Berlin F S
Johns Hopkins Hospital, Baltimore, Maryland.
Bull Am Acad Psychiatry Law. 1989;17(3):233-9.
Paraphilic disorders are Axis I psychiatric afflictions. They are not acquired by volitional decision, but are manifested by the association of erotic arousal with unacceptable behavior or stimulae (e.g., children). Because paraphilic behavior occurs in the service of a biological drive, use of medication to suppress sexual appetite may constitute an adjunct in treatment. Medroxyprogesterone can be used to decrease unacceptable erotic urges and fantasies, with the intent of increasing self-control. Such treatment should not be forced upon an unwilling person. Conversely, persons should not be denied access to treatment by laws which deter seeking help, or because of incarceration, parole, or probation.
性偏好障碍属于轴I精神疾病。它们并非由自主决定习得，而是表现为将性唤起与不可接受的行为或刺激因素（如儿童）联系在一起。由于性偏好行为是为了满足生理驱力，使用药物抑制性欲望可能是治疗的一种辅助手段。甲羟孕酮可用于减少不可接受的性冲动和幻想，目的是增强自我控制能力。这种治疗不应强加于不愿意接受的人身上。相反，人们不应因阻碍寻求帮助的法律，或因监禁、假释或缓刑而被剥夺接受治疗的机会。
