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Therapeutic sex drive reduction

K Freund

    Acta Psychiatrica Scandinavica. Supplementum
    |January 1, 1980
    PubMed
    Summary

    Therapies for reducing sex drive are used for dangerous or unacceptable erotic preferences. Treatments include hormone reduction, surgery, and brain interventions, with specific methods recommended for different conditions.

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    Area of Science:

    • Urology
    • Psychiatry
    • Neuroscience

    Background:

    • Anomalous erotic preferences can manifest as dangerous, socially unacceptable, or personally embarrassing behaviors.
    • Treatment aims to reduce sex drive in specific clinical populations.

    Purpose of the Study:

    • To review existing therapies for reducing sex drive in males with anomalous erotic preferences.
    • To outline indications and contraindications for different treatment modalities.

    Main Methods:

    • Pharmacological reduction of circulating testosterone.
    • Surgical intervention: orchidectomy.
    • Stereotaxic surgery for brain structure deletion.

    Main Results:

    • Pharmacological therapy is indicated for exhibitionism as a temporary or intermittent measure, combined with behavioral therapy.
    • Orchidectomy is the preferred method for unmanageable, dangerous sadism and certain cases of pedohebephilia.
    • Brain surgery requires further extensive research in non-human primates before human application.

    Conclusions:

    • Treatment selection depends on the specific anomalous erotic preference and its severity.
    • Pharmacological and surgical interventions have established roles, while psychosurgery requires further investigation.
    • Behavioral therapy is a crucial adjunct to pharmacological treatment for managing urges.

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