Abstract
Paedophilia is a controversial topic which evokes strong reaction among the general public as well as the clinician. Part of the reason for this is because it is closely associated with harm to children through child sexual abuse. It is categorised as a mental disorder in the two major international classificatory systems of diseases under the heading of paraphilias or sexual preference disorders. Using an overview of the current available literature and the authors’ clinical experience this chapter aims to describe various characteristics of this paraphilic disorder including its definition, subtypes, current diagnostic criteria, gender bias, onset and course, epidemiology, aetiology and its assessment. As pedophilia is closely associated with crimes against children as well as significant public stigma especially in recent times this aspect will also be briefly explored. Fictionalised case vignettes will be presented to illustrate the problem further. Much of the literature on this topic relates to men in forensic settings and hence limits the ability to draw conclusions with regard to the general population.
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References
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders DSM-5. American Psychiatric Press, Washington, DC
Hillberg T, Hamilton-Giachritsis C, Dixon L (2011) Review of meta-analyses on the association between child sexual abuse and adult mental health difficulties: a systematic approach. Trauma Violence Abuse 12(1):38–49
World Health Organization (2010) International statistical classification of diseases and related health problems, 10th revision. http://apps.who.int/classifications/icd10/browse/2010/en. Accessed 29 Jan 2014
Quinsey VL (1986) Men who have sex with children. In: Weisstub D (ed) Law and mental health, vol 2. Pergamon, Oxford, pp 532–534
Krafft-Ebing R (1965) Psychopathia sexualis with special reference to the antipathic sexual instinct: a medico-forensic study. Paperback Library, New York, NY (Original work published 1886)
Walkowitz J (1994) City of dreadful delight. Virago, London
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, text rev. American Psychiatric Press, Washington, DC
De Block A, Adriaens PR (2013) Pathologizing sexual deviance: a history. J Sex Res 50(3–4):276–298
Ford H (2006) Women who sexually abuse children. Wiley, Chichester
Bellis MA, Downing J, Ashton JA (2006) Adults at 12? Trends in puberty and their public health consequences. J Epidemiol Community Health 60:910–911
Blanchard R (2013) A dissenting opinion on DSM-5 pedophilic disorder. Arch Sex Behav 42:675–678
Hall RCW, Hall RCW (2007) A profile of pedophilia: definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues. Mayo Clin Proc 82(4):457–471
Feelgood S, Hoyer J (2008) Child molester or paedophile? Sociolegal versus psychopathological classification of sexual offenders against children. Journal of Sexual Aggression 14(1):33–43
Freund K, Kuban M (1993) Toward a testable developmental model of pedophilia: the development of erotic age preference. Child Abuse Negl 17:315–324
Marshall WL, Barbaree HE, Eccles A (1991) Early onset and deviant sexuality in child molesters. J Interpers Violence 6:323–336
Snyder HN (2000) Sexual assault of young children as reported to law enforcement: victim, incident, and offender characteristics. US Department of Justice, Bureau of Justice Statistics, Washington, DC
Abel GG, Harlow N (2001) The Abel and Harlow child molestation prevention study. Excerpted from The Stop Child Molestation Book. Xlibris, Philadelphia, PA. http://www.childmolestationprevention.org/pdfs/study.pdf. Accessed 29 Jan 2014
Mayer A (1992) Women sex offenders: treatment and dynamics. Learning Publications, Holmes Beach
Dickey R, Nussbaum D, Chevolleau K et al (2002) Age as a differential characteristic of rapists, pedophiles, and sexual sadists. J Sex Marital Ther 28:211–218
Hanson RK, Steffy RA, Gauthier R (1993) Long-term recidivism of child molesters. J Consult Clin Psychol 61:646–652
Greenberg DM (1998) Sexual recidivism in sex offenders. Can J Psychiatry 43(5):459–465
Thibaut F, La Barra F, Gordon H et al (2010) The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the biological treatment of paraphilias. World J Biol Psychiatry 11:604–655
Långström N, Enebrink P, Laurén EM et al (2013) Preventing sexual abusers of children from reoffending: systematic review of medical and psychological interventions. BMJ. doi:10.1136/bmj.f4630
Seto MC (2008) Pedophilia and sexual offending against children: theory, assessment and intervention. American Psychological Association, Washington, DC
Seto MC (2012) Is pedophilia a sexual orientation? Arch Sex Behav 41:231–236
Briere J, Runtz M (1989) University males’ sexual interest in children: predicting potential indices of “pedophilia” in a nonforensic sample. Child Abuse Negl 13(1):65–75
