biological treatment - hormone therapy Flashcards
why may people be put on hormone therapy
- to treat anger
how can hormone levels explain paedophilia
- higher levels of LH and FSH but lower levels of testosterone
how were offenders treated before hormone therapy
- surgical castration
removal of testicles or stop them from producing sperm, removal of ovaries
what is anti-androgenic pharmacotherapy
- the use of medication to lower testosterone levels which to leads to a decrease
are the effects of anti-androgenic pharmacotherapy capable of being reversed
- yes
- this can be simply through withdrawing from the drugs involved
what does the hormone CPA stand for
- cyproterone acetate
how does CPA work
- inhibits the influence of androgens on organs
- influences sexual desire
- lowers testosterone levels (by preventing interaction with receptors)
where is CPA available
- doctors prescription
what are the side effects of CPA
- breast tenderness and swelling
- fatigue
- depression or mood swings
- weight change
- hotflushes or sweats
is CPA effective
- reduces sexual desire within the first week of treatment
what does the hormone MPA stand for
- medroxyprogesterone acetate
how does MPA work
- interferes with the hormone balance in the body
- reduces amounts of hormones
what are the side effects of MPA
- headaches
- feeling sick
- put on weight
- high body temp
-feeling depressed
what is the dose for MPA
- 150 mg every 12 calendar weeks
what did Federoff et al (1992) find in terms of MPA
- found that 15% of those using MPA reoffended compared with 68% who were not taking MPA
what did Turner et al (2013) find in terms of effectiveness of hormone therapy
- sex offenders treated with hormone therapy showed a 26 - 75.4% reduction in sexual thoughts
what was the aim of Maletzky (2006)
- see the outcomes of being on MPA compared to not being on the treatment
how was Maletzky a retrospective study
looks back over 2.75 inmates and compare recidivism rates
how many participants took part in Maletzky’s study in total
134
how many participants received the medication of MPA
79 or 59%
how many participants didn’t receive the medication of MPA
55 ot 41%
how was the data collected in Maletzky
- supervising officers were given questionnaires
what were 2 results of Maletzky
- only 4 people who were given MPA reoffended where as 17 people who were not given MPA
- 0 people given MPA were sexual in nature whereas 9 people who didn’t have MPA were sexual in nature
what is the expense of hormone therapy
- £255 for one injection
- are avalible on the NHS
does hormone therapy mask symptoms or tackle the root cause of criminal behaviour
- only masks symptoms
- symptoms stop immediately after treatment is stopped
how often do you have to take MPA
- 1 injection every 7-10 days
how long does CPA take to start working
- 1-3 weeks
