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Chemical castration

April 10, 2024

Chemical castration is castration via anaphrodisiac drugs, whether to reduce libido and sexual activity, to treat cancer, or otherwise. Unlike surgical castration, where the gonads are removed through an incision in the body,[1] chemical castration does not remove organs and is not a form of sterilization.[2]

Chemical castration is generally reversible when treatment is discontinued,[3] although permanent effects in body chemistry can sometimes be seen, as in the case of bone density loss increasing with length of use of depot medroxyprogesterone acetate (DMPA). In men, chemical castration reduces sex drive and the capacity for sexual arousal, side effects of some drugs may include depression, suicide ideations, hot flashes, anemia, infertility, increase in body fat and higher risks of cardiovascular diseases and osteoporosis. In women, chemical castration acts by decreasing testosterone levels in order to lower their sex drive, side effects include the deflation of breast glands, expansion of the size of the nipple and shrinking of bone mass.

In some jurisdictions, chemical castration has been used to reduce the libido of sexual offenders.[4] The effectiveness of chemical castration in decreasing recidivism among sex offenders is controversial.

Effects

On males

When used on males, these drugs can reduce sex drive, sexual fantasies, and capacity for sexual arousal. Life-threatening side effects are rare, but some users show increases in body fat and reduced bone density, which increase long-term risk of cardiovascular disease and osteoporosis, respectively. Males may also experience gynecomastia (development of larger-than-normal mammary glands in males); full development is less common unless chemical castration is combined with feminizing oestrogen therapy.[5]

Some drugs, such as medroxyprogesterone acetate, cyproterone acetate and LHRH agonists can decrease serum testosterone and estradiol in the body, thus impairing the metabolism of glucose and lipid. These drugs can also cause depression, hot flashes, infertility and anemia, aside from cardiovascular diseases and osteoporosis. The risk of side effects caused by chemical castration drugs can increase depending on the length of time under which they are administered.[6] A 2004 study in which eleven men were chemically castrated ended with one committing suicide after one year of treatment;[7] in another 2020 study, increases in suicidal ideations was reported by 8% of its treatment group, which led to the hospitalization of two of the 25 subjects who had been administered degarelix.[8][9]

On females

Further information: Oophorectomy

When used on females, the effects are similar, though there is little research about chemically lowering female's sex drive or female-specific anaphrodisiacs, since most research focuses on the opposite, but anti-androgenic hormone regimens would lower testosterone in females which can impact sex drive or sexual response.[10][11][12] These drugs also deflate the breast glands and expand the size of the nipple. Also seen is a sudden shrinking in bone mass and discoloration of the lips,[13][14] reduced body hair,[15] and muscle mass.[16]

Treatment for sex offenders

The first use of chemical castration occurred in 1944, when diethylstilbestrol was used with the purpose of lowering men's testosterone.[17] The antipsychotic agent benperidol was sometimes used to decrease sexual urges in people who displayed what was thought of as inappropriate sexual behavior, and as likewise given by depot injection, though benperidol does not affect testosterone and is therefore not a castration agent. Chemical castration was often seen as an easier alternative to life imprisonment or the death penalty because it allowed the release of the convicted.[18]

In 1981, in an experiment by Pierre Gagné, 48 males with long-standing histories of sexually deviant behaviour were given medroxyprogesterone acetate for as long as 12 months. Forty of those subjects were recorded as having diminished desires for deviant sexual behaviour, as well as less frequent sexual fantasies and greater control over sexual urges. The research recorded a continuation of this improved behaviour after the administration of the drug had ended, with no evidence of adverse side effects, and so recommended medroxyprogesterone acetate along with counselling as a successful method of treatment for serial sex offenders.[19]

Leuprolide acetate is an LHRH agonist that is most commonly used in chemical castration today.[20] This drug has been observed as having higher rates of success in reducing abnormal sexual urges and fantasies, but is often reserved for those offenders who are at a high risk of reoffending due to the drug's intense effects.[21]

Psychotherapy has also recently been used in conjunction with chemical castration in order to maximize and prolong the beneficial results.[22] Schober et al. reported in 2005 that when cognitive behavioral therapy combined with leuprolide acetetate was compared to cognitive behavioral therapy alone, the combination therapy produced a much more significant reduction of pedophilic fantasies and urges as well as masturbation.[23] Chemical castration therapy reduces an individual's libido which then makes some offenders more responsive to the introduction of psychotherapy.[24] This combination therapy is most often utilized in those who are at a high risk of offending.[22]

Offering criminals the option of chemical castration for a reduction in sentence is an example of compulsory sterilization[25] as it can leave a subject sterile if they are required to continue treatment for more than 3 years.[6]

Scientific critique

Some criminologists argue that the appearance of a lower recidivism rate in male sex offenders who take chemical castration treatment than in those who do not can be explained by factors other than biological effects of the medication. One hypothesis is that men who accept the negative effects of hormonal treatment in exchange for shorter prison sentence are distinct in that they value freedom from incarceration higher than men who rather stay in prison for a longer time than face the side effects of chemical castration. These criminologists explain apparently lower recidivism as an artifact of men who accept chemical castration being more engaged in hiding the evidence for reoffending, and that paroling such offenders constitute a risk of releasing criminals who commit as many new crimes as others but are better at hiding it. These criminologists also argue that police investigators treating castrated men as less likely to reoffend than non-castrated men may cause an investigation bias and self-fulfilling prophecy, and that men who sell some of their prescribed medicines on the black market for drugs get a hidden income that improves their ability to afford measures to hide recidivism that is not available to men without such prescriptions.[26][27][28]

Some neurologists acknowledge that testosterone plays a role in sexual arousal but consider that reducing sex drive will likely not reduce inappropriate sex behaviour. These researchers argue that since a weaker internal signal in the brain means a higher requirement for external stimulation to create a feedback loop that tires the brain circuits out as in orgasm and lead to satisfaction, a reduction of the internal stimulation from hormones would make the required external stimulation stronger and also more specific, as weaker signals involve narrower ranges of other brain functions in their loops. These scientists therefore argue that the biological (as opposed to sociological) effect of reduced testosterone is to make it more difficult and not easier to use masturbation without pornography or other socially acceptable substitutes to manage remaining sex drive in a former offender, and that many community persons (both male and female) find that a lower initial arousal makes it more difficult to orgasm by masturbation without pornography or with non-preferred stimulation.[29][30]

