Quelle prise en charge thérapeutique pour les patients paraphiles auteurs de violence sexuelle ? (notice n° 800650)
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| fixed length control field | 03288cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123122112.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Delavenne, Héloïse |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Quelle prise en charge thérapeutique pour les patients paraphiles auteurs de violence sexuelle ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2014.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 42 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La prise en charge des patients paraphiles auteurs de violence sexuelle peut comprendre, en plus de la psychothérapie, des traitements médicamenteux. Les antidépresseurs de type inhibiteur de recapture de la sérotonine ont montré un bénéfice dans les paraphilies à faible risque de passage à l’acte et à forte tonalité compulsive ou en cas de dépression associée. Toutefois ces prescriptions sont hors autorisation de mise sur le marché (AMM) en France. Les traitements hormonaux réduisent significativement l’intensité et la fréquence du désir sexuel déviant de façon réversible et ont montré une efficacité dans la prise en charge des paraphilies les plus sévères, comme chez les pédophilies avec un fort risque de passage à l’acte ou de violence et chez les violeurs récidivistes avec un comportement prédateur. Deux traitements hormonaux ont l’AMM en France dans cette indication, l’acétate de cyprotérone (Androcur R) qui n’est commercialisé que sous forme de comprimés et les analogues de la GnRH (Salvacyl R), commercialisés sous forme intramusculaire ce qui garantit une meilleure observance. Ils ne peuvent être prescrits qu’après obtention du consentement écrit et éclairé du patient. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Treatment options for paraphilic sex offendersThe treatment of paraphilic sex offenders remains a medical and societal major issue. This article aims to review the therapeutic optionsfor these subjects. Psychotherapy is indicated in all cases. Antidepressants such as serotonin reuptake inhibitors have shown a benefit in paraphilias associated with a low risk of sexual violence, in case of obsessive compulsive spectrum disorder or depressive disorder associated to deviant sexual behavior. Hormonal treatments significantly reduce the intensity and frequency of deviant sexual desire and have shown efficacy in the treatment of severe paraphilias, such as pedophilia with a high risk of sexual violence or in recidivist rapists. Two hormonal treatments are available in France in this indication, cyproterone acetate and long acting GnRH agonists. An informed consent is required before starting hormonal treatments. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pédophilie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | analogue ou agoniste de la GnRH |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | paraphilie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acétate de cyprotérone |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | inhibiteur de la recapture de la sérotonine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | auteurs de violence sexuelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pedophilia |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | paraphilia |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sex offender |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cyproterone acetate |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | GnRH agonist or GnRH analogue |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | serotonin reuptake inhibitor |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Garcia D., Frederico |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lamy, Sandrine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Thibaut, Florence |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | PSN | Volume 12 | 1 | 2014-03-31 | p. 15-29 | 1639-8319 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-psn-2014-1-page-15?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-psn-2014-1-page-15?lang=fr&redirect-ssocas=7080</a> |
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