Treatment providers should use caution if considering the use of hormonal or even non-hormonal treatments with adolescents who have committed sexual offenses. A review of the scientific literature found that sex offenders on Depo-Provera re-offended as infrequently as 1 percent of the time, while those not on it reoffended as often as 68 percent of the time.
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On April 30,a man in the United Kingdom found guilty of attempting to murder a year-old woman in order to abduct and rape her two granddaughters agreed to undergo chemical castration as part of the terms of his sentence. However, there is also evidence that offenders treated with hormonal agents alone show similar rates of sexual recidivism following a standard course of pharmacotherapy and follow-up than their non-hormonally-treated counterparts e.
Barry M. These chemical agents, referred to as antiandrogens, act by breaking down and eliminating testosterone and inhibiting the production of leutinizing hormone through the pituitary gland, which in turn inhibits or prevents the production of testosterone.
But we just don't know which offenders are which. The Journal of Sexual Medicine. Archivio Italiano di Urologia e Andrologia. The program developers note the voluntary nature of the program a crucial factor in its success.
As is the case with hormonal agents, the prescriptive use of nonhormonal pharmacological agents to treat sexual offenders will not address all etiologies and risk factors, and should therefore be combined with psychotherapy specific to sexual offenders.
On May 23, , a serial sex offender legally called Park in the court case was ordered by the committee to undergo this treatment after his most recent attempted offense. Primary examples include medroxyprogesterone acetate MPA — Depo Provera , leuprolide acetate, cyproterone acetate, and gonadotropin-releasing hormone analog.
The treatment of sexual offending behaviors is complex and involves multiple etiologies, individualized risk reduction and risk management needs, and heterogeneous biopsychosocial, interpersonal, and legal factors. These scientists therefore argue that the biological as opposed to sociological effect of reduced testosterone is to make it more difficult and not easier to use masturbation without pornography or other socially acceptable substitutes to manage remaining sex drive in a former offender, and that many community persons both male and female find that a lower initial arousal makes it more difficult to orgasm by masturbation without pornography or with non-preferred stimulation.
One retrospective study reported significant reduction in paraphilic activity among participants Kraus, Strom, Hill, et al.