Chemical castration by country

Africa

South Africa

In July 2022, a proposed policy of chemical castration for rapists was introduced at the national policy conference of the ruling party, the African National Congress, by the party's Women's League.[31]

Americas

Argentina

In March 2010, Guillermo Fontana of CNN reported that officials in Mendoza, a province in Argentina, approved the use of voluntary chemical castration for rapists, in return for reduced sentences.[32]

United States

In 1966, John Money became the first American to employ chemical castration by prescribing medroxyprogesterone acetate (MPA) as a treatment for a bisexual transgender person who was in therapy for having sexually abused their 4-year-old son. The drug has thereafter become a mainstay of chemical castration in America. Despite having been extensively used in the United States for the purpose of decreasing sexual impulses, the drug has never been approved by the FDA for use as a treatment for sexual offenders.[17]

California was the first U.S. state to specify the use of chemical castration for repeat child molesters as a condition of their parole, following the passage of a modification to Section 645 of the California penal code in 1996.[33][34] This law stipulates castration for anyone convicted of child molestation with a minor under 13 years of age if they are on parole after their second offense. Offenders may not reject the intervention,[33][34][35][36] although they may elect surgical castration instead of ongoing DMPA injections.[37]

The passage of this law led to similar laws in other states such as Florida's Statute Section 794.0235 which was passed into law in 1997.[38]

At least seven other states, including Georgia, Iowa, Louisiana, Montana, Oregon, Texas and Wisconsin, have experimented with chemical castration.[17] In Iowa, as in California and Florida, offenders may be sentenced to chemical castration in all cases involving serious sex offenses. On June 25, 2008, following the Supreme Court ruling in Kennedy v. Louisiana that the execution of child rapists where the victim was not killed was ruled unconstitutional,[39] Louisiana Governor Bobby Jindal signed Senate Bill 144, allowing Louisiana judges to sentence convicted rapists to chemical castration.[40][41][42] Alabama passed such a law in 2019.[43]

Asia

India

After the outrage following the gang rape of a woman in Delhi, the Government has submitted a draft proposing chemical castration along with an imprisonment of up to 30 years for rape convicts as part of the anti-rape law in India. The ministry is preparing a detailed bill and the recommended changes are under review.[44][45] Government is also planning to re-define the Juvenile Act and lower their age. One of the accused in the rape case is a juvenile and aged a few months less than 18 years. A view has been expressed by a section that only those below 15 years should be described as juvenile.[46][47]

Indonesia

In 2016, the Indonesian President Joko Widodo introduced a presidential regulation (Government Regulation in Lieu of Law No.1/2016) to allow chemical castration to be handed down as a punishment to child sex offenders. The regulation alters the contents of the 2002 Law on Child Protection (Law No. 23 of 2002).[4] DPR later enacted the regulation and amended the law (Law No. 17 of 2016) to enable chemical castration.[48] Although, a convicted child sex offender convicted in 2019 and eligible to be castrated chemically, the technical details on how the punishment will be carried out was under debate between the Government and Indonesian Physicians Association, resulting the sentence suspended until the technical details made.[49] On 7 December 2020, government finally issued Government Regulation No. 70/2020, that detailing technical details on how chemical castration carried out. The chemical castration punishment carried by specifically appointed physician in central government-run or local government-run hospital, and witnessed by witnesses from Attorney General, Ministry of Law and Human Rights, Ministry of Social Affairs, and Ministry of Health. The drugs used for the sentence however, not declared in the government regulation. The government regulation also authorized Ministry of Law and Human Rights to issue regulation to notify the Attorney General, and Ministry of Health to compile the technical procedure for the clinical assessment, conclusion, and implementation.[50]

Israel

In May 2009, two brothers from Haifa—convicted child molesters—agreed to undergo chemical castration to avoid committing further crimes.[51]

Pakistan

In 2020, Pakistan's Prime Minister Imran Khan told a journalist that he would prefer that rapists and child molesters be publicly hanged, but he added that, because he imagined that such capital punishment would gain negative attention for Pakistan on the international stage, he would instead like such offenders to "undergo chemical castration, or surgery be performed so they cannot do anything in future."[52] The Anti-Rape Ordinance 2020, approved by President Arif Alvi in December 2020,[53] allows for chemical castration of rapists without the consent of the offender.[54] Lawmakers gave it permanent approval in November 2021.[55]

South Korea

In July 2011, South Korea enacted a law allowing judges the power to sentence sex offenders who have attacked children under the age of 16 to chemical castration.[56] The law also allows for chemical castration to be ordered by a Ministry of Justice committee. On May 23, 2012, a serial sex offender legally called Park in the court case was ordered by the committee to undergo this treatment after his most recent attempted offense. On January 3, 2013, a South Korean court sentenced a 31-year-old man to 15 years in jail and chemical castration, the country's first-ever chemical castration sentence.[57][58] In 2017, the sentencing was extended to include all forms of rapes and sexual assault cases against women, including attempted rape.

Europe

Legislation allowing chemical castration exists in France, the United Kingdom, Poland, Russia, North Macedonia, Belgium and Turkey.[59]: 16  The drug cyproterone acetate has been commonly used for chemical castration throughout Europe. It resembles the drug MPA used in America.[17]

Estonia

On June 5, 2012, Estonia passed a law that allows voluntary chemical castration as a part of complex treatment for less serious sex offenders as an alternative of imprisonment. However, the treatment is rarely used in practice.[60]

Germany

In the 1960s, German physicians used antiandrogens as a treatment for sexual paraphilia.[17]

Moldova

On March 6, 2012, Moldova legislated forcible chemical castration of child molesters; the law came into effect on July 1, 2012.[61]

North Macedonia

In October and November 2013, North Macedonia authorities were working on developing a legal framework and standard procedure for implementation of chemical castration that would be used for convicted child molesters. The castration is intended to be voluntarily, where as for the child molesters that repeat the criminal act it should be mandatory.[62]

