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[Treatement of sex offenders: limits and possibilities]
Abstract:
Sexual offending is a matter of public concern and of interest to caregivers because of the consequences to the victims. Though there is a high prevalence of paraphilias among sexual aggressors, there is no strict link between aggressive sexual behavior and psychiatric disorders. Several typologies of sex offenders, based on personality and motivation, have been described. According to several studies, recidivism risk, for all known typologies of sex offenders, is estimated to be around 15% at 5 years. The use of standardized scales improves the reliability of the risk assessment. Psychotherapy, with or without a pharmacological treatment, forms the basis of the psychiatric treatment of these patients. Serotoninergic selective reuptake inhibitors, antiandrogens and GnRH analogues are the main drugs that are used.
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