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This paper provides an international perspective on the use of medications to treat problematic sexual interests, paraphilic disorders, and sexual preoccupation in men who have committed a sexual offence. Experts from Canada, the Czech Republic (CR), Russia, the United Kingdom, and the United States met in Prague, CR in May 2017 to review and compare their treatment approaches. This report is a summary of their discussions, including empirical data from CR and Russia which have not previously been published in the English language. All participants agreed that continuing international collaboration would be very useful for the development of ethical international prescribing guidelines, as well as pooling data from studies on the efficacy and utility of pharmacological and other biological treatments for people who have committed sexual offences. [ABSTRACT FROM AUTHOR]

Background: The recognition of medical professionalism as a complex social construct makes context, geographical location and culture important considerations in any discussion of professional behaviour. Medical students, medical educators and practitioners are now much more on the move globally, exposing them to cultural and social attitudes, values and beliefs that may differ from their own traditional perceptions of professionalism. Aims and Methods: This paper uses the model of the intercultural development continuum and the concept of 'cultural fit' to discuss what might transpire when a student, teacher or doctor is faced with a new cultural environment. Using our own experiences as medical educators working abroad and supported by evidence in the literature, we have developed four anecdotal scenarios to highlight some of the challenges that different cultural contexts bring to our current (Western) understanding of professionalism. Results and Conclusions: The scenarios highlight some of the potentially different regional and/or cultural perspectives and nuances of professional behaviours, attitudes or values that many of us either take for granted or find difficult, depending on our training and socio-cultural upbringing. With this paper, we hope to start a long overdue conversation about global professionalism amongst medical educators, identify potential areas for research and highlight a need for medical schools to embrace a 'global' approach to how professionalism is embedded in their curricula. [ABSTRACT FROM AUTHOR]

This paper picks up from Bynner's recent critique of the current formulation of emerging adulthood as presented in his recent exchange with Arnett in the Journal of Youth Studies (2005, volume 8(4) and 2006, volume 9(1)). It pays particular attention to the exclusion processes in education and the workplace that prevent young people in some socio-economic contexts from experiencing the developmental processes presumed to be of benefit to all 'emerging adults'. In addition, an alternative to Arnett's psychological, free-choice model of emerging adulthood is offered that identifies the social and economic conditions that have produced the prolonged transition to adulthood. We argue that this hiatus in the life-course, which is increasingly referred to as emerging adulthood, can be better explained in terms of changing economic conditions leading to a lowering of the social status of the young that is contributing to increasingly precarious trajectories, and in terms of the decline in the social markers of adulthood associated with the individualization process. When these structural conditions are examined, it appears that Arnett's model 'begs the question' about emerging adulthood (i.e. takes for granted the very thing under contention), and mistakes the coping mechanisms of many young people for freely chosen options to delay their entry into adulthood. [ABSTRACT FROM AUTHOR]