Poland

On September 25, 2009, Poland legislated forcible chemical castration of child molesters.[63] This law came into effect on June 9, 2010; therefore in Poland "anyone guilty of raping a child under the age of 15 can now be forced to submit to chemical and psychological therapy to reduce sex drive at the end of a prison term".[64]

Portugal

In 2008, an experimental intervention program was launched in three Portuguese prisons: Carregueira (Belas, Sintra), Paços de Ferreira and Funchal. The program developers note the voluntary nature of the program a crucial factor in its success. They initially planned to cover ten inmates per prison, contemplating a possible enlargement to other prisons in the future. The program also included a rehabilitation component.[65]

In 2021, The right-wing populist Chega party pushed for a chemical castration bill in parliament.[66]

Russia

In October 2011, the Russian parliament approved a law that allows a court-requested forensic psychiatrist to prescribe the chemical castration of convicted sex offenders who have harmed children under the age of 14.[citation needed]

United Kingdom

In the United Kingdom, computer scientist Alan Turing, famous for his contributions to mathematics and computer science, pleaded guilty in 1952 to a charge of gross indecency for engaging in homosexual acts and accepted chemical castration as a term of his probation, thus avoiding imprisonment.[67] At the time, homosexual acts between males were illegal and homosexual orientation was widely considered to be a mental illness that could be treated with chemical castration.[67] Turing experienced side effects such as gynecomastia (breast enlargement)[68] and bloating of the physique.[67] He died two years later, with the inquest returning a verdict of suicide.[69] In 2009 British Prime Minister Gordon Brown issued a public apology for the "appalling" treatment of Turing after an online petition gained 30,000 signatures and international recognition.[70] He was given a posthumous Royal Pardon in December 2013.

A law allowing voluntary chemical castration was created in the UK in 2007 by then home secretary John Reid.[71]

On April 30, 2010, a 30-year-old man in the United Kingdom found guilty of attempting to murder a 60-year-old woman in order to abduct and rape her two granddaughters (aged eight and two) agreed to undergo chemical castration as part of the terms of his sentence. He was jailed for a minimum of 10 years at the High Court in Glasgow. [72]

Oceania

Australia

In 2010, a 58-year-old repeat child sex offender who had been subject to chemical castration was accused of inappropriately touching and kissing a seven-year-old young girl. He was found not guilty by a jury, which was not informed of the context of his previous offenses.[73]

New Zealand

In New Zealand, the antilibidinal drug cyproterone acetate is sold under the name Androcur. In November 2000 convicted child sex offender Robert Jason Dittmer attacked a victim while on the drug. In 2009 a study into the effectiveness of the drug by Dr David Wales for the Corrections Department found that no research had been conducted in New Zealand into the effectiveness and such trials were "ethically and practically very difficult to carry out."[74]

Objections

The American Civil Liberties Union of Florida opposes the administration of any drug that is dangerous or has significant irreversible effect as an alternative to incarceration; however, they do not oppose the use of antiandrogen drugs for sex offenders under carefully controlled circumstances as an alternative to incarceration.[40] Law professor John Stinneford has argued that chemical castration is a cruel and unusual punishment because it exerts control over the mind of sex offenders to render them incapable of sexual desire and subjects them to the physical changes caused by the hormones used.[75]

Some people have argued that, based on the 14th Amendment, the procedure fails to guarantee equal protection: although the laws mandating the treatment do so without respect to gender, the actual effect of the procedure disproportionately falls upon men.[17] In the case of voluntary statutes, the ability to give informed consent is also an issue; in 1984, the U.S. state of Michigan's court of appeals held that mandating chemical castration as a condition of probation was unlawful on the grounds that the drug medroxyprogesterone acetate had not yet gained acceptance as being safe and reliable and also due to the difficulty of obtaining informed consent under these circumstances.[17]

Treatment of cancer

A major medical use of chemical castration is in the treatment of hormone-dependent cancers, such as some prostate cancer, where it has largely replaced the practice of surgical castration.[76][77]

Chemical castration involves the administration of antiandrogen drugs, such as cyproterone acetate, flutamide, or gonadotropin-releasing hormone agonists.

See also

References

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  68. ^ Sullivan, Andrew (11 September 2009). . The Atlantic. Archived from the original on 27 December 2013. Retrieved 20 October 2013. [...] One of the known side effects of these hormone injections was the development of breasts, known as gynecomastia, something which plagued Turing for the rest of his life. [...]{{cite web}}: CS1 maint: bot: original URL status unknown (link)
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  71. ^ Curtis, Polly (2012-03-13). "Should sex offenders be chemically 'castrated'?". The Guardian. Retrieved 2020-12-29.
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  75. ^ Stinneford, John F. (20 July 2006). "Incapacitation through Maiming: Chemical Castration, the Eighth Amendment, and the Denial of Human Dignity". University of St. Thomas Law Journal (6–25). SSRN 918271.
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  77. ^ "The ADT Book". Life on ADT.

Further reading

  • Daley, Matthew V. (2008). "A Flawed Solution to the Sex Offender Situation in the United States: The Legality of Chemical Castration for Sex Offenders" (PDF). Indiana Health Law Review. 5 (1): 87–122. doi:10.18060/16522.
  • Giordano, Kevin (1 March 2000). . Health & Body. Salon. Archived from the original on 15 March 2002. Retrieved 6 February 2019.
  • Larrubia, Evelyn (19 September 1999). "In Need of Therapy". Los Angeles Times. Retrieved 6 February 2019.

