Case Report: Resolution of Severe Sexual Aggression in a Developmentally Disabled Adolescent During Leuprolide Acetate Use

Fosdick, Cara; Mohiuddin, Sarah

doi:10.1007/s10803-016-2739-z

Cited by 9 publications

(11 citation statements)

References 13 publications

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“…Another paper explored the use of leuprolide acetate (a testosterone antagonist; Fosdick & Mohiuddin, 2016). Their 15-year old client took leuprolide acetate alongside intensive behavioural therapy.…”

Section: Medicationmentioning

confidence: 99%

“…Similarly, Fosdick and Mohiuddin's (2016) client resumed his education once psychotropic medication had taken effect. The service-user presented by Griffin-Shelley (2010) on the other hand, was not able to be reintegrated into his family or wider community potentially due to the fact that he had offended against his two younger sisters.…”

Section: Anecdotal Evidencementioning

confidence: 99%

“…The literature, however, shed light upon the currently used treatment approaches for male adolescent sex offenders with ASC. The majority of interventions were delivered in residential settings by multi-disciplinary (Fosdick & Mohiuddin, 2016;Kohn et al, 1998;Ray et al, 2004;Shenk & Brown, 2007) or multiagency teams (Griffin-Shelley, 2010;Pritchard et al, 2016). The multi-disciplinary/multiagency element was in line with NICE guidelines for YP exhibiting HSB (NICE, 2016).…”

Section: Synthesismentioning

confidence: 99%

“…Three studies used medication (Fosdick & Mohiuddin, 2016;Griffin-Shelley, 2010;Kohn et al, 1998). Psychological treatment consisted predominantly of adapted CBT with individual and group components.…”

Section: Synthesismentioning

confidence: 99%

See 3 more Smart Citations

Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact

Schnitzer

Terry

Joscelyne

2019

The Journal of Forensic Psychiatry & Psychology

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Aims: Offending behaviour in adolescents with autism spectrum conditions (ASC) is rare. However, some theoretical links have been drawn between sexual offending and autismtypical deficits. Although research in this area is scarce, case-studies have begun to evaluate the impact of treatments for juvenile sexual offenders with ASC. This review aimed to summarise the available treatments for this group and their impact on young people (YP). Methods: A systematic literature review was conducted. Six online data-bases were searched for studies detailing interventions with adolescent sexual offenders with ASC. Results: Six case-studies were reviewed. Interventions consisted of detailed assessments, staff training, peer support, medication, and adapted cognitive-behavioural therapy. One casestudy used narrative techniques. Only two studies reported on objective and measurable treatment effects whilst the remainder relied solely on anecdotal evidence. Studies presenting quantitative data found a decrease in sexual arousal, absconding, sexually harmful/inappropriate behaviour, and masturbation to deviant fantasies. Anecdotal evidence pointed to increased insight, flexibility, ability to open-up, and reintegration. The overall quality of studies was low with one exception. Research and clinical implications are discussed.Conclusions: Whilst some benefitted from the currently used treatment options, results cannot be generalised due to methodological flaws.

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Section: Medicationmentioning

confidence: 99%

Section: Anecdotal Evidencementioning

confidence: 99%

Section: Synthesismentioning

confidence: 99%

Section: Synthesismentioning

confidence: 99%

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Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact

Schnitzer

Terry

Joscelyne

2019

The Journal of Forensic Psychiatry & Psychology

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“…This led to the ICD-11 exclusion of fetishistic, sexual masochism, and transvestic disorder, 41,45 behaviors that have been reported in ASD individuals. So far, only very few studies have assessed hypersexual or paraphilic behaviors in individuals with ASD, and most of them are case reports reporting about ASD individuals showing excessive masturbation, [46][47][48][49][50] exhibitionistic behaviors, 51 pedophilic fantasies or behaviors, 52,53 fetishistic fantasies or behaviors, 54,55 sadomasochism, 50 or other forms of paraphilias. 56 However, to our knowledge, all previous studies on hypersexual and paraphilic behaviors have been conducted in males and in most cases with cognitively impaired ASD individuals.…”

Section: L I N I C a L R E S E A R C Hmentioning

confidence: 99%

Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder

Schöttle

Briken

Tüscher

et al. 2017

Dialogues in Clinical Neuroscience

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Like nonaffected adults, individuals with autism spectrum disorders (ASDs) show the entire range of sexual behaviors. However, due to the core symptoms of the disorder spectrum, including deficits in social skills, sensory hypo- and hypersensitivities, and repetitive behaviors, some ASD individuals might develop quantitatively above-average or nonnormative sexual behaviors and interests. After reviewing the relevant literature on sexuality in high-functioning ASD individuals, we present novel findings on the frequency of normal sexual behaviors and those about the assessment of hypersexual and paraphilic fantasies and behaviors in ASD individuals from our own study. Individuals with ASD seem to have more hypersexual and paraphilic fantasies and behaviors than general-population studies suggest. However, this inconsistency is mainly driven by the observations for male participants with ASD. This could be due to the fact that women with ASD are usually more socially adapted and show less ASD symptomatology. The peculiarities in sexual behaviors in ASD patients should be considered both for sexual education and in therapeutic approaches.

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Evaluation of Sexual and Socio-Emotional Well-Being in Persons Affected by ASD: Are We Ready?

Limoncin,

Ciocca,

Jannini

et al. 2024

Autism Spectrum Disorder: Understanding the Female Phenotype

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Case Report: Resolution of Severe Sexual Aggression in a Developmentally Disabled Adolescent During Leuprolide Acetate Use

Cited by 9 publications

References 13 publications

Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact

Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact

Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder

Evaluation of Sexual and Socio-Emotional Well-Being in Persons Affected by ASD: Are We Ready?

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