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OtherSPECIAL ARTICLE

The Impact of Surgical Castration on Sexual Recidivism Risk Among Sexually Violent Predatory Offenders

Linda E. Weinberger, Shoba Sreenivasan, Thomas Garrick and Hadley Osran
Journal of the American Academy of Psychiatry and the Law Online March 2005, 33 (1) 16-36;
Linda E. Weinberger
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Shoba Sreenivasan
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Thomas Garrick
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Hadley Osran
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    Table 1

    1952 California Legislative Subcommittee Report: Cases of 40 Castrated Sex Offenders Who Did Not Reoffend Sexually

    CasePrior Criminal HistoryInstant Sexual OffenseAgeCastration YearProbation YearFollow‐up Years*
    1NoneFondled 9‐year‐old girl57March 1937July 194613 years
    2IntoxicationFondled/oral copulation with 6‐year‐old boy33February 1940June 194410 years 1 month
    3NoneRaped 2 girls ages 11 and 1660June 1944Active status5 years 9 months
    4Burglary; lewd/lascivious
 behaviorRaped disabled adult female30September 1941Active status8 years 6 months
    5NoneMasturbated 13‐year‐old boy and other boys32January 1938July 193912 years 2 months
    6NoneMasturbated 12‐ and 13‐year‐old boys26May 1941February 19428 years 10 months
    7NoneAttempted intercourse with daughter age 9;
 nonsanctioned sex acts with older
 daughter48December 1944January 19495 years 3 months
    8IntoxicationExhibited self/fondled penis of 8‐year‐old
 boy61November 1941Active status8 years 4 months
    9Annoy/molest a child;
 attempted rapeFondled 14‐year‐old female25January 1940August 194310 years 2 months
    10NoneDigital penetration and placing penis
 between legs of 12‐year‐old girl41November 1939July 1944; died4 years 8 months
    11Burglary; voyeurism;
 prowlingFondled private parts of 13‐year‐old girl
 after cutting her clothes off;
 nonsanctioned fondling of other girls and
 women51July 1941July 19468 years 8 months
    12NoneLewd/lascivious acts with 9‐year‐old boy29October 1941February 19498 years 5 months
    13NoneSodomy of 18‐year‐old male; nonsanctioned
 sodomy of 16‐year‐old boy51January 1940November 194810 years 2 months
    14NoneOral copulation with 15‐year‐old boy; made
 sexual advances to other boys34December 1941December 19478 years 3 months
    15NoneIntercourse (numerous times) with 12‐year‐
 old daughter38February 1947Active status3 years 1 month
    16NoneOral copulation (10–15 times) with 14‐year‐
 old boy59June 1947Active status2 years 9 months
    17NoneFondled private parts of 9‐year‐old girl54September 1945May 19464 years 6 months
    18NoneOral copulation with 14‐year‐old boy58May 1939May 194410 years 10 months
    19NoneOral copulation with 14‐year‐old boy;
 nonsanctioned oral copulation with 14‐
 year‐old boy66October 1940March 19499 years 5 months
    20Lewd/lascivious behaviorMasturbation of 2 boys ages 11 and 13;
 nonsanctioned oral copulation/sexual
 deviance52February 1948Active status2 years 1 month
    21NoneFondled private parts/rubbed penis between
 legs of 8‐year‐old girl61March 1948Active status2 years
    22Robbery/assaultPlaced penis between legs and fondled
 penis of 13‐year‐old boy25July 1947Active status2 years 8 months
    23Tampering with electric
 linesPlaced penis between thighs of 13‐year‐old
 boy49October 1947Active status2 years 5 months
    24Exhibitionism (to child
 victims)Exposed self to 9‐year‐old girl; tried to get
 her to fondle penis; lewd suggestions to
 other girls of similar age55June 1944June 19485 years 9 months
    25LarcenyPlaced penis between legs of 7‐year‐old girl
 and ejaculated48February 1939February 194411 years 1 month
    26Indecent exposure;
 disorderly conduct;
 lewd/dissoluteRubbed his hands on 4‐year‐old girl's
 vagina; kissed her vagina44June 1948Active status1 year 9 months
    27Lewd/lascivious acts;
 lewd/dissolute
 behaviorFondled, orally copulated with, and
 sodomized 13‐year‐old boy52May 1948Active status1 year 10 months
    28NoneFondled penis of 13‐year‐old boy; non‐
 sanctioned fondling of 13‐year‐old boy38January 1950Active status2 months
    29NoneAttempted sodomy, fondling, and oral
 copulation with 14‐year‐old boy36February 1941Active status9 years 1 month
    30DebaucheryPlaced penis against buttocks of 12‐year‐old
 boy; alleged to have sodomized boy55November 1939Active status10 years 4 months
    31Lewd/lascivious behaviorOral copulation with 8‐year‐old boy; placed
 penis between boy's legs24July 1941July 19418 years 8 months
    32NonePlaced penis on 13‐year‐old daughter's
 vagina; incest with older daughter38October 1938October 193911 years 5 months
    33Lewd and indecent acts;
 delinquency of minorFondled penis of 14‐year‐old boy54April 1938April 194011 years 11 months
    34NoneHad 10‐year‐old girl fondle his penis;
 nonsanctioned act of 8‐year‐old girl
 fondling his penis46February 1946January 19504 years 1 month
    35NoneFondled private parts of 11‐year‐old girl;
 nonsanctioned same acts with minor girls72November 1939October 194410 years 4 months
    36SodomyOral copulation with 10‐year‐old boy; oral
 copulation with 16‐year‐old boy41September 1943None; released after operation6 years 6 months
    37NoneHad 11‐year‐old boy perform oral
 copulation on him several times48December 1943Active status6 years 3 months
    38NoneHad 5‐year‐old girl fondle his penis; placed
 penis in mouth of 7‐year‐old boy;
 exhibited self to 8‐year‐old daughter42October 1948Active status1 year 5 months
    39NoneFondled daughters ages 10 and 15;
 attempted digital penetration; sexual
 intercourse with 15‐year‐old daughter41April 1948Active status1 year 11 months
    40NoneDigital penetration/rubbing penis between
 legs of 6‐year‐old girl; same with girls
 ages 5 and 7 years34February 1939March 194211 years 1 month
    • * Follow‐up period from date of orchiectomy to preliminary report date of March 1950

