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Impulsive Violent Sexual Behaviour: Antilibidinal Hormonal TreatmentConsiderations in Mentally Disabled PerpetratorsRob C. Brouwers, University of Tilburg (brour@xs4all.nl; rbrouwers@trajectum.info)J.A. Troelstra, Van der Hoeven Kliniek, Netherlands (J.A.Troelstra@xmsnet.nl)Antilibidinal hormonal treatments, such as steroidal antiandrogens and gonadotrophin-releasinghormone (GnRH) analogues, seem to be effective in paraphilic disorders. This presentationdiscusses when to consider antilibinal hormonal treatment in mentally disabled perpetrators withrecurrent impulsive violent sexual behaviour. There is some evidence that antilibidinal hormonaltreatment can be helpful in diminishing recidivism of impulsive violent sexual offences inmentally disabled perpetrators through delay of arousal and improvement of impulse control. Ifwe apply the bimodal model of violence then antilibidinal hormonal treatment can be used in anearlier phase of treatment. Lowering of testosterone will diminish sexual arousal, decreaseamount of violence, enhance control and perhaps decrease anger responses (inhibitingdominance and risk taking) in the impulsively violent mentally disabled perpetrator.Unfortunately it seems that the majority of offences by mentally disabled perpetrators are notimpulsive in nature. Because it is difficult to understand all the considerations for the mentallydisabled perpetrator and this kind of treatment is an ethical minefield, we recommend a specialmultidisciplinary committee that is not involved in the treatment and able to give independentadvice. In the two years’ experience we have with this kind of expert advice we have noticed thatan antilibidinal hormonal treatment is not always necessary, especially in those cases whentwenty four hour supervision is demanded.Student Sex Work Research in Wales: Enhancing Student Well-BeingTracey Sagar, Swansea University (t.sagar@swansea.ac.uk)Debbie Jones, Swansea University (deborah.a.jones@swansea.ac.uk)This paper provides an overview of the All Wales cross sector research project ‘InteractiveHealth: Student Sex Work Wales’, which aims to uncover the motivations and needs of studentsex workers and to provide a new innovative e-health service for this relatively invisible cohortof sex workers. It also reports on the findings from student sex worker focus groups carried outin July 2011 in the city of Cardiff. In particular, the paper raises questions regarding the potentialimpact of sex work in terms of safety, sexual health and mental wellbeing, and the need toreduce stigma and victimisation towards young sex workers. It is argued that reducing stigmaamongst the general public and professional service providers could facilitate the disclosure ofsex work as an occupation and that this would go some way to ensuring that young people areable to access appropriate services.366