The Paraphilias, Obsessive Compulsive Spectrum Disorder, and the Treatment of Sexually Deviant Behaviour

@article{Bradford2004ThePO,
  title={The Paraphilias, Obsessive Compulsive Spectrum Disorder, and the Treatment of Sexually Deviant Behaviour},
  author={John McDonald Wilson Bradford},
  journal={Psychiatric Quarterly},
  year={2004},
  volume={70},
  pages={209-219}
}
  • J. Bradford
  • Published 2004
  • Psychology, Medicine
  • Psychiatric Quarterly
The paraphilias have been mostly ignored by psychiatry, even though psychiatrists are ideally suited to treat and diagnose these disorders by virtue of their medical and psychological training. The sexual deviations require an understanding of both biological and psychological causation and skills in psychological and pharmacological treatments. More recently the Supreme Court of the United States in Kansas v Hendricks (1997) upheld the constitutionality of the civil commitment of sexually… 
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References

SHOWING 1-10 OF 58 REFERENCES
Serotonergic medications for sexual obsessions, sexual addictions, and paraphilias.
TLDR
Paraphilias and related disorders may be less responsive than sexual obsessions or compulsions to serotonin reuptake blockers, suggesting they are on the impulsive rather than the compulsive end of the spectrum of obsessive compulsive disorders.
The Paraphilias: A Multiplicity of Deviant Behaviours*
TLDR
A study of men who admitted to at least one paraphilia was conducted and indicated that paraphiliacs tend to have multiple types of sexual aberrations as well as a high frequency of deviant acts per individual.
Treatment of men with paraphilia.
  • J. Bradford
  • Medicine
    The New England journal of medicine
  • 1998
TLDR
A study of the treatment of men with pedophilia and other paraphilias with triptorelin, an agonist analogue of gonadotropin-releasing hormone found that the drug reduced abnormal sexual thoughts and behaviors substantially.
Compulsive exhibitionism successfully treated with fluvoxamine: a controlled case study.
TLDR
A subset of paraphiliacs may be suffering from obsessive-compulsive-related disorders and may benefit from serotonergic agents, and an exhibitionist treated with fluvoxamine eliminated the undesired impulse and behavior without affecting sexual desire.
An Exploratory Study of the Role of Psychotropic Medications in the Treatment of Sex Offenders
Sixteen patients who had been treated with psychotherapy and pharmacotherapy for sex offenses in an outpatient clinic for sex offenders from 1988 to 1991 were contacted to participate in a
Treatment of the Paraphilic Disorders: A Review of the Role of the Selective Serotonin Reuptake Inhibitors
Altemative psychopharmacological interventions in the treatment of paraphilic disorders have previously been limited. This article briefly reviews previous psychopharmacological treatment as well as
Fluoxetine treatment of nonparaphilic sexual addictions and paraphilias in men.
TLDR
Enhancement of central serotonin neurotransmission by fluoxetine may ameliorate symptoms of mood disorder, heightened sexual desire, and compulsivity/impulsivity associated with these conditions.
Treatment of men with paraphilia with a long-acting analogue of gonadotropin-releasing hormone.
TLDR
Continuous administration of triptorelin, a long-acting agonist analogue of gonadotropin-releasing hormone, together with supportive psychotherapy, may be an effective treatment for men with severe paraphilia.
Treatment of men with paraphilia with a long-acting analogue of gonadotropin-releasing hormone.
TLDR
Continuous administration of triptorelin, a long-acting agonist analogue of gonadotropin-releasing hormone, together with supportive psychotherapy, may be an effective treatment for men with severe paraphilia.
The Nature and Extent of Sexual Assault
In the last decade, the increased access given psychiatrists and psychologists to evaluate sex offenders has improved our understanding of sexual assaults. By developing new methods to assess the
...
1
2
3
4
5
...