Medication for Arousal Control?

[docjan]

Hello. I work with mostly adult male offenders. Two of these recently have come forward to ask about medication that may help reduce some of their sexual and aggressive fantasies. One has said he has been fighting urges and fantasies of kidnapping, raping, and killing someone. I have tried speaking to various psychiatrists, both in the private setting and within a prison settinng. No want seems to know or want to get involved, though two have said they believe I have a problem on my hands.

Any ideas of where I might find some info? The local judge has asked that I look into any studies being done currently. PO is also looking for help somewhere. Any ideas would be appreciated. Thanks, Janice

[PMH]

I found this on an interesting, but rather strange site:

www.mhamic.org/treatment/sexdrivedrugs.htm

-PMH

[docjan]

Thank you. I have not ever heard of this website. I will get to reading. Hope you are doing well. We have been busy. And very short-staffed. A good problem to have, I guess, right? Too much work.

[PMH]

We've been really busy, too.

"... too much work."

That's raises conflicting emotions.

Yes, it is good for us personally, but ...

... well, consider the population we work with ...

-PMH

[jlooman]

We regularly use Lupron to assist men with managing their deviant sexual urges (pedophilic and sadistic). Lupron is an injectable female hormone based medication which is the current drug of choice (in Ontario at least) due to a more limited side-effect profile although it does eventually lead to weight gain and feminization. It's typically effective, although some men are still able to get full erections while on it.

The latest edition of the book Sexual deviance editted by Laws and O'Donohue (1998) has a chapter on medical treatment which includes an over-view of meds.

Jan

[PMH]

We have an offender who recently was diagnosed with prostate cancer. He was administered Lupron as part of the treatment.

His initial response was "Wow." He said he has never lived without the stong sexual drive before, and found the effects of the drug amazing. Later, he began to say that he really does not miss the sex drive, but that he is still suprised at how strong that drive was.

Now, he believes that he is no longer a threat to anyone because of the Lupron, and he is trying to convince everyone else. I see this as a negative side effect in that it seems to be giving him a false sense of safety or of having been "cured."

-PMH

[docjan]

Thank you both so much for the thoughts on this. I will get to work finding some research for the judges who are asking for it.