"One a day keeps the prison away": understanding the experiences of individuals convicted of sexual offences receiving anti-androgens for the treatment of problematic sexual arousal

Lievesley, R ORCID: https://orcid.org/0000-0003-4957-258X, Swaby, H ORCID: https://orcid.org/0000-0002-6292-2110, Winder, B ORCID: https://orcid.org/0000-0002-9118-679X, Norman, C ORCID: https://orcid.org/0000-0003-3317-8545 and Hocken, K, 2024. "One a day keeps the prison away": understanding the experiences of individuals convicted of sexual offences receiving anti-androgens for the treatment of problematic sexual arousal. Archives of Sexual Behavior. ISSN 0004-0002

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Abstract

Problematic sexual arousal (PSA) is an umbrella term to describe a range of clinical presentations related to excessive sexual thinking (e.g., sexual preoccupation) and sexual behaviour (e.g., hypersexuality). Although such concepts are known to affect sexual recidivism among individuals convicted of sexual offences, PSA is not routinely or directly targeted in offending behaviour programmes in England and Wales. However, in recent years there have been moves to incorporate pharmacological interventions for addressing this among people with sexual offences histories. Although some work to understand the experiences of those taking SSRI medication for this purpose has emerged, little is known about the experiences of service users taking anti-androgen medication. In this study, we interviewed all individuals in prison taking anti-androgens for the treatment of problematic sexual arousal following convictions for sexual offences in England at the time of data collection (N = 10). Using a phenomenologically-oriented thematic analysis, we established themes pertaining to “Differing needs: Motivations for treatment”, “Medication as a risk management strategy”, and how the medication helped the men in their pursuit of “Discovering a ‘new me’”. This work contributes important knowledge to inform the development of ethical and effective prescribing of anti-androgen medication with this population, and offer recommendations for both future research and the development of clinical practice.

Item Type:	Journal article
Publication Title:	Archives of Sexual Behavior
Creators:	Lievesley, R., Swaby, H., Winder, B., Norman, C. and Hocken, K.
Publisher:	Springer
Date:	9 April 2024
ISSN:	0004-0002
Identifiers:	Number Type 1866086 Other 10.1007/s10508-024-02847-z DOI
Rights:	This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s10508-024-02847-z This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Divisions:	Schools > School of Social Sciences
Record created by:	Jeremy Silvester
Date Added:	23 Feb 2024 14:04
Last Modified:	21 May 2024 11:39
URI:	https://irep.ntu.ac.uk/id/eprint/50930

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