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Treatment of sexual offenses by persons with developmental disabilities

B A Myers1

  • 1Brown University Program in Medicine, Pawtucket, RI.

American Journal of Mental Retardation : AJMR
|March 1, 1991
PubMed

Insights

Individuals with mental retardation may commit sexual offenses like paraphilias. Medroxyprogesterone acetate (MPA) effectively treated a young man with mild intellectual disability, highlighting its role in managing paraphilias.

Area of Science:

  • Psychiatry
  • Forensic Psychology
  • Clinical Psychology

Background:

  • Sexual offenses, including paraphilias, are infrequent but present challenges in individuals with mental retardation.
  • Management of these offenses involves complex clinical and ethical considerations.

Observation:

  • A case study detailed a young man with mild mental retardation who exhibited paraphilic behavior.
  • This individual was successfully treated using medroxyprogesterone acetate (MPA).

Findings:

  • Medroxyprogesterone acetate (MPA) demonstrated efficacy as a treatment for paraphilias in a patient with intellectual disability.
  • Review of available literature supports MPA as a key agent in managing such cases.

Implications:

  • Antiandrogen treatments, specifically MPA, offer a viable therapeutic option for paraphilias in the mentally retarded population.
  • Informed consent and ethical considerations are paramount when implementing these treatments.

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