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Effects of cyproterone acetate on sexual arousal patterns of pedophiles

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Abstract

The antiandrogen treatment of sexual offenders has been shown to reduce the recidivism rate. The mechanism of action has been assumed to be through asexualization with its secondary effects on sexual behavior. This study shows that the mechanism may be more complex and may involve a differential effect on sexual arousal patterns. Treatment responses may differ in high and low plasma testosterone groups.

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References

  • Abel, G. G., Barlow, D. H., Blanchard, E., and Guild, D. (1977). The components of rapists' sexual arousal.Arch. Gen. Psychiat. 34: 895–903.

    PubMed  Google Scholar 

  • Abel, G. G., Becker, J., Murphy, W., and Flanagan, B. (1981). Identifying dangerous child molesters. In Stuart, R. B. (ed.),Violent Behaviour: Social Learning Approaches to Prediction, Management and Treatment Brunner-Mazel, New York.

    Google Scholar 

  • Abel, G. G., Blanchard, R., Becker, J., and Djenderedjian, A. (1978). Differentiating sexual aggressives with penile measures.Crim. Justice Behav. 5: 315–332.

    Google Scholar 

  • Bancroft, J., Tennent, G., Loucas, K., and Cass, J. (1974). The control of deviant sexual behaviour by drugs: 1. Behavioural changes following oestragens and anti-androgens.Br. J. Psychiat. 125: 310–315.

    Google Scholar 

  • Barbaree, H. E., Marshall, W. L., and Lanthier, R. D. (1979). Deviant sexual arousal in rapists.Behav. Res. There. 17: 215–222.

    Google Scholar 

  • Bradford, J. M. W. (1983). Research on sex offenders.Psychiat. Clin. N. Am. 6(4): 715–733.

    Google Scholar 

  • Bradford, J. M. W. (1985). Organic treatments for the male sexual offender,Behav. Sci. Law. 3(4): 355–375.

    Google Scholar 

  • Bradford, J. M. W., and Bourget, D. (1987). Sexually aggressive men.Psychiat. J. Univ. Ottawa 12(3): 169–175.

    Google Scholar 

  • Bradford, J. M. W., and McLean, D. (1984). Sexual offenders, violence and testosterone: A clinical study.Can. J. Psychiat. 29: 335–343.

    Google Scholar 

  • Bradford, J. M. W., and Pawlak, A. (1987). Sadistic homosexual paedophilia: Treatment with cyproterone acetate a single case study.Can. J. Psychiat. 32: 22–31.

    Google Scholar 

  • Bradford, J. M. W., and Pawlak, A. (1993). Double-blind placebo crossover study of cyproterone acetate in the treatment of the paraphilias.Arch. Sex. Behav. 22: 383–402.

    PubMed  Google Scholar 

  • Bremer, J. (1959). Asexualization—A Follow-Up Study of 244 Cases, MacMillan, New York

    Google Scholar 

  • Brown, W. A., and Davis, G. H. (1975). Serum testosterone and irritability in man.Psychosom. Med. 37: 87.

    Google Scholar 

  • Chapman, M. G. (1982). Side effects of antiandrogen therapy. In Jeffocoate, S. L., (ed.),Androgens and Antiandrogen Therapy Wiley, New York, pp. 169–178.

    Google Scholar 

  • Cooper, A. J. (1981). A placebo controlled study of the antiandrogen cyproterone acetate in deviant hypersexuality.Comprehen. Psychiat. 22: 458–464.

    Google Scholar 

  • Cooper, A. J., Ismail, A. A., Phanjoo, A. L. and Love, D. L. (1972). Antiandrogen (cyproterone acetate) therapy in deviant hypersexuality.Br. J. Psychiat. 120: 59–63.

    Google Scholar 

  • Cremonocini, C., Viginati, E., and Libroia A. (1976). Treatment of hirsutism and acne in woman with two combinations cyproterone acetate and ethinyloestradiol.Acta Eur. Fertil. 7: 299–314.

    PubMed  Google Scholar 

  • Davidson, P. R., and Malcolm, P. B. (1985). The reliability of the rape index: A rapist sample.Behav. Assess. 7: 283–292.

    Google Scholar 

  • Davies, T. D. (1974). Cyproterone acetate for male hypersexuality.J. Int. Med. Res. 2: 159–163.

    PubMed  Google Scholar 

  • Ehrenkranz, J., Bliss, E., and Sheard, M. H. (1974). Plasma testosterone: Correlation with aggressive behaviour and social dominance in man.Psychosom. Med. 36: 469–475.

    PubMed  Google Scholar 

  • Groth, A. N. (1979). Men who rape: The psychology of the offender. Plenum Press, New York.

    Google Scholar 

  • Groth, A. N., Burgess, A. W., and Holmstrom, L. L. (1977). Rape: Power, anger, and sexuality.Am. J. Psychiat. 134: 1239–1243.

    PubMed  Google Scholar 

  • Kreuz, L. E., and Rose, R. M. (1972). Assessment of aggressive behaviour and plasma testosterone in a young criminal population.Psychosom. Med. 34: 321–332.

    PubMed  Google Scholar 

  • Laschet, U., and Laschet, L. (1971). Psychopharmacotherapy of sex offenders with cyproterone acetate.Pharmakopsychiat. Neuropsychopharmakol. 4: 99–104.

