Titre : | Leuprolide Acetate Suppresses Pedophilic Urges and Arousability (2005) |
Auteurs : | Justine SCHOBER, Auteur ; Phyllis KUHN, Auteur ; Paul KOVACS, Auteur ; James EARLE, Auteur ; Peter BYRNE, Auteur et al. |
Type de document : | Article : document électronique |
Dans : | Archives of Sexual Behavior (Vol. 34 - N° 6, December 2005) |
Article en page(s) : | pp. 691-705 |
Langues: | Anglais |
Index. décimale : | VS.43 (Prise en charge pharmacologique de l'Auteur de Violence Sexuelle) |
Catégories : | |
Résumé : | Cognitivebehavioral psychotherapy was compared with cognitivebehavioral psychotherapy augmented by leuprolide acetate (LA) for suppression of pedophilic behavior. Five male pedophiles (M age, 50 years; range, 3658) were administered LA by Depo injection for 12 months, followed by saline placebo for 12 months. Testosterone levels, sexual interest preference by visual reaction time (Abel Assessment), penile tumescence (Monarch Penile Plethysmography, PPG), as well as strong sexual urges toward children and masturbatory frequency involving thoughts of children (polygraph), were measured every 3 months. On LA, testosterone decreased to castrate levels. Penile tumescence was significantly suppressed compared with baseline, but sufficient response remained to detect pedophilic interest. Pedophilic interest was also detected by visual reaction times. When asked about having pedophilic urges and masturbating to thoughts of children, all subjects self-reported a decrease. Polygraph responses indicated subjects were not deceptive. On placebo, testosterone and physiologic arousal eventually rose to baseline. As noted by polygraph, at baseline and on placebo, subjects were deceptive regarding increased pedophilic urges and masturbatory frequency. Interest preference, as measured by Abel Assessment and Monarch PPG, was generally unchanged throughout the study. Cognitivebehavioral psychotherapy augmented with LA significantly reduced pedophilic fantasies, urges, and masturbation; however, pedophilic interest did not change during 1 year of therapy. Deceptive responses by polygraph suggested that self-report was unreliable. Follow-up utilizing objective measures is essential for monitoring efficacy of treatment in pedophilia. Our study supports the premise that suppression of pedophilic behavior is possible. LA may augment cognitivebehavioral psychotherapy and help break the sequence leading to a re-offense. [Résumé d'éditeur] |
Note de contenu : |
Plan de l'article :
* Introduction * Method - Subjects - Study design - Abel assessment - Monarch PPG - Polygraph - Cognitive-behavioral psychotherapy - Psychopathology * Results - Testosterone, LH, and FSH Levels - Abel Assessment (Modified) - Monarch PPG - Comparison of Monarch PPG and Abel (Modified) - Polygraph - Clinical Findings - Side effects/adverse reactions to LA - Psychological testing * Discussion * Appendix * References |
Article disponible : | CRIAVS Franche-Comté |
Type de document CRIAVS : | Article |
Obtenir le document : | Contactez le CRIAVS de votre région |
En ligne : | http://dx.doi.org/10.1007/s10508-005-7929-2 |