April 10, 2024
chemical, castration, castration, anaphrodisiac, drugs, whether, reduce, libido, sexual, activity, treat, cancer, otherwise, unlike, surgical, castration, where, gonads, removed, through, incision, body, chemical, castration, does, remove, organs, form, steril. Chemical castration is castration via anaphrodisiac drugs whether to reduce libido and sexual activity to treat cancer or otherwise Unlike surgical castration where the gonads are removed through an incision in the body 1 chemical castration does not remove organs and is not a form of sterilization 2 Chemical castration is generally reversible when treatment is discontinued 3 although permanent effects in body chemistry can sometimes be seen as in the case of bone density loss increasing with length of use of depot medroxyprogesterone acetate DMPA In men chemical castration reduces sex drive and the capacity for sexual arousal side effects of some drugs may include depression suicide ideations hot flashes anemia infertility increase in body fat and higher risks of cardiovascular diseases and osteoporosis In women chemical castration acts by decreasing testosterone levels in order to lower their sex drive side effects include the deflation of breast glands expansion of the size of the nipple and shrinking of bone mass In some jurisdictions chemical castration has been used to reduce the libido of sexual offenders 4 The effectiveness of chemical castration in decreasing recidivism among sex offenders is controversial Contents 1 Effects 1 1 On males 1 2 On females 2 Treatment for sex offenders 2 1 Scientific critique 3 Chemical castration by country 3 1 Africa 3 1 1 South Africa 3 2 Americas 3 2 1 Argentina 3 2 2 United States 3 3 Asia 3 3 1 India 3 3 2 Indonesia 3 3 3 Israel 3 3 4 Pakistan 3 3 5 South Korea 3 4 Europe 3 4 1 Estonia 3 4 2 Germany 3 4 3 Moldova 3 4 4 North Macedonia 3 4 5 Poland 3 4 6 Portugal 3 4 7 Russia 3 4 8 United Kingdom 3 5 Oceania 3 5 1 Australia 3 5 2 New Zealand 4 Objections 5 Treatment of cancer 6 See also 7 References 8 Further readingEffectsOn males When used on males these drugs can reduce sex drive sexual fantasies and capacity for sexual arousal Life threatening side effects are rare but some users show increases in body fat and reduced bone density which increase long term risk of cardiovascular disease and osteoporosis respectively Males may also experience gynecomastia development of larger than normal mammary glands in males full development is less common unless chemical castration is combined with feminizing oestrogen therapy 5 Some drugs such as medroxyprogesterone acetate cyproterone acetate and LHRH agonists can decrease serum testosterone and estradiol in the body thus impairing the metabolism of glucose and lipid These drugs can also cause depression hot flashes infertility and anemia aside from cardiovascular diseases and osteoporosis The risk of side effects caused by chemical castration drugs can increase depending on the length of time under which they are administered 6 A 2004 study in which eleven men were chemically castrated ended with one committing suicide after one year of treatment 7 in another 2020 study increases in suicidal ideations was reported by 8 of its treatment group which led to the hospitalization of two of the 25 subjects who had been administered degarelix 8 9 On females Further information Oophorectomy When used on females the effects are similar though there is little research about chemically lowering female s sex drive or female specific anaphrodisiacs since most research focuses on the opposite but anti androgenic hormone regimens would lower testosterone in females which can impact sex drive or sexual response 10 11 12 These drugs also deflate the breast glands and expand the size of the nipple Also seen is a sudden shrinking in bone mass and discoloration of the lips 13 14 reduced body hair 15 and muscle mass 16 Treatment for sex offendersThe first use of chemical castration occurred in 1944 when diethylstilbestrol was used with the purpose of lowering men s testosterone 17 The antipsychotic agent benperidol was sometimes used to decrease sexual urges in people who displayed what was thought of as inappropriate sexual behavior and as likewise given by depot injection though benperidol does not affect testosterone and is therefore not a castration agent Chemical castration was often seen as an easier alternative to life imprisonment or the death penalty because it allowed the release of the convicted 18 In 1981 in an experiment by Pierre Gagne 48 males with long standing histories of sexually deviant behaviour were given medroxyprogesterone acetate for as long as 12 months Forty of those subjects were recorded as having diminished desires for deviant sexual behaviour as well as less frequent sexual fantasies and greater control over sexual urges The research recorded a continuation of this improved behaviour after the administration of the drug had ended with no evidence of adverse side effects and so recommended medroxyprogesterone acetate along with counselling as a successful method of treatment for serial sex offenders 19 Leuprolide acetate is an LHRH agonist that is most commonly used in chemical castration today 20 This drug has been observed as having higher rates of success in reducing abnormal sexual urges and fantasies but is often reserved for those offenders who are at a high risk of reoffending due to the drug s intense effects 21 Psychotherapy has also recently been used in conjunction with chemical castration in order to maximize and prolong the beneficial results 22 Schober et al reported in 2005 that when cognitive behavioral therapy combined with leuprolide acetetate was compared to cognitive behavioral therapy alone the combination therapy produced a much more significant reduction of pedophilic fantasies and urges as well as masturbation 23 Chemical castration therapy reduces an individual s libido which then makes some offenders more responsive to the introduction of psychotherapy 24 This combination therapy is most often utilized in those who are at a high risk of offending 22 Offering criminals the option of chemical castration for a reduction in sentence is an example of compulsory sterilization 25 as it can leave a subject sterile if they are required to continue treatment for more than 3 years 6 Scientific critique Some criminologists argue that the appearance of a lower recidivism rate in male sex offenders who take chemical castration treatment than in those who do not can be explained by factors other than biological effects of the medication One hypothesis is that men who accept the negative effects of hormonal treatment in exchange for shorter prison sentence are distinct in that they value freedom from incarceration higher than men who rather stay in prison for a longer time than face the side effects of chemical castration These criminologists explain apparently