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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.

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.

References

Allen, C. (1970). A Textbook of Psychosexual Disorders. London: Oxford Univ. Press.Google Scholar
Bartholomew, A. A. (1968). ‘A long acting phenothiazine as a possible agent to control deviant sexual behaviour.’ Amer. J. Psychiat., 124, 917–23.Google Scholar
B.M.J. (1969). Leading article. ‘Brain surgery for sexual disorders.’ Brit. med. J., ii, 250.Google Scholar
Briggs, M. H. (1970). ‘Pharmacology of cyproterone and related compounds.’ Symposium on Sexual Behaviour and Antiandrogens, published by Schering Chemicals.Google Scholar
Deutsch, S. F. (1968). ‘Recent contributions in psycho-endocrinology.’ Psychosomatics, 3, 127.Google Scholar
Ellis, A. (1956). J. cons. Psychol., 20, 191.Google Scholar
Eysenck, H. J., and Eysenck, S. B. G. (1964). Eysenck Personality Inventory. London: Univ. London Press.Google Scholar
Foulds, G. A. (1965). Personality and Personal Illness. London: Tavistock Publications.Google Scholar
Hamburg, D. A. (1970). Personal Communication.Google Scholar
*Hoffet, H. (1968). Praxis, 57, 7: 221.Google Scholar
Ismail, A. A. A., Love, D. B., and Nieschlage, E. (1971). In: Research on Steroids, iv, 311–6.Google Scholar
Kinsey, A. C, Pomeroy, W. B., and Martin, C. E. (1948). Sexual Behaviour in the Human Male. Philadelphia: Saunders.Google Scholar
Kupperman, H. S. (1967). Hormones, Sex. In: The Encyclopaedia of Sexual Behaviour. Ed. Ellis, A., and Abarbanel, A. New York: Hawthorn.Google Scholar
*Laschet, U., and Laschet, L. (1967). Klinische Wochenschrift, 6, 116.Google Scholar
Litkey, I. J., and Feniczy, P. (1967). ‘An approach to the control of homosexual practices.’ Int. J. Neuropsychiat., 3, 20–3.Google Scholar
Mayerson, P., and Lief, H. I. (1965). In: Sexual Inversion (ed. Marmor, J.). New York: Basic Books.Google Scholar
MacCulloch, M. J., and Feldman, M. P. (1967). Brit. med. J., ii, 594.Google Scholar
Rose, M. R., Holaday, J. W., and Bernstein, I. R. (1971). ‘Plasma Testosterone, Dominance Rank and Aggressive Behaviour in Male Rhesus Monkeys.’ Nature, 231, 366–368.CrossRefGoogle ScholarPubMed
*Seebandt, G. (1968). Offentl Gesundheitsw. 30, 2.Google Scholar
Stürup, G. K. (1968). ‘Treatment of sexual offenders in Herstedvester, Denmark: the rapists.’ Acta Psychiat. Scand., Suppl. 204, 44.Google Scholar
Walton, H.J. (1969). ‘Physiological basis of aggression.’ Leading Article, Lancet, ii, 1052.Google Scholar
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