Chemical castration as a treatment Flashcards

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1
Q

Chemical castration as a treatment

how do hormones cause aggressive behaviour

A

biology

an imbalemce of hormones causes aggresson

some hormones interfere with the amygdala causing increased levels of aggression such as Testosterone

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2
Q

Chemical castration as a treatment

whats an anti-androgen and how link to hormone therapy

A

• Anti-androgens lower testosterone levels leading to a decrease in deviant and non-deviant sexual urges

hormone therapy

• a type of pharmacotherapy

• use medication to reduce levels of testosterone

• these medications are either hormones with anti-andronic effects

• hormones that just decrease the functioning of testosterone or just breaks down the testosterone and stops more testosterone from being produced

• e.g. for decreasing the functioning of testosterone: the female hormone: medroxyprogesterone (MPA for those with human tounges)

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3
Q

Chemical castration as a treatment

why hormone therapy used with criminal and what criminals

A

Hormone therapy is used to reduce aggression and to maintain “normal” sexual drives

And it’s suppresses deviant behaviors

It’s less invasive and more ethical using physical castration

Hormone therapies used with different types of offenders for example: sex offenders (usually male)
this helps them reduce aggression and decreases their deviant and non-devient sexual urges, decreases their sex drive and stops them re-offending

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4
Q

Chemical castration as a treatment

MPA what is it and side effects

A

MPA is a female hormone that decreases the functioning of testosterone by breaking it down and eliminating it

• it also inhibits the production of luteinising hormone via the pituitary gland, which then inhibits the production of testosterone

• this decreases: erotic fantasies, erections, ejaculation, sex drive, deviant sexual behavior.

• sometimes it stops paraphilic behavior

SIDE EFFECTS

side effects of MPA include (inhales) : breast enlargement, osteoporosis, depression, weight gain, lethargy, sweats, nightmares, leg cramps

but no feminization reported thus far - berlin et al 1981

People tend to decline MPA due to its many side effects or not completing the therapy after initially agreeing to do so after hearing about/ experienceing the side effects

The USA uses MPA (ofc it does)

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5
Q

Chemical castration as a treatment

CPA what is it and side effects

A

CPA quickly reduces sex drive, sexual deviencies and deviant fantasies

Side effects of CPA include liver dysfunction (that’s it)

CPA used in Canada and Europe

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6
Q

Chemical castration as a treatment

How is it done
step

by

step

A

MPA:

Inject tramuscularly (into arm muccles) in dosages of 300-400mg ever 7-10 days

To stop taking the hormone therapy simply stop using it (no slowly decreasing it)

Once you stopped using hormone therapy the effects of it also stop meaning sex driving creases etc but sometimes some of the effects may stay

Side effects may or may not stop immediately after going off the drug or they may stay around for a bit like the normal effects

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7
Q

Chemical castration as a treatment

Strength

Supporting studdys

Maletzky (2006)

A

They found that MPA reduced recividism

and out of the 79 people who received MPA there were very few new offences of which even fewer were sexual in nature

meaning that they found that MPA reduces recividism and reduces sexual drive

Meaning that this study supports the use of chemical castration as a treatment for criminal

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8
Q

Chemical castration as a treatment

Strengths

expence

A

Chemical castration is cheap in the short term as you simply have to only pay for the drug

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9
Q

Chemical castration as a treatment

Strengths

reasoning

A

Treats sex offenders by reducing: recidivism, sexual Drive, sexual fantasies, sexual impulses and urges and aggression

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10
Q

Chemical castration as a treatment

Strengths

aplications

A

It’s used in probation and in prisons for very violent sex offenders to decrease this he will drive and so they don’t re-offend

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11
Q

Chemical castration as a treatment

Weaknesses

Side effects

A

CPA: liver dysfunction

MPA: breast enlargement, osteoporosis, depression, weight gain, lethargy, sweats, nightmare, leg cramps

• it decreases the effect of testosterone which is a very important hormone for developing and the function of the body therefore reducing it’s effects or stopping the production of it maybe bad for the development and functioning of the body especially in men

• people may take antidepressants for the side effect of MPA which is depression this may have an effect on the treatment effectiveness

These side effects as you can see incredibly bad and pretty bad

And we’ll leave significant effect and changes as well as physical and psychological pain on the patient which isn’t very ethical

The side effects are so bad people are likely to drop out and therefore not take the treatment

• anger management programs have no side effects meaning that they are already better than chemical castration which does have many side effects

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12
Q

Chemical castration as a treatment

weakness

diff treatments (physical castraion and amps)

and ethics

2010 british guy

social control

A

Ethics

• in 2010 the some guy in the UK had ethical concerns on the side effects of hormone treatments and stated that it seemed morally wrong
• as it causes changes and physical pain and psychological pain to the participant which isn’t very ethical

Anger management programs have no side effect at all therefore they’re much more ethical than chemical castration

Chemical castration is a form of social control by physically altering somebody so they don’t do something which is immoral as they should be taught how to not be a criminal and not force it upon someone

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13
Q

Chemical castration as a treatment

strengths

ethics

A

• Chemical castration is not as bad as physical castration as while it has got many side effects chemical castration does not do as severe permanent damage it’s physical castration which permanently stops the production of testosterone

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14
Q

Chemical castration as a treatment

weakness

time

A

• While chemical castration is cheap it is only effective in the short term while the medication is being taken

• anger management programs while a more expensive do last long term and trains people to be able to control their anger themselves something that chemical castration cannot do

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15
Q

Chemical castration as a treatment

overall judgment

A

• wall chemical castration is effective as maletzky 2006 has proven that it works in real life it isn’t efficient as it is only effective in the short term

there are side effects which makes it unsafe and it is morally questionable with with the whole bad side effects which decreases the chance of them staying on their medication

Compare that with anger management programs which are

less effective depending on the willingness of the patients to be treated

it does however last long term with teaching participants how to control their own anger

it has no side effects

Put that long term this is key as it means that the effects of the treatment will last over time increasing the chance of it reducing recidivism

therefore
Overall is not the most effective treatment for criminals however

By combining chemical castration and anger management programs

it neglects the weaknesses of both meaning it decreases the patient’s sex drive and urges so there are no distractions while the anger management program is taking place
so they can learn how to control the anger which will last long term

And therefore more effectively reduce recividism

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