“I kind of find that out by accident”: probation staff experiences of pharmacological treatment for sexual preoccupation and hypersexuality

Abstract

Purpose -This paper aimed to explore the views and experiences of probation staff working with individuals convicted of a sexual offence who have been prescribed medication to manage sexual arousal (MMSA).Design/methodology -Semi-structured interviews were utilised with a sample of probation staff (Offender Supervisors and Managers, n=12), who supervise individuals convicted of a sexual offence, either in prison, or post-release in the community. Data were analysed using thematic analysis. Originality/value -This study offers a novel perspective on MMSA -that of the probation staff supervising prisoners taking MMSA. This has not been explored before, and the findings and associated implications are of importance for the treatment and care of those convicted of sexual offences.

“One a Day Keeps the Prison Away”: Understanding the Experiences of Individuals Convicted of Sexual Offences Receiving Anti-Androgens for the Treatment of Problematic Sexual Arousal

“…This perspective that taking the medication would “look good at the parole board” (P. 2) or ensure they “get out quicker” (P. 7) was held by a number of participants. Research with offender managers in prison has found that they hold a sceptical view of the medication for this very reason (Elliott et al, 2018 ). 3 Despite this, the voluntary nature of taking MMPSA may suggest to some individuals taking MMPSA that members of the parole board could view them as more motivated and engaged in the process of addressing their PSA, and therefore see them as a lower risk.…”

“…Here, both participants discuss the impact of hearing others talk about the effects of the medication instilling a sense of uncertainty regarding whether they wanted to take the medication (see also Elliott et al, 2018 ; Lievesley et al, 2014 ). It is important to note that some of these rumours do represent accurate information, with documented side effects of anti-androgens including gynecomastia (breast growth) and an inability to gain an erection (Nguyen et al, 2015 ).…”