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Antiandrogen (Cyproterone Acetate) Therapy in Deviant Hypersexuality

Published online by Cambridge University Press:  29 January 2018

Alan J. Cooper ,
A. A. A. Ismail ,
A. L. Phanjoo  and
D. L. Love
Alan J. Cooper*
Affiliation:
Lecturer in Psychiatry, University of Edinburgh
A. A. A. Ismail
Affiliation:
Member of Scientific Staff Medical Research Council, Clinical Endocrinology Research Unit, 2 Forrest Road, Edinburgh EH1 2QW
A. L. Phanjoo
Affiliation:
Senior Registrar, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
D. L. Love
Affiliation:
Member of Technical Staff, Medical Research Council, Clinical Endocrinology Research Unit, 2 Forrest Road, Edinburgh EH1 2QW
*
Present Address: Director of Clinical Research, Huntingdon Research Centre, Huntingdon, England
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Extract

The management of sexual delinquents, especially those with compulsive putting into action of aggressive sexual impulses, poses great problems for the medical profession from the therapeutic as well as the moral standpoint. In the past thirty years or so numerous different approaches have been tried with varying degrees of success. A much abridged list of more recent treatment procedures includes: surgical castration (Stürup, 1968), sedative and/or tranquillizer drugs (Litkey and Feniczy, 1967; Bartholomew, 1968), female sex hormones (Allen, 1970); psychological measures such as psychotherapy (Ellis, 1956; Mayerson and Lief, 1965; Allen, 1970) and/or behaviour (‘aversion’) therapy (MacCulloch and Feldman, 1967) and ‘right up-to-date’ hypothalamotomy (B.M. J., 1969). Unfortunately surgery, which is the most reliably effective of these treatments, may have unpleasant sequelae; its use, which (in Britain at least) is beset with ethical problems, is therefore justified in only the most recalcitrant and/or dangerous types of offender, and only then when other methods have failed.

Information

Type
Research Article
Information
The British Journal of Psychiatry , Volume 120 , Issue 554 , January 1972 , pp. 59 - 63
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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Footnotes

∗

Request for reprints to A.J.G.

∗

English translation provided by Schering Chemicals Ltd.

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