to the literature (Stiirup, 1968, reports that one rapist in his study obtained testosterone), anabolic steroids are now easily available from the illicit market and are commonly used by body builders and other athletes (Brower, 1993). In any event, castration is probably not appropriate for a large proportion of offenders who have a history of diverse nonsexual offenses in addition to their sexual ones. "
[Show abstract][Hide abstract] ABSTRACT: The authors review the literature on the psychology of sex offenders, variables associated with recidivism, actuarial methods to predict recidivism, and treatment. Sexual deviance measured phallometrically can discriminate, with high accuracy, between sex offenders and other men. Sex offenders remain at risk for a long time after release, and combinations of variables selected for their cumulative efficiency in predicting recidivism have been developed and validated. The ability of any interventions to effect reductions in recidivism is unknown. Methodologically sound evaluations of all intervention (therapy, drugs, community notification, registration, and supervision) should have high priority. Finally, application of the available data can increase the likelihood that new legislation intended to reduce the risk represented by sexual predators will have its intended results.
Psychology Public Policy and Law 01/1998; 4:73-115. · 1.93 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: There has been increasing interest in the treatment of sexual deviation by pharmacological agents in recent years. This is in part the result of the sexually violent predator legislation being found constitutional by the U.S. Supreme Court in Kansas v. Hendricks 1977. In addition there is an acknowledgment that the sexual abuse of children is a public health problem of staggering proportions and progress in dealing with this is crucial. There are pharmacological agents, specifically serotonin reuptake inhibitors, that are familiar drugs to the average psychiatrist that also appear to be effective agents in the treatment of sexual deviation, meaning a role for the average psychiatrist in the treatment of sexual deviation is feasible. The pharmacological agents include antiandrogen and hormonal drugs as well as the serotonin reuptake inhibitors. The modes of actions, and usual methods of prescribing these agents is reviewed in this article. Further a review of some of the research studies is also included as well as some comments about ethical dilemmas. Future directions in research in this important area are also covered.
The Journal of Sex Research 08/2000; 37(3):248-257. DOI:10.1080/00224490009552045 · 2.53 Impact Factor
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