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Published online by Cambridge University Press: 16 April 2020
This lecture addresses testosterone-lowering and other psychotropic medications for the treatment of sexual offenders.
Literature review.
Randomized controlled studies on pharmacological treatments for sexual offenders with the outcome criterion recidivism are still lacking. On the other hand, there is a substantial scientific knowledge about the wide range of psychiatric comorbidity in sexual offenders. Empirically-based treatment especially of impulsivity, anxiety and mood disorders in these patients may also ameliorate the sexual impulsivity. The prescription of testosterone lowering agents should be restricted to paraphilic sexual offenders with an at least moderate or high risk for hands on sexual offences and should always be combined with psychotherapy. The decision process for different treatment options will be described focusing on aspects of comorbidity, risk, and motivation.
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