Pharmacological treatments for paraphilic patients and sexual offenders
Abstract
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 I 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.
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Current practice recommends that complementary psychological interventions be employed alongside pharmacological agents.
“current practice recommends that complementary psychological interventions be employed alongside pharmacological agents (Lösel 2005; Briken 2007)”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Briken 2007
In sexually impulsive men, comorbidities (generally mood disorders, anxiety disorders, psychoactive substance abuse disorders, attention deficit hyperactivity disorder (ADHD), and neuropsychological conditions) appear to occur more frequently than expected.
“Attention should also be paid to comorbidities (generally mood disorders, anxiety disorders, psychoactive substance abuse disorders, attention deficit hyperactivity disorder (ADHD), and neuropsychological conditions), which appear to occur more frequently than expected in sexually impulsive men (Briken 2007).”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Briken 2007
Cites
Psychiatric Comorbidity in Pedophilic Sex Offenders
Raymond, N. C., Coleman, E., Ohlerking, F., Christenson, G. A., & Miner, M. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.5.786 · Cited by 292 · see citing works
Adi, Y., Ashcroft, D., Browne, K., Beech, A., Fry-Smith, A., & Hyde, C. (2002) · Health Technology Assessment · doi:10.3310/hta6280 · Cited by 52 · see citing works
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Pharmacological interventions for those who have sexually offended or are at risk of offending
Khan, O., Ferriter, M., Huband, N., Powney, M. J., Dennis, J. A., & Duggan, C. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007989.pub2 · Cited by 144 · see citing works
An integrated model to assess and treat compulsive sexual behaviour disorder
Briken, P. (2020) · Nature Reviews Urology · doi:10.1038/s41585-020-0343-7 · Cited by 101 · see citing works
Self-citationSexuelle Sucht?: Wenn sexuelles Verhalten außer Kontrolle gerät
Briken, P., & Basdekis-Jozsa, R. (2010) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-010-1033-z · Cited by 23 · see citing works
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- Authors
- Briken, P., & Kafka, M. P.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Harvard University (US)
- Corresponding author
- Briken, Peer
- ORCID
- Briken, Peer
- Venue
- Current Opinion in Psychiatry
- Published
- 2007-11
- Volume
- 20
- Issue
- 6
- Pages
- 609-613
- ISSN
- 0951-7367 (ISSN-L)
- OpenAlex
- W2060324329
- Cited by
- 88
- References
- 2
- Citations by year
- 2026: 3 · 2024: 3 · 2022: 1 · 2021: 1 · 2020: 11 · 2019: 6 · 2018: 4 · 2017: 6 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 8 · 2012: 5
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- paraphilias, sexual offenders, psychotropic drugs, psychiatric comorbidity, sexual impulsivity, anxiety disorders, mood disorders, cognitive behavioral therapy, community supervision, pharmacotherapy
- MeSH terms
- Androgen Antagonists, Humans, Male, Medroxyprogesterone, Paraphilic Disorders, Sex Offenses, Testosterone, Selective Serotonin Reuptake Inhibitors, Cyproterone Acetate
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