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Pharmacological treatment of sexually aggressive forensic psychiatric patients

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Abstract:

This paper deals with pharmacotherapy for sexual offenders. Findings published in the international literature on the effectiveness of libido-suppressing medication and some of our first (limited) experiences with pharmacological treatment of sexual offenders in a Dutch forensic psychiatric hospital are described. In line with the literature, our preliminary clinical experiences with anti-androgen medication suggest that it brought about a reduction in the number of sexual incidents in the hospital as well as a decline in other types of disruptive inpatient behaviour (e.g. aggression), but the number of patients treated ( n =4) was too few to allow adequate statistical testing. On the basis of the literature, however, it seems fair to conclude that in cases posing a high risk of re-offending into hands-on sexual crimes, anti-androgen medication can be effective in combination with regular cognitive-behavioural treatment.

Keywords: Sexual offending; aggression; anti-androgen medication; forensic psychiatric treatment

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/10683160500256669

Affiliations: 1: De Kijvelanden Forensic Psychiatric Hospital, Poortugaal, the Netherlands 2: Radboud University Nijmegen, Nijmegen, the Netherlands

Publication date: December 1, 2005

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