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    Table 2

    Summary of Surgical Castration Studies Regarding Sexual Recidivism

    StudyCastrated Sex OffendersNoncastrated Sex
 Offenders
    Number of
 SubjectsSex Crime
 History Prior to
 Current OffenseFollow‐up PeriodSexual Recidivism
 After OrchiectomySexual Recidivism of
 Noncastrates in Same
 Follow‐up Period
    Legislative Report
 (California, 1952)256027.5%*2 months to 13
 years0%No comparison group
    Bremer
 (Norway, 1959)31†10258%‡1 to 10 years2.9%§No comparison group
    Langelüddeke
 (Germany, 1963)32†103684%‖6 weeks to 20
 years2.3%N = 685 (39.1%)
    Cornu
 (Switzerland, 1973)33†12176.86%‖5 to 35 years7.44%N = 50 (52%)
    Sand et al./Stürup
 (Denmark, 1964,29
 197228)90042%‖6 to more
 than 10 years1.1%No comparison group
    Wille & Beier
 (Germany, 1989)3599Unclear¶11 years, average3%N = 35 (46%)
    Hansen
 (Denmark, 1991)30#21No informationMore than 15 years10%**N = 22 (36%)
    • * Data for 40 of the 60 subjects (Table 1); one or more arrests and/or convictions.

    • † Data from this study reported in Heim and Hursch.23

    • ‡ One or more incidents of sexual relapse before castration (unclear whether arrests and/or convictions).

    • § For those 41 subjects observed for 5 to 10 years, 7% recidivism rate.

    • ‖ Two or more convictions.

    • ¶ Data unclear as to whether sexual charges reflect instant offense only, prior sex offenses, or a combination.

    • # Data from this study reported in Hansen and Lykke‐Olesen.27

    • ** After two subjects took exogenous testosterone.

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Journal of the American Academy of Psychiatry and the Law Online: 33 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 33, Issue 1
1 Mar 2005
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The Impact of Surgical Castration on Sexual Recidivism Risk Among Sexually Violent Predatory Offenders
Linda E. Weinberger, Shoba Sreenivasan, Thomas Garrick, Hadley Osran
Journal of the American Academy of Psychiatry and the Law Online Mar 2005, 33 (1) 16-36;

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The Impact of Surgical Castration on Sexual Recidivism Risk Among Sexually Violent Predatory Offenders
Linda E. Weinberger, Shoba Sreenivasan, Thomas Garrick, Hadley Osran
Journal of the American Academy of Psychiatry and the Law Online Mar 2005, 33 (1) 16-36;
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    • Abstract
    • Surgical Castration and Sex Offenders
    • Orchiectomy and Sexual Behavior in Testicular and Prostate Cancer Studies
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