Pharmacological treatments for paraphilic patients and sexual offenders

被引:42
作者
Briken, Peer
Kafka, Martin P.
机构
[1] Univ Med Ctr Hamburg Eppendorf, Inst Sex Res & Forens Psychiat, D-20246 Hamburg, Germany
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] McLean Hosp, Belmont, MA 02178 USA
关键词
paraphilia; pharmacotherapy; serotonin reuptake inhibitor; sexual offender; testosterone;
D O I
10.1097/YCO.0b013e3282f0eb0b
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of review This review addresses testosterone-lowering and other psychotropic medications for the treatment of paraphilic patients or sexual offenders. Recent findings Randomized controlled studies are still lacking, and only a few new studies were reported during the past year. On the other hand, there is substantial scientific knowledge about the wide range of psychiatric comorbidity associated with paraphilias and in sexual offenders. Empirically based treatment of these patients, especially of impulsivity, anxiety and mood disorders, may also ameliorate sexual impulsivity. Summary Medication interventions, either substantially lowering serum testosterone or treating axis\comorbidities, show definite promise as a significant component of the management of sexual offenders. Pharmacotherapy should be combined with other therapeutic treatment modalities, most commonly cognitive-behaviour based psychotherapy and intensive community supervision.
引用
收藏
页码:609 / 613
页数:5
相关论文
共 42 条
[1]  
Adi Y, 2002, Health Technol Assess, V6, P1
[2]   Psychopathology of incarcerated sex offenders [J].
Ahlmeyer, S ;
Kleinsasser, D ;
Stoner, J ;
Retzlaff, P .
JOURNAL OF PERSONALITY DISORDERS, 2003, 17 (04) :306-318
[3]  
Allnutt SH, 1996, J FORENSIC SCI, V41, P234
[4]  
[Anonymous], 2003, CURRENT PRACTICES TR
[5]  
BARTOVA D, 1978, ACTIV NERV SUPER, V20, P72
[6]  
BARTOVA D, 1979, ACTIV NERV SUPER, V21, P163
[7]  
BLACK D, 1998, J PRACTICAL PSYCHIAT, V4, P217
[8]   Self-reported head injuries before and after age 13 in pedophilic and nonpedophilic men referred for clinical assessment [J].
Blanchard, R ;
Kuban, ME ;
Klassen, P ;
Dickey, R ;
Christensen, BK ;
Cantor, JM ;
Blak, T .
ARCHIVES OF SEXUAL BEHAVIOR, 2003, 32 (06) :573-581
[9]   The neurobiology, neuropharmacology, and pharmacological treatment of the paraphilias and compulsive sexual behaviour [J].
Bradford, JMW .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2001, 46 (01) :26-34
[10]  
Briken P, 2005, J FORENSIC SCI, V50, P1204