CHEMICAL CASTRATION

Chemical Castration

Chemical Castration

I personally welcome this development as a highly sensible approach, so long as it is fully audited to test its effectiveness and safety. Anti-androgen therapy reduces the re-offending rate from 50% to 5%, which is a pretty impressive effect.

Given the huge media profile given to sex offences against children, and the understandable emotional public reaction against paedophiles, this development is many years overdue. I wrote to the Home Office about this in 2001, and they responded with the usual pathetic Government fob off. Now they have finally come round to trying it out.

I stress that this is not an official Green Party position. There is a debate to be had, because it is vital that the medical profession does not become an arm of the State, using its knowledge to control people that the State judges to be dissenters. But I really do not think that fear applies in this case.

We already routinely practice preventive social medicine in the case of psychotic patients who are sectioned and treated on grounds of "being a danger to themselves or others". A patient with hypomania may be blissfully happy with the way things are as far as they are concerned, and may not be asking for any help, but we may judge that they are a danger to others, and restrict their liberty and treat them with antipsychotics.

This is a pretty close parallel with the situation of some sex offenders. There is a spectrum of self assessment among this group, some feeling profoundly guilty about their thoughts, proclivities and actions, while others are in denial about the damage they cause to others. The BMJ 27 February has an article titled "Chemical Castration for sex offenders: Doctors should avoid becoming agents of social control". It refers to an article on the National Probation Service site, which sets up a service for some forensic psychiatrists to advise on medical treatments for some sex offenders. The treatments are first Prozac-type antidepressants, and second, anti-testosterone drugs such as cyproterone acetate and gosrelin.

The BMA article (which is not yet on-line, and may not be for non-BMA members) is nothing if not cautious. It uses the "Chemical Castration" label, which is an emotively charged term. It says, "although ostensibly for public protection, it also carries with it a sense of symbolic retribution...straddle(s) the border between treatment and punishment".

One of the authors of the article is Don ...