lower recidivism as an artifact of men who accept chemical castration being more engaged in hiding the evidence for reoffending and that paroling such offenders constitute a risk of releasing criminals who commit as many new crimes as others but are better at hiding it These criminologists also argue that police investigators treating castrated men as less likely to reoffend than non castrated men may cause an investigation bias and self fulfilling prophecy and that men who sell some of their prescribed medicines on the black market for drugs get a hidden income that improves their ability to afford measures to hide recidivism that is not available to men without such prescriptions 26 27 28 Some neurologists acknowledge that testosterone plays a role in sexual arousal but consider that reducing sex drive will likely not reduce inappropriate sex behaviour These researchers argue that since a weaker internal signal in the brain means a higher requirement for external stimulation to create a feedback loop that tires the brain circuits out as in orgasm and lead to satisfaction a reduction of the internal stimulation from hormones would make the required external stimulation stronger and also more specific as weaker signals involve narrower ranges of other brain functions in their loops These scientists therefore argue that the biological as opposed to sociological effect of reduced testosterone is to make it more difficult and not easier to use masturbation without pornography or other socially acceptable substitutes to manage remaining sex drive in a former offender and that many community persons both male and female find that a lower initial arousal makes it more difficult to orgasm by masturbation without pornography or with non preferred stimulation 29 30 Chemical castration by countryAfrica South Africa In July 2022 a proposed policy of chemical castration for rapists was introduced at the national policy conference of the ruling party the African National Congress by the party s Women s League 31 Americas Argentina In March 2010 Guillermo Fontana of CNN reported that officials in Mendoza a province in Argentina approved the use of voluntary chemical castration for rapists in return for reduced sentences 32 United States In 1966 John Money became the first American to employ chemical castration by prescribing medroxyprogesterone acetate MPA as a treatment for a bisexual transgender person who was in therapy for having sexually abused their 4 year old son The drug has thereafter become a mainstay of chemical castration in America Despite having been extensively used in the United States for the purpose of decreasing sexual impulses the drug has never been approved by the FDA for use as a treatment for sexual offenders 17 California was the first U S state to specify the use of chemical castration for repeat child molesters as a condition of their parole following the passage of a modification to Section 645 of the California penal code in 1996 33 34 This law stipulates castration for anyone convicted of child molestation with a minor under 13 years of age if they are on parole after their second offense Offenders may not reject the intervention 33 34 35 36 although they may elect surgical castration instead of ongoing DMPA injections 37 The passage of this law led to similar laws in other states such as Florida s Statute Section 794 0235 which was passed into law in 1997 38 At least seven other states including Georgia Iowa Louisiana Montana Oregon Texas and Wisconsin have experimented with chemical castration 17 In Iowa as in California and Florida offenders may be sentenced to chemical castration in all cases involving serious sex offenses On June 25 2008 following the Supreme Court ruling in Kennedy v Louisiana that the execution of child rapists where the victim was not killed was ruled unconstitutional 39 Louisiana Governor Bobby Jindal signed Senate Bill 144 allowing Louisiana judges to sentence convicted rapists to chemical castration 40 41 42 Alabama passed such a law in 2019 43 Asia India After the outrage following the gang rape of a woman in Delhi the Government has submitted a draft proposing chemical castration along with an imprisonment of up to 30 years for rape convicts as part of the anti rape law in India The ministry is preparing a detailed bill and the recommended changes are under review 44 45 Government is also planning to re define the Juvenile Act and lower their age One of the accused in the rape case is a juvenile and aged a few months less than 18 years A view has been expressed by a section that only those below 15 years should be described as juvenile 46 47 Indonesia In 2016 the Indonesian President Joko Widodo introduced a presidential regulation Government Regulation in Lieu of Law No 1 2016 to allow chemical castration to be handed down as a punishment to child sex offenders The regulation alters the contents of the 2002 Law on Child Protection Law No 23 of 2002 4 DPR later enacted the regulation and amended the law Law No 17 of 2016 to enable chemical castration 48 Although a convicted child sex offender convicted in 2019 and eligible to be castrated chemically the technical details on how the punishment will be carried out was under debate between the Government and Indonesian Physicians Association resulting the sentence suspended until the technical details made 49 On 7 December 2020 government finally issued Government Regulation No 70 2020 that detailing technical details on how chemical castration carried out The chemical castration punishment carried by specifically appointed physician in central government run or local government run hospital and witnessed by witnesses from Attorney General Ministry of Law and Human Rights Ministry of Social Affairs and Ministry of Health The drugs used for the sentence however not declared in the government regulation The government regulation also authorized Ministry of Law and Human Rights to issue regulation to notify the Attorney General and Ministry of Health to compile the technical procedure for the clinical assessment conclusion and implementation 50 Israel In May 2009 two brothers from Haifa convicted child molesters agreed to undergo chemical castration to avoid committing further crimes 51 Pakistan In 2020 Pakistan s Prime Minister Imran Khan told a journalist that he would prefer that rapists and child molesters be publicly hanged but he added that because he imagined that such capital punishment would gain negative attention for Pakistan on the international stage he would instead like such offenders to undergo chemical castration or surgery be performed so they cannot do anything in future 52 The Anti Rape Ordinance 2020 approved by President Arif Alvi in December 2020 53 allows for chemical castration of rapists without the consent of the offender 54 Lawmakers gave it permanent approval in November 2021 55 South Korea In July 2011 South Korea enacted