Child Pornography Use and Internet Solicitation in the Diagnosis of Pedophilia
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The DSM-V Paraphilias subworkgroup has proposed a number of changes to the diagnostic criteria for pedophilia (Blanchard, 2009a). In this commentary, I briefly discuss some of these changes in light of recent research on internet-facilitated sexual offenders and focus on the relevance of child pornography and internet solicitation when considering the diagnosis of pedophilia.
Ascertaining Paraphilias versus Diagnosing Paraphilic Disorders
The proposed distinction between ascertaining a paraphilia when the sexual interest exists and making a paraphilia diagnosis only when there is evidence of distress or impairment addresses the seeming paradox that a person would not be diagnosed with pedophilia under DSM-IV (and, to a lesser extent, DSM-IV-TR) if the person was sexually attracted to prepubescent children but was not distressed or impaired (including conflict with the law) as a result.
Blanchard (2009a) suggests that “ego-syntonic, euthymic, chaste pedophiles” are rare. Consistent...
KeywordsSexual Interest Child Pornography Sexual Compulsivity Pedophilia Paraphilic Disorder
I would like to thank Ray Blanchard, James Cantor, Meredith Chivers, Angela Eke, and Grant Harris for their helpful comments on an earlier version of this commentary.
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