Evaluation of the use of pharmacological treatment with prisoners experiencing high levels of hypersexual disorder

Journal article


Winder, B., Lievesley, R., Elliott, H., Hocken, K., Faulkner, J., Norman, C., Kaul, A. and Swaby, H. 2017. Evaluation of the use of pharmacological treatment with prisoners experiencing high levels of hypersexual disorder. Journal of Forensic Psychiatry and Psychology. 29 (1), pp. 1-31. https://doi.org/10.1080/14789949.2017.1337801
AuthorsWinder, B., Lievesley, R., Elliott, H., Hocken, K., Faulkner, J., Norman, C., Kaul, A. and Swaby, H.
Abstract

This paper presents an evaluation of the impact of pharmacological treatment in reducing hypersexual disorder in adult males who have been incarcerated following conviction for a sexual offence. The evaluation compares two types of pharmacological treatment, one of which is part of the current NICE guidance for treatment of hypersexuality (Antiandrogens), whilst the other type (SSRIs) is off-label use in the UK for hypersexuality. The participant pool comprised 127 adult male prisoners serving sentences for sexual offences in a UK prison. Participants had been voluntarily referred for pharmacological treatment to manage hypersexual disorder. The results demonstrated a significant reduction of hypersexual disorder pre- and post-medication and contribute to the evidence base for the use of pharmacological treatment with individuals for whom hypersexual disorder may be a salient factor in their offending. Limitations of the current research are discussed.

Keywordssexual offender treatment ; anti-libidinal ; anti-androgens
Year2017
JournalJournal of Forensic Psychiatry and Psychology
Journal citation29 (1), pp. 1-31
PublisherRoutledge - Taylor and Francis
ISSN1478-9957
Digital Object Identifier (DOI)https://doi.org/10.1080/14789949.2017.1337801
Web address (URL)https://core.ac.uk/download/217261832.pdf
https://www.tandfonline.com/doi/full/10.1080/14789949.2017.1337801
http://www.scopus.com/inward/record.url?eid=2-s2.0-85021153159&partnerID=MN8TOARS
Output statusPublished
Publication dates21 Jun 2017
Publication process dates
Accepted25 May 2017
Deposited10 Mar 2023
Permalink -

https://repository.derby.ac.uk/item/9x93v/evaluation-of-the-use-of-pharmacological-treatment-with-prisoners-experiencing-high-levels-of-hypersexual-disorder

  • 24
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Identifying and working with appropriate treatment targets with people who are sexually attracted to children
Rebecca Lievesley, Craig Harper, Helen Swaby and Ellie Woodward 2022. Identifying and working with appropriate treatment targets with people who are sexually attracted to children. Journal of Sex & Marital Therapy . pp. 1-20. https://doi.org/10.1080/0092623x.2022.2149437
“Falling Through the Cracks”: A Retrospective Exploration of the Barriers to Help-Seeking Among Men Convicted of Sexual Crimes
Swaby, H. and Rebecca Lievesley 2022. “Falling Through the Cracks”: A Retrospective Exploration of the Barriers to Help-Seeking Among Men Convicted of Sexual Crimes. Sexual Abuse. pp. 1-48. https://doi.org/10.1177/10790632221146501
Primary Health Professionals’ Beliefs, Experiences, and Willingness to Treat Minor-Attracted Persons
Lievesley, R., Swaby, H., Harper, C.A. and Woodward, E. 2022. Primary Health Professionals’ Beliefs, Experiences, and Willingness to Treat Minor-Attracted Persons. Archives of Sexual Behavior. 51, p. 923–943. https://doi.org/10.1007/s10508-021-02271-7
The Internalization of Social Stigma Among Minor-Attracted Persons: Implications for Treatment
Swaby, H., Harper, C. A. and Lievesley, R. 2020. The Internalization of Social Stigma Among Minor-Attracted Persons: Implications for Treatment. Archives of Sexual Behavior. 49, p. 1291–1304. https://doi.org/10.1007/s10508-019-01569-x
Learning to “live upside down”: Experiencing the true and false self in psychotherapy training
Swaby, H. 2020. Learning to “live upside down”: Experiencing the true and false self in psychotherapy training. Psychotherapy and Politics International. 18 (2), pp. 1-15. https://doi.org/10.1002/ppi.1531
A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness
Postavaru, G.-I., Swaby, H. and Swaby, R. 2020. A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness. Palliative Medicine. 35 (2), pp. 1-19. https://doi.org/10.1177/0269216320979153
Psychological treatment of problematic sexual interests: cross-country comparison
Klapilová, K., Demidova, L. Y., Swaby, H., Flinton, C. A., Weiss, P. and Fedoroff, J. P. 2019. Psychological treatment of problematic sexual interests: cross-country comparison. International Review of Psychiatry. 31 (2), pp. 1-21. https://doi.org/10.1080/09540261.2019.1591353
Sexual Crime and Circles of Support and Accountability
Swaby, H. Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability.
Circles of Support and Accountability, Assisted Desistance and Community Transition.
Blagden, N., Swaby, H. and Lievesley, R. 2018. Circles of Support and Accountability, Assisted Desistance and Community Transition. in: Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability London Palgrave Macmillam. pp. 25–41
Future Directions: Alternative Circles of Support and Accountability Models and Minority Groups.
Hocken, K., Good, C., Swaby, H., Webb, C., O'Connor, H. and Cox, K. 2018. Future Directions: Alternative Circles of Support and Accountability Models and Minority Groups. in: Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability London Palgrave Macmillam. pp. 171–200
"I kind of find that out by accident": probation staff experiences of pharmacological treatment for sexual preoccupation and hypersexuality
Swaby, H., Winder, B., Manby, E., Edwards, H. and Lievesley, R. 2018. "I kind of find that out by accident": probation staff experiences of pharmacological treatment for sexual preoccupation and hypersexuality. Journal of Forensic Practice. 25 (3), pp. 1-31. https://doi.org/10.1108/jfp-09-2017-0036
Working with transgendered sex offenders: Prison staff experiences
Marlow, K., Winder, B. and Swaby, H. 2015. Working with transgendered sex offenders: Prison staff experiences. Journal of Forensic Practice. 17 (3). https://doi.org/10.1108/jfp-02-2015-0013
Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality
Winder, B., Lievesley, R., Swaby, H., Norman, C. and Kaul, A. Wilcox, D. T., Garrett, T. and Harking, L. (ed.) 2014. Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality. Hoboken, New Jersey Wiley.
Understanding service users' and therapists' experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders
Lievesley, R., Elliott, H.J., Winder, B., Norman, C. and Swaby, H. 2014. Understanding service users' and therapists' experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders. Journal of Forensic Psychiatry and Psychology. 25 (3). https://doi.org/10.1080/14789949.2014.909867
Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity
Winder, B., Lievesley, R., Kaul, A., Elliott, H.J., Thorne, K., Hocken, K. and Swaby, H. 2014. Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity. Journal of Forensic Psychiatry and Psychology. 25 (2). https://doi.org/10.1080/14789949.2014.903504