a law allowing judges the power to sentence sex offenders who have attacked children under the age of 16 to chemical castration 56 The law also allows for chemical castration to be ordered by a Ministry of Justice committee On May 23 2012 a serial sex offender legally called Park in the court case was ordered by the committee to undergo this treatment after his most recent attempted offense On January 3 2013 a South Korean court sentenced a 31 year old man to 15 years in jail and chemical castration the country s first ever chemical castration sentence 57 58 In 2017 the sentencing was extended to include all forms of rapes and sexual assault cases against women including attempted rape Europe Legislation allowing chemical castration exists in France the United Kingdom Poland Russia North Macedonia Belgium and Turkey 59 16 The drug cyproterone acetate has been commonly used for chemical castration throughout Europe It resembles the drug MPA used in America 17 Estonia On June 5 2012 Estonia passed a law that allows voluntary chemical castration as a part of complex treatment for less serious sex offenders as an alternative of imprisonment However the treatment is rarely used in practice 60 Germany In the 1960s German physicians used antiandrogens as a treatment for sexual paraphilia 17 Moldova On March 6 2012 Moldova legislated forcible chemical castration of child molesters the law came into effect on July 1 2012 61 North Macedonia In October and November 2013 North Macedonia authorities were working on developing a legal framework and standard procedure for implementation of chemical castration that would be used for convicted child molesters The castration is intended to be voluntarily where as for the child molesters that repeat the criminal act it should be mandatory 62 Poland On September 25 2009 Poland legislated forcible chemical castration of child molesters 63 This law came into effect on June 9 2010 therefore in Poland anyone guilty of raping a child under the age of 15 can now be forced to submit to chemical and psychological therapy to reduce sex drive at the end of a prison term 64 Portugal In 2008 an experimental intervention program was launched in three Portuguese prisons Carregueira Belas Sintra Pacos de Ferreira and Funchal The program developers note the voluntary nature of the program a crucial factor in its success They initially planned to cover ten inmates per prison contemplating a possible enlargement to other prisons in the future The program also included a rehabilitation component 65 In 2021 The right wing populist Chega party pushed for a chemical castration bill in parliament 66 Russia In October 2011 the Russian parliament approved a law that allows a court requested forensic psychiatrist to prescribe the chemical castration of convicted sex offenders who have harmed children under the age of 14 citation needed United Kingdom In the United Kingdom computer scientist Alan Turing famous for his contributions to mathematics and computer science pleaded guilty in 1952 to a charge of gross indecency for engaging in homosexual acts and accepted chemical castration as a term of his probation thus avoiding imprisonment 67 At the time homosexual acts between males were illegal and homosexual orientation was widely considered to be a mental illness that could be treated with chemical castration 67 Turing experienced side effects such as gynecomastia breast enlargement 68 and bloating of the physique 67 He died two years later with the inquest returning a verdict of suicide 69 In 2009 British Prime Minister Gordon Brown issued a public apology for the appalling treatment of Turing after an online petition gained 30 000 signatures and international recognition 70 He was given a posthumous Royal Pardon in December 2013 A law allowing voluntary chemical castration was created in the UK in 2007 by then home secretary John Reid 71 On April 30 2010 a 30 year old man in the United Kingdom found guilty of attempting to murder a 60 year old woman in order to abduct and rape her two granddaughters aged eight and two agreed to undergo chemical castration as part of the terms of his sentence He was jailed for a minimum of 10 years at the High Court in Glasgow 72 Oceania Australia In 2010 a 58 year old repeat child sex offender who had been subject to chemical castration was accused of inappropriately touching and kissing a seven year old young girl He was found not guilty by a jury which was not informed of the context of his previous offenses 73 New Zealand In New Zealand the antilibidinal drug cyproterone acetate is sold under the name Androcur In November 2000 convicted child sex offender Robert Jason Dittmer attacked a victim while on the drug In 2009 a study into the effectiveness of the drug by Dr David Wales for the Corrections Department found that no research had been conducted in New Zealand into the effectiveness and such trials were ethically and practically very difficult to carry out 74 ObjectionsThe American Civil Liberties Union of Florida opposes the administration of any drug that is dangerous or has significant irreversible effect as an alternative to incarceration however they do not oppose the use of antiandrogen drugs for sex offenders under carefully controlled circumstances as an alternative to incarceration 40 Law professor John Stinneford has argued that chemical castration is a cruel and unusual punishment because it exerts control over the mind of sex offenders to render them incapable of sexual desire and subjects them to the physical changes caused by the hormones used 75 Some people have argued that based on the 14th Amendment the procedure fails to guarantee equal protection although the laws mandating the treatment do so without respect to gender the actual effect of the procedure disproportionately falls upon men 17 In the case of voluntary statutes the ability to give informed consent is also an issue in 1984 the U S state of Michigan s court of appeals held that mandating chemical castration as a condition of probation was unlawful on the grounds that the drug medroxyprogesterone acetate had not yet gained acceptance as being safe and reliable and also due to the difficulty of obtaining informed consent under these circumstances 17 Treatment of cancerA major medical use of chemical castration is in the treatment of hormone dependent cancers such as some prostate cancer where it has largely replaced the practice of surgical castration 76 77 Chemical castration involves the administration of antiandrogen drugs such as cyproterone acetate flutamide or gonadotropin releasing hormone agonists See alsoLeuprorelin Neutersol Nonsurgical neutering alternatives TriptorelinReferences Can Castration Be a Solution for Sex Offenders Man Who Mutilated Himself in Jail Thinks So but Debate on Its Effectiveness Continues in Va Elsewhere by Candace Rondeaux for the Washington Post July 5 2006 Meisenkothen