Treatment of sexual offenders in Herstedvester, Denmark: The rapists

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    • "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. "
    Harris · G.T · Rice · M.E · Quinsey · V.L ·
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    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
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    ABSTRACT: In Denmark the desire for psychiatric cooperation within the juridical system has on the whole been on the decline during the past decades. This applies both to the writing of psychiatric reports to the court, and to the sanction system. Within civil forensic psychiatry, practice is almost unchanged and unchallenged, while the demand for one form of social forensic psychiatry has been drastically reduced with the liberalization of abortion and sterilization laws. The present practice of penal forensic psychiatry is described. Remarks on the future organization and research are made.
    Acta Psychiatrica Scandinavica 04/1977; 55(3):176-80. DOI:10.1111/j.1600-0447.1977.tb00156.x · 5.61 Impact Factor
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    ABSTRACT: Sex drive reducing therapies are employed in those cases of anomalous erotic preferences in which the patient's sexual behaviour is dangerous (certain forms of sadism, or a preference for forcing intercourse or similar interaction) or while not really dangerous, is utterly unacceptable to the community (pedophilia and pedohebephilia) or is an embarrassment to the patient himself (exhibitionism). Three sex drive reducing therapies are in use, all designed for male patients, (1) pharmacological reduction of circulating testosterone, (2) orchidectomy, (3) deletion of certain brain structures by stereotaxic surgery. The main indication for pharmacological sex drive reduction is exhibitionism but here it should be used only temporarily, as a first emergency measure, and after that only intermittently, during periods when the patient can not manage his urges by techniques he should be taught by a behaviour therapist. In cases of unmanageable and dangerous sadism, orchidectomy is the method of choice--and the same would appear to be true for particular cases of pedohebephilia. Brain surgery in this realm is not yet based on sufficient knowledge and should be thoroughly studied on infrahuman primates, before use with humans could be seriously considered.
    Acta psychiatrica Scandinavica. Supplementum 02/1980; 287(s287):5-38. DOI:10.1111/j.1600-0447.1980.tb10433.x
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