International Journal of Offender Therapy and Comparative Criminology

 

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International Journal of Offender Therapy and Comparative Criminology, Vol. 47, No. 4, 407-421 (2003)
DOI: 10.1177/0306624X03253847

Differential Pharmacological Treatment of Paraphilias and Sex Offenders

Andreas Hill, M.D.

Klinik fuer Psychiatrie und Psychotherapie Abteilung für Sexual forschung und Forensik Universitaetsklinikum Hamburg Eppendorf

Peer Briken, M.D.

Klinik fuer Psychiatrie und Psychotherapie Abteilung für Sexual forschung und Forensik Universitaetsklinikum Hamburg Eppendorf

Christian Kraus, M.D.

Klinik fuer Psychiatrie und Psychotherapie Abteilung für Sexual forschung und Forensik Universitaetsklinikum Hamburg Eppendorf

Kerstin Strohm

Klinik fuer Psychiatrie und Psychotherapie Abteilung für Sexual forschung und Forensik Universitaetsklinikum Hamburg Eppendorf

Wolfgang Berner, M.D.

Klinik fuer Psychiatrie und Psychotherapie Abteilung für Sexual forschung und Forensik Universitaetsklinikum Hamburg Eppendorf

This article gives an overview of current pharmacological treatment of paraphilias and sex offenders focusing on the situation in Germany. Information about selective serotonin reuptake inhibitors (SSRI) is followed by data about established antihormonal substances (cyproterone acetate/CPA, and medroxyprogesterone acetate/MPA), as well as a more detailed account on luteinizing hormone-releasing hormone agonists (LHRH agonists). The results of open, uncontrolled clinical studies with SSRIs (n = 16) and LHRH agonists (n = 11) in paraphilic outpatients confirm the positive effects of these substances. A survey about the use of CPA and LHRH agonists in forensic hospitals in Germany shows that half of the patients treated with any kind of (anti-) hormonal agents received an LHRH agonist. The authors present a protocol on side effects, contraindications, and monitoring of CPA and LHRH agonists and develop an algorithm for differential pharmacotherapy of paraphilias.

Key Words: pharmacotherapy • paraphilia • sex offender • SSRI • LHRH agonist • CPA


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[Abstract] [PDF]