Christopher 1999 Chemical Castration Breaking the Cycle of Paraphiliac Recidivism Social Justice 26 1 139 154 JSTOR 29767116 Chemical Castration mymcleveland org a b Cochrane Joe 2016 05 25 Indonesia Approves Castration for Sex Offenders Who Prey on Children The New York Times ISSN 0362 4331 Retrieved 2016 05 26 Kanhai Robert C J Hage J Joris van Diest Paul J Bloemena Elisabeth Mulder J Wiebe January 2000 Short Term and Long Term Histologic Effects of Castration and Estrogen Treatment on Breast Tissue of 14 Male to Female Transsexuals in Comparison With Two Chemically Castrated Men The American Journal of Surgical Pathology 24 1 74 80 doi 10 1097 00000478 200001000 00009 PMID 10632490 S2CID 37752666 a b Lee J Y Cho K S 2013 Chemical Castration for Sexual Offenders Physicians Views Journal of Korean Medical Science 28 2 171 172 doi 10 3346 jkms 2013 28 2 171 PMC 3565125 PMID 23401647 Silvani Mauro Mondaini Nicola Zucchi Alessandro 2015 09 30 Androgen deprivation therapy castration therapy and pedophilia What s new Archivio Italiano di Urologia e Andrologia 87 3 222 226 doi 10 4081 aiua 2015 3 222 hdl 11568 1073189 ISSN 2282 4197 PMID 26428645 Kewley Stephanie Mhlanga Gunda Rosemary Van Hout Marie Claire 2023 01 02 Preventing child sexual abuse before it occurs examining the scale and nature of secondary public health prevention approaches Journal of Sexual Aggression 29 1 1 33 doi 10 1080 13552600 2021 2000651 ISSN 1355 2600 Landgren Valdemar Malki Kinda Bottai Matteo Arver Stefan Rahm Christoffer 2020 09 01 Effect of Gonadotropin Releasing Hormone Antagonist on Risk of Committing Child Sexual Abuse in Men With Pedophilic Disorder A Randomized Clinical Trial JAMA Psychiatry 77 9 897 905 doi 10 1001 jamapsychiatry 2020 0440 ISSN 2168 622X PMC 7191435 PMID 32347899 Oophorectomy ovary removal surgery Risks Mayoclinic org Retrieved 16 September 2017 Oophorectomy Risks News medical net 16 August 2010 Retrieved 16 September 2017 Castelo Branco C Palacios S Combalia J Ferrer M Traveria G 11 November 2009 Risk of hypoactive sexual desire disorder and associated factors in a cohort of oophorectomized women Climacteric 12 6 525 532 doi 10 3109 13697130903075345 PMID 19905904 S2CID 24700993 Gynecomastia with Anti androgens oncolink org Archived from the original on 2016 03 04 Retrieved 2010 02 25 Anti Androgen Side Effects LIVESTRONG COM Antiandrogen Drugs TheFreeDictionary com Can drugs help sex offenders by Clare Murphy for the BBC 13 June 2007 a b c d e f g Castration of Sex Offenders Prisoners Rights Versus Public Safety Archived 2011 09 28 at the Wayback Machine Charles L Scott MD and Trent Holmberg MD Bill would impose castration for convicted rapists Ocala Star Banner 21 February 1997 p 4B Gagne Pierre May 1981 Treatment of sex offenders with medroxyprogesterone acetate American Journal of Psychiatry 138 5 644 646 doi 10 1176 ajp 138 5 644 PMID 6453536 Silvani Mauro Mondaini Nicola Zucchi Alessandro 30 September 2015 Androgen deprivation therapy castration therapy and pedophilia What s new Archivio Italiano di Urologia e Andrologia 87 3 222 6 doi 10 4081 aiua 2015 3 222 hdl 11568 1073189 PMID 26428645 Turner Daniel Briken Peer January 2018 Treatment of Paraphilic Disorders in Sexual Offenders or Men With a Risk of Sexual Offending With Luteinizing Hormone Releasing Hormone Agonists An Updated Systematic Review The Journal of Sexual Medicine 15 1 77 93 doi 10 1016 j jsxm 2017 11 013 PMID 29289377 a b Guay David R P January 2009 Drug treatment of paraphilic and nonparaphilic sexual disorders Clinical Therapeutics 31 1 1 31 doi 10 1016 j clinthera 2009 01 009 PMID 19243704 Beech Anthony R Harkins Leigh November 2012 DSM IV paraphilia Descriptions demographics and treatment interventions Aggression and Violent Behavior 17 6 527 539 doi 10 1016 j avb 2012 07 008 Garcia Frederico Duarte Delavenne Heloise Garcia Assumpcao Alessandra de Fatima Almeida Thibaut Florence 10 April 2013 Pharmacologic Treatment of Sex Offenders With Paraphilic Disorder Current Psychiatry Reports 15 5 356 doi 10 1007 s11920 013 0356 5 PMID 23572328 S2CID 11940516 Ginzberg Janet F Fall 1992 NOTE COMPULSORY CONTRACEPTION AS A CONDITION OF PROBATION THE USE AND ABUSE OF NORPLANT Brooklyn Law Review 58 Horne Christine Lovaglia Michael J 2008 Experiments in criminology and law a research revolution Rowman amp Littlefield ISBN 978 0 7425 6027 7 page needed Sismondo Sergio Greene Jeremy A 2015 The Pharmaceutical Studies Reader John Wiley amp Sons ISBN 978 1 118 89654 9 page needed Fridell Lorie A 2016 Producing Bias Free Policing A Science Based Approach Springer ISBN 978 3 319 33175 1 page needed Berridge Kent C Kringelbach Morten L May 2015 Pleasure Systems in the Brain Neuron 86 3 646 664 doi 10 1016 j neuron 2015 02 018 PMC 4425246 PMID 25950633 Barrett Lisa Feldman 2017 How Emotions Are Made The Secret Life of the Brain Houghton Mifflin Harcourt ISBN 978 0 544 12996 2 page needed Zimasa Matiwane July 31 2022 ANCWL again proposes castration for rapists TimesLIVE Fontana Guillermo March 20 2010 Argentina province OKs chemical castration for rapists CNN a b XII SEX OFFENDERS Children and minors California State Senate Archived from the original on 2005 03 22 Retrieved 2006 11 23 The web page notes the Chemical Castration clause as a repeal and an addition to Section 645 a b California child molesters could face chemical castration CNN 1996 08 29 Archived from the original on 2006 10 20 Retrieved 2006 11 23 Codes Display Text leginfo legislature ca gov Retrieved 17 June 2018 Macready N 21 September 1996 Chemical castration for paedophiles approved BMJ 313 7059 707 doi 10 1136 bmj 313 7059 707a PMID 8819434 S2CID 10395767 Panati Charles 1998 Sexy Origins and Intimate Things The Rites and Rituals of Straights Gays Bi s Drags Trans Virgins and Others New York Penguin p 483 Spalding Larry Helm 1998 Florida s 1997 Chemical Castration Law A Return to the Dark Ages PDF Florida State University Law Review 25 2 117 139 Archived from the original PDF on 2010 06 13 Rossmeier Vincent June 26 2008 Jindal approves castration for sex offenders Salon Salon Media Group Archived from the original on November 16 2013 Retrieved October 20 2013 On Wednesday the Supreme Court ruled that it s unconstitutional to execute someone for a case of child rape where the victim s life was not taken a b Spalding Larry Helm Winter 1998 Florida s 1997 Chemical Castration Law A Return to the Dark Ages Florida State University Law Review 25 117 124 Archived from the original on September 17 2017 Retrieved March 15 2016 Furthermore the ACLU of Florida opposes any attempt to offer a defendant the opportunity to avoid incarceration by taking a drug that is dangerous or that has a significant irreversible effect on an individual s cognitive capacity or an important physical function such as the ability to conceive children The ACLU of Florida does not oppose the use of antiandrogen drugs under certain controlled circumstances