首页|Erectile Functioning as a Risk Factor for Committing a Sexual Offense?
Erectile Functioning as a Risk Factor for Committing a Sexual Offense?
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NSTL
Zhang et al describe the ethical dilemma associated with penile prosthesis implantation in men with a history of sexual offending. Focused mainly on penile prosthetic implantation, they suggest practical guidelines including a standardized questionnaire to screen for sexual violence and sexual addiction. However, a positive screening does not preclude a patient from surgical management of ED. What they suggest is that sexual counseling and psychiatric evaluation is rather aimed at reducing future risk of sexual violence through the assessment of psychosocial factors associated with the offense. The purpose of this commentary is to take a few steps back and examine the implicit presumptions that might be underlying these published guidelines. To be clear, these presumptions were not explicitly stated by Zhang et al1 but are rather hypotheses of the authors of this commentary. Benefitting from the interesting considerations of Zang et al1 we want to further discuss the risk posed by erectile functioning in men who have previously committed a sexual offense or might be at risk to do so. We start each of our hypotheses with a statement on which we then take a critical stance.
Peer Briken、Daniel Turner
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Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center
NSTL
