Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity

Winder, Belinda; Lievesley, Rebecca; Kaul, Adarsh; Elliott, Helen; Thorne, Karen M.; Hocken, Kerensa

doi:10.1080/14789949.2014.903504

Cited by 26 publications

(12 citation statements)

References 38 publications

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“…Indeed, many studies have reported on the effectiveness of chemical castration treatments in reducing sexual drive, erections, and sexual fantasies of sexual offenders (Bradford & Pawlak, 1993; Cooper, 1981; Gijs & Gooren, 1996; Hucker, Langevin, & Bain, 1988; Maletzky & Field, 2003; Meyer & Cole, 1997; Turner, Basdekis-Jozsa, & Briken, 2013; Winder et al, 2014). Chemical castration treatment evaluations have also generally found support for a reduction in recidivism rates (Grossman, Martis, & Fichtner, 1999; Lösel & Schmucker, 2005; Maletzky, Tolan, & McFarland, 2006; Meyer & Cole, 1997; Meyer, Cole, & Emory, 1992).…”

Section: Introductionmentioning

confidence: 99%

Do Sex Offenders Have Higher Levels of Testosterone? Results From a Meta-Analysis

Wong

Gravel

2016

Sex Abuse

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The purpose of the current study is to review the available scientific evidence on the relationship between testosterone and sexual aggression. A systematic search for all primary studies comparing basal testosterone levels in sex offenders and non-sex offenders was undertaken across 20 electronic databases using an explicit search strategy and inclusion/exclusion criteria. A total of seven studies were identified and 11 effect sizes were computed; effects were pooled using both fixed and random effects meta-analysis models. Although individual study findings present a mix of results wherein sex offenders have higher or lower baseline levels of testosterone than non-sex offenders, pooled results indicate no overall difference between groups. Moderators of the analyses suggest possibly lower rates of testosterone in child molesters than controls; however, results are dependent on study weighting. Limitations, policy implications with respect to chemical castration laws, and future directions for research are discussed.

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Section: Introductionmentioning

confidence: 99%

Do Sex Offenders Have Higher Levels of Testosterone? Results From a Meta-Analysis

Wong

Gravel

2016

Sex Abuse

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“…More recently, research using a pre-post-design, carried out in the United Kingdom with incarcerated sex offenders, showed that both SSRIs and testosterone-lowering drugs significantly reduced sexual preoccupation, strength of sexual fantasies, and compulsions, as well as improving general well-being (Winder et al, 2014;Winder et al, 2018). Other medication studies agree (Lewis, Grubin, Ross, & Das, 2017; Thibaut et al, 2011).…”

Section: Efficacy Of Pharmacological Interventionsmentioning

confidence: 94%

Learning from research: Adapting interventions for sexual offending to improve outcomes

Völlm

Craissati²,

Грубин

et al. 2019

Criminal Behav Ment Health

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Background: Sexual behaviour towards another person who does not or cannot consent to it causes serious harm to its victims. Understandable tendencies towards isolating or shaming the offenders, however, may actually increase risks of recidivism and further such harms. Aim:The study aims to consider evidence for the effectiveness of interventions for sex offenders, mainly in a U.K.context, across four areas: criminal justice system programmes, medication, interventions for sex offenders with personality disorder and a community-based model for the reintegration-Circles of Support and Accountability, and identify key evidence gaps. Methods:We searched for reviews in the following four strands of work-psychosocial programmes, medication, personality focused therapies, and Circles of Support and Accountability-and identified gaps in knowledge.

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“…In the past decade, there have been three published articles on the use of SSRIs to treat sex offenders with sexual preoccupation and/or so‐called “hypersexuality.” In a sample of 51 men treated with SSRIs, there was a reduction in “hypersexuality, sexual preoccupation, and sexual compulsivity.” However, the participants in this study were also treated with anti‐androgens (Winder et al, ). When comparing the effectiveness of an anti‐androgen (cyproterone acetate) with two SSRIs (fluoxetine or paroxetine), it was found that all three medications were effective in reducing sexual preoccupation and “hypersexuality” after 1 month of use (Winder et al, ).…”

Section: Treatment Studiesmentioning

confidence: 99%

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Fedoroff

Briken

2020

Behavioral Sci & The Law

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Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010–2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords “treatment or therapy” and “sex offen*”. The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the “average” natal‐born male sex offender. Results showed that several meta‐analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.

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Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity

Abstract: K. (2014). Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity. Journal of Forensic Psychiatry & Psychology, 25 (2).

Cited by 26 publications

References 38 publications

Do Sex Offenders Have Higher Levels of Testosterone? Results From a Meta-Analysis

Do Sex Offenders Have Higher Levels of Testosterone? Results From a Meta-Analysis

Learning from research: Adapting interventions for sexual offending to improve outcomes

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

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