The pharmacologic treatment of problematic sexual interests, paraphilic disorders, and sexual preoccupation in adult men who have committed a sexual offence

Abstract

This paper provides an international perspective on the use of medications to treat problematic sexual interests, paraphilic disorders, and sexual preoccupation in men who have committed a sexual offence. Experts from Canada, the Czech Republic (CR), Russia, the United Kingdom, and the United States met in Prague, CR in May 2017 to review and compare their treatment approaches. This report is a summary of their discussions, including empirical data from CR and Russia which have not previously been published in the English language. All participants agreed that continuing international collaboration would be very useful for the development of ethical international prescribing guidelines, as well as pooling data from studies on the efficacy and utility of pharmacological and other biological treatments for people who have committed sexual offences.

Keywords:

• Anti-androgen
• sexual offending
• treatment effectiveness
• paraphilic disorder
• selective serotonin uptake inhibitors (SSRIs)

Acknowledgements

MK, IB, and GV express their gratitude to the psychologist T. Borisova for her assistance in the research. KK was supported by the Czech Science Foundation GACR (16-18891S) and by the Ministry of Education Youth and Sports, under NPU I program Nr. LO1611. BW would like to thank prisoners and staff at HMP Whatton.

Disclosure statement

DT, KK, JPF, and DG declare no conflict of interests. BW has received funding from HMPPS and NHS England to evaluate medication in the UK prison service for people with sexual convictions.