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Pedophilic Disorder

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Practical Guide to Paraphilia and Paraphilic Disorders

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Abstract

The 5th Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM 5) classified pedophilia as a paraphilic disorder and the World Health Organization in 10th Edition of the International Classification of Diseases as a sexual preference disorder. Pedophilia is a chronical condition that usually begins in youth or the beginning of the adulthood and persists throughout life. This disorder is characterized by the presence of behaviors, fantasies and/or recurring sexual thoughts, intense and exciting involving children of up to 12 years old, over a period, equal or superior to 6 months.The etiology of this disorder remains poorly clarified, although some studies suggest the involvement of neurological, hormonal, and psychodynamic modifications. The treatment of the pedophilic disorder includes psychotherapy, pharmacological and surgical approaches. The evidence favors the treatments with antiandrogenic medications and the psychotropic drugs. Future controlled studies are warranted to produce improved evidence regarding the efficacy and duration of the pharmacologic treatment.

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Acknowledgement

This paper was supported by FAPEMIG (Fundação de Pesquisa do Estado de Minas Gerais, Brazil) under grant APQ-01714-13 and the National Conceal for Scientific and Technological Development, CNPq (Conselho Nacional de Desenvolvimento Tecnológico, Brazil) under grant 486221/2013-0.

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Authors and Affiliations

  1. Department of Mental Health, Regional Center on Addictions (CRR-UFMG) and Post-graduation in Molecular Medicine of the Federal University of Minas Gerais (UFMG), Avenida Prof. Alfredo Balena, 190, Sala 240, Belo Horizonte, MG, 30130, Brazil

    Julia Machado Khoury M.D., Marco Antônio Valente Roque M.D. & Frederico Duarte Garcia M.D., Ph.D.

  2. Inserm Unity 1073, Rouen University, Mont-Saint-Aignan, France

    Frederico Duarte Garcia M.D., Ph.D.

Authors
  1. Julia Machado Khoury M.D.
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  2. Marco Antônio Valente Roque M.D.
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  3. Frederico Duarte Garcia M.D., Ph.D.
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Corresponding author

Correspondence to Frederico Duarte Garcia M.D., Ph.D. .

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Editors and Affiliations

  1. Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, Michigan, USA

    Richard Balon

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© 2016 Springer International Publishing Switzerland

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Khoury, J.M., Roque, M.A.V., Garcia, F.D. (2016). Pedophilic Disorder. In: Balon, R. (eds) Practical Guide to Paraphilia and Paraphilic Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-42650-1_10

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  • DOI: https://doi.org/10.1007/978-3-319-42650-1_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42648-8

  • Online ISBN: 978-3-319-42650-1

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