One patient, a pedophile with a long history of arrests, penal incarceration, psychiatric admissions, and outpatient psychotherapy, commented that in the past when he saw a juvenile male playing, he (the patient) would without hesitation approach the boy and make a sexual proposition. When he was on MPA [medroxyprogesterone acetate] therapy, he stated that, at worst, when he saw such a juvenile, he only smiled "with appreciation" for the boy's good looks and otherwise kept about his business.