as an alternative to incarceration for convicted sex offenders Because the ACLU of Florida respects individual autonomy and supports the principle that punishment should be no more restrictive of liberty than necessary an individual s choice of whether to accept an antiandrogen drug is entitled to considerable respect In addition because this choice arises in the inherently coercive context of sentencing and because of the capacity for abuse of this sentencing option such treatment should be available only under the most carefully controlled circumstances Code 2009 Index coolice legis state ia us Retrieved 16 September 2017 Statutes amp Constitution View Statutes gt 2006 gt Ch0794 gt Section 0235 Online Sunshine state fl us Alabama becomes seventh state to approve castration for some sex offenses NBC News 11 June 2019 Retrieved 2019 06 11 Press Trust of India 30 December 2012 Cong draft anti rape law proposes chemical castration business standard com Congress anti rape law draft proposes chemical castration IBNLive Archived from the original on 2012 12 31 Congress anti rape draft bill proposes 30 years jail chemical castration The Times of India 30 December 2012 Archived from the original on 26 January 2013 Dhingra Sanya 2018 05 04 PMO asks Women amp Child ministry to examine demand for chemical castration of child rapists ThePrint Retrieved 2020 11 24 Government of Indonesia 25 May 2016 Undang undang Nomor 17 Tahun 2016 Penetapan Peraturan Pemerintah Pengganti Undang undang Nomor 1 Tahun 2016 Tentang Perubahan Kedua Atas Undang undang Nomor 23 Tahun 2002 Tentang Perlindungan Anak Menjadi Undang undang Law No 17 of 2016 Enactment of Government Regulation in Lieu of Law No 1 of 2016 Re Second Amendment of Law No 23 of 2002 Becoming Law PDF Retrieved 3 January 2021 Hukuman kebiri kimia pertama di Indonesia belum bisa diterapkan BBC News Indonesia in Indonesian Retrieved 2021 01 03 Government of Indonesia 7 December 2020 Peraturan Pemerintah No 70 2020 Tata Cara Pelaksanaan Tindakan Kebiri Kimia Pemasangan Alat Pendeteksi Elektronik Rehabilitasi dan Pengumuman Identitas Pelaku Kekerasan Seksual Terhadap Anak Government Regulation No 70 2020 Procedures for Implementing Chemical Castration Installation of Electronic Detection Tools Rehabilitation and Announcement of Identity of Sexual Violators Against Children PDF Retrieved 3 January 2021 Tali Libman 25 May 2009 Losing a battle to win the war Haaretz Raja Adeel 16 September 2020 Pakistan s Prime Minister Imran Khan calls for chemical castration of those convicted of rape CNN Retrieved 2020 09 16 Pakistan Cruel and inhuman chemical castration punishment will not fix flawed system Amnesty International 2020 12 16 Retrieved 2021 11 19 Asad Malik December 16 2020 Ordinance allowing castration of rapists approved Dawn President Dr Arif Alvi on Tuesday accorded approval to the Anti Rape Ordinance 2020 which will ensure speedy trial of rape cases with women and children as victims and also allow for chemical castration of those convicted of such offences However contrary to the draft approved by the Cabinet Committee on Legislative Cases CCLC the consent of the convict will not be required for carrying out castration but it will be the discretion of the judge of the trial court Saifi Sophia 18 November 2021 Pakistan passes anti rape bill allowing chemical castration CNN Archived from the original on 2021 11 18 Retrieved 2021 11 19 S Korea enacts chemical castration law to punish paedophiles Reuters 24 July 2011 Archived from the original on 28 November 2018 Retrieved 5 July 2021 South Korean court orders first chemical castration The Hindu Chennai India 3 January 2013 Court issues 1st chemical castration sentence Korea Herald 3 January 2013 Archived from the original on 4 January 2013 Retrieved 4 January 2013 Copur Mazlum Copur Sidar 2020 11 17 Chemical Castration as an Evolving Concept Is It a Possible Solution for Sexual Offences The Journal of Forensic Psychiatry amp Psychology 32 2 326 351 doi 10 1080 14789949 2020 1849359 ISSN 1478 9949 S2CID 228888599 Current treatment of sexual offenders has failed says ministry News err ee 2017 06 05 Retrieved 18 August 2019 Moldova will punish pedophiles with chemical castration Noi md Archived from the original on 2012 03 15 Hemiskata kastraciјa za pedofilite gi podeli psihiјatrite i pravnicite novamakedonija com mk Archived from the original on 2013 11 19 Poland okays forcible castration for pedophiles Reuters 2009 09 25 Poland approves chemical castration for paedophiles ABC News 2010 06 08 Mais condenacoes por abuso sexual de menor Diario de Noticias 5 October 2011 Archived from the original on 2013 09 28 Chega party proposes chemical castration for repeat rape offenders www theportugalnews com Retrieved 2021 09 22 a b c The Turing enigma Campaigners demand pardon for mathematics genius by Jonathan Brown for the Independent August 18 2009 Sullivan Andrew 11 September 2009 An Apology To Alan Turing The Atlantic Archived from the original on 27 December 2013 Retrieved 20 October 2013 One of the known side effects of these hormone injections was the development of breasts known as gynecomastia something which plagued Turing for the rest of his life a href Template Cite web html title Template Cite web cite web a CS1 maint bot original URL status unknown link Thousands call for Turing apology BBC 31 August 2009 ARCHIVED CONTENT Treatment of Alan Turing was appalling PM Number10 gov uk nationalarchives gov uk Archived from the original on 2009 09 12 Curtis Polly 2012 03 13 Should sex offenders be chemically castrated The Guardian Retrieved 2020 12 29 BBC News Menace jailed over child rape and abduction attempt bbc co uk 2010 04 30 Roanne Johnson 30 October 2010 Convicted paedophile allowed to look after kids Townsville Bulletin Archived from the original on 2011 05 19 Francis Clio 11 July 2011 Chemicals don t always stop sex offenders The Dominion Post Retrieved 23 September 2011 Stinneford John F 20 July 2006 Incapacitation through Maiming Chemical Castration the Eighth Amendment and the Denial of Human Dignity University of St Thomas Law Journal 6 25 SSRN 918271 About hormone therapy for prostate cancer cancerresearchuk org 2017 08 30 Archived from the original on 2012 11 17 Retrieved 2014 04 23 The ADT Book Life on ADT Further readingDaley Matthew V 2008 A Flawed Solution to the Sex Offender Situation in the United States The Legality of Chemical Castration for Sex Offenders PDF Indiana Health Law Review 5 1 87 122 doi 10 18060 16522 Giordano Kevin 1 March 2000 The Chemical Knife Health amp Body Salon Archived from the original on 15 March 2002 Retrieved 6 February 2019 Larrubia Evelyn 19 September 1999 In Need of Therapy Los Angeles Times Retrieved 6 February 2019 Retrieved from https en wikipedia org w index php title Chemical castration amp oldid 1215787678, wikipedia, wiki, book, books, library,

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