    Google Scholar 

  • Laschet, U., and Laschet, L. (1975). Antiandrogens in the treatment of sexual deviations of men.J. Steroid Biochem. 6: 821–826.

    PubMed  Google Scholar 

  • Liang, T., Tymoczko, J. L., Chan, K. M. B., Hung, H. C., and Liao S. (1977). Androgen action: Receptors and rapid responses. In Martini, L., and M. Motta (eds.),Androgens and Antiandrogens Raven, New York, pp. 77–89.

    Google Scholar 

  • Mainwaring, I. P. (1977). Modes of action of antiandrogens: A survey. In Martini, L., and M. Motta (eds.),Androgens and antiandrogens Raven, New York, 151–161.

    Google Scholar 

  • Malamuth, N. M., Check, J. V. P., and Briere, J. (1986). Sexual arousal in response to aggression: Ideological, aggressive and sexual correlates.J. Pers. Soc. Psychol. 50(2). 330–340.

    PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L., Nat, R., Boon, D. A., Sharma, M., and Edwards, J. A. (1974). Aggressiveness and testosterone measures in man.Psychosom. Med. 36: 269–274.

    PubMed  Google Scholar 

  • Monti, P. M., Brown, W. A., and Corriveau, D. D. (1977). Testosterone and components of aggressive and sexual behavior in man.Am. J. Psychiat. 134: 692–694.

    PubMed  Google Scholar 

  • Mothes, C., Lehnert, J., Samimi, F., and Ufer, J. (1971). Schering symposium uber sexual deviationen und ihre medikamentose Behandlung.Life Sci. 2: 65.

    Google Scholar 

  • Murray, M. A. F., Bancroft, J. H. J., Anderson, D. C., Tennent, T. G., and Carr, P. J. (1975). Endocrine changes in male sexual deviants after treatment with antiandrogens, oestragens or tranquilizers.J. Endocrinol. 67: 179–188.

    PubMed  Google Scholar 

  • Neumann, F. (1977). Pharmacology and potential use of cyproterone acetate.Hor. Metab. Res., 9: 1–13.

    Google Scholar 

  • O'Brien, R. G., and Kaiser, M. K. (1985). MANOVA method for analyzing repeated measures designs: An extensive primer.Psychol. Bull. 97: 316–333.

    PubMed  Google Scholar 

  • Olweus, D., Mattson, A., Schalling, D., and Low, H. (1980). Testosterone, aggression, physical and personality dimensions in normal adolescent males.Psychosom. Med. 42: 253–269.

    PubMed  Google Scholar 

  • Ott, F., and Hoffet, H. (1968). The influence of antiandrogens on libido, potency and testicular function.Schweiz. Med. Wochenschr. 98: 1812–1815.

    PubMed  Google Scholar 

  • Persky, H., Smith, K. D., and Basu, G. K. (1971). Relation of psychologic measures of aggression and hostility to testosterone production in man.Psychosom. Med. 33: 265–277.

    PubMed  Google Scholar 

  • Quinsey, V. L., and Chapman, T. C. (1982). Penile responses to nonsexual violence among rapists.Crim. Justice Behav. 9: 372–381.

    Google Scholar 

  • Quinsey, V. L., and Chapman, T. C. (1984). Stimulus control of rapist and non-sex offenders' sexual arousal.Behav. Assess. 6: 169–176.

    Google Scholar 

  • Rada, R. T. (1978). Classification of the rapist. In Rada, R. T., (ed.),Clinical Aspects of the Rapist Grune & Stratton, New York, pp. 117–132.

    Google Scholar 

  • Rada, R. T., Laws, D. R., and Kellner, R. (1976). Plasma testosterone levels in the rapist.Psychosom. Med. 38: 257–268.

    PubMed  Google Scholar 

  • Scaramella, T. J., and Brown, W. A. (1978). Serum testosterone and aggressiveness in hockey players.Psychosom. Med. 40: 262–265.

    PubMed  Google Scholar 

  • Schutz, R. W., and Gessarolli, M. E. (1987). The analysis of repeated measures designs involving multiple dependent variables.Res. Quart. Exercise Sport 58: 132–149.

    Google Scholar 

  • Sturup, G. K. (1972). Castration: The total treatment. In Resnik, H. L. P., and Wolfgang, M. E. (eds),Sexual Behaviors: Social, Clinical and Legal Aspects Little, Brown, Boston, MA. pp. 361–382.

    Google Scholar 

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Authors and Affiliations

  1. Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada

    John M. W. Bradford M.B., Ch.B., D.P.M., F.F.Psych., F.R.C.Psych., D.A.B.P.N., FRCPC

  2. Sexual Behaviours Clinic, The Royal Ottawa Hospital, 1145 Carling Avenue, K1Z 7K4, Ottawa, Ontario, Canada

    John M. W. Bradford M.B., Ch.B., D.P.M., F.F.Psych., F.R.C.Psych., D.A.B.P.N., FRCPC & Anne Pawlak M.A.

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  1. John M. W. Bradford M.B., Ch.B., D.P.M., F.F.Psych., F.R.C.Psych., D.A.B.P.N., FRCPC
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  2. Anne Pawlak M.A.
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Bradford, J.M.W., Pawlak, A. Effects of cyproterone acetate on sexual arousal patterns of pedophiles. Arch Sex Behav 22, 629–641 (1993). https://doi.org/10.1007/BF01543305

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