McConaghy N
Department of Psychiatry, Prince of Wales Hospital, Randwick, NSW.
Aust N Z J Psychiatry. 1990 Jun;24(2):175-81. doi: 10.3109/00048679009077679.
The treatment programme for sex offenders at the Prince of Wales Hospital, Sydney, is described. Penile circumference assessment is not used as there is no evidence it provides a valid measure of individuals' paedophile or rapist tendencies. Sex offenders' self-reports remain the major source of information in their assessment. The development of the two major techniques used--imaginal desensitization and short-term medroxyprogesterone--is outlined. About 80% of subjects can be expected to show a good response to one or other of these therapies. Of those who do not, most respond to the alternative or aversive therapy. Adolescent offenders appear to require more intensive treatment. Results appear comparable with those of more intensive programmes in use overseas.
本文介绍了悉尼威尔士亲王医院针对性犯罪者的治疗方案。由于没有证据表明阴茎周长评估能有效衡量个体的恋童癖或强奸倾向，因此未采用该评估方法。性犯罪者的自我报告仍是评估其情况的主要信息来源。文中概述了所采用的两种主要治疗技术——想象脱敏疗法和短期醋酸甲羟孕酮疗法的发展情况。预计约80%的受试者会对其中一种疗法产生良好反应。对于那些没有反应的人，大多数会对另一种或厌恶疗法产生反应。青少年犯罪者似乎需要更强化的治疗。结果显示与海外使用的更强化治疗方案相当。