Fromuth ME, Burkhart BR, Jones CW (1991) Hidden child molestation: an investigation of adolescent perpetrators in a nonclinical sample. J Interpers Violence 6:376–384
McConaghy N (1998) Paedophilia: a review of the evidence. Aust N Z J Psychiatry 32(2):252–265
McConaghy N (1993) Sexual behavior: problems and management. Plenum, New York, NY
Abel GG, Becker JV, Cunningham-Rathner J et al (1988) Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16:153–168
Cohen LJ, Galynker II (2002) Clinical features of pedophilia and implications for treatment. J Psychiatr Pract 8(5):276–289
Glasser M, Kolvin I, Campbell D et al (2001) Cycle of child sexual abuse: links between being a victim and becoming a perpetrator. Br J Psychiatry 179:482–494
Eke AW, Seto MC, Williams J (2011) Examining the criminal history and future offending of child pornography offenders: an extended prospective follow-up study. Law Hum Behav 35(6):466–478
Seto MC, Cantor JM, Blanchard R (2006) Child pornography offenses are a valid diagnostic indicator of pedophilia. J Abnorm Psychol 115:610–615
Craissati J (1998) Child sexual abusers: a community treatment approach. Psychology Press, Hove
Saradjian J (1996) Women who sexually abuse children. Wiley, Chichester
Cohen LJ, Nikiforov K, Gans S et al (2002) Heterosexual male perpetrators of childhood sexual abuse: a preliminary neuropsychiatric model. Psychiatr Q 73:313–336
Doya K (2000) Complementary roles of basal ganglia and cerebellum in learning and motor control. Curr Opin Neurobiol 10(6):732–739
Schiffer B, Peschel T, Paul T et al (2007) Structural brain abnormalities in the frontostriatal system and cerebellum in pedophilia. J Psychiatr Res 41(9):753–762
Cantor JM, Kabani N, Christensen BK et al (2008) Cerebral white matter deficiencies in pedophilic men. J Psychiatr Res 42:167–183
Blanchard R, Christensen BK, Strong SM et al (2002) Retrospective self-reports of childhood accidents causing unconsciousness in phallometrically diagnosed pedophiles. Arch Sex Behav 31:511–526
Cantor JM, Blanchard R, Robichaud LK et al (2005) Quantitative reanalysis of aggregate data on IQ in sexual offenders. Psychol Bull 131:555–568
Cantor JM, Blanchard R, Christensen BK et al (2004) Intelligence, memory, and handedness in pedophilia. Neuropsychology 18(1):3–14
Jespersen AF, Lalumiere ML, Seto MC (2009) Sexual abuse history among adult sex offenders and non-sex offenders: a meta-analysis. Child Abuse Negl 33(3):179–192
Greenberg DM, Bradford JM, Curry S (1993) A comparison of sexual victimization in the childhoods of pedophiles and hebephiles. J Forensic Sci 38:432–436
Motz A (2008) The psychology of female violence: crimes against the body. Routledge, East Sussex
Ward T, Beech T (2006) An integrated theory of sexual offending. Aggress Violent Behav 11:44–63
Casciani D (2011) ‘World’s largest paedophile ring’ uncovered. BBC. http://www.bbc.co.uk/news/uk-12762333. Accessed 31 Jan 2014
Boffey D (2014) Revealed: how Jimmy Savile abused up to 1,000 victims on BBC premises. The Observer. http://www.theguardian.com/media/2014/jan/18/jimmy-savile-abused-1000-victims-bbc. Accessed 31 Jan 2014
Henley J (2013) Paedophilia: bringing dark desires to light. The Guardian. http://www.theguardian.com/society/2013/jan/03/paedophilia-bringing-dark-desires-light. Accessed 31 Jan 2014
BBC (2000) To name and shame. BBC. http://news.bbc.co.uk/1/hi/uk/848759.stm. Accessed 31 Jan 2014
Frank DJ, Camp BJ, Boutcher SA (2010) Worldwide trend in criminal regulation of sex, 1945–2005. Am Sociol Rev 75(6):867–893
Fass PS (2003) Children and globalization. J Soc Hist 36(4):963–977
Crown Prosecution Service (2013) Guidelines on prosecuting cases of child sexual abuse. CPS. http://www.cps.gov.uk/legal/a_to_c/child_sexual_abuse/. Accessed 31 Jan 2014
Raymond NC, Coleman E, Ohlerking F et al (1999) Psychiatric comorbidity in pedophilic sex offenders. Am J Psychiatry 156:786–788
Galli V, McElroy SL, Soutullo CA et al (1999) The psychiatric diagnoses of twenty-two adolescents who have sexually molested other children. Compr Psychiatry 40:85–88
Camilleri JA, Quincey VL (2008) Pedophilia assessment and treatment. In: Laws DR, O’Donohue WT (eds) Sexual deviance: theory, assessment, and treatment. The Guildford, New York, NY, pp 183–212
Baker M, White T (2002) Sex offenders in high security care in Scotland. J Forensic Psychiatr 13:285–297
Harris GT, Rice ME, Quinsey VL et al (1996) Viewing time as a measure of sexual interest among child molesters and normal heterosexual men. Behav Res Ther 34:389–394
Seto MC, Lalumière ML, Blanchard R (2000) The discriminative validity of a phallometric test for pedophilic interests among adolescent sex offenders against children. Psychol Assess 12(3):319–327
Lalumière ML, Quinsey VL, Harris GT et al (2003) Are rapists differentially aroused by coercive sex in phallometric assessments? Ann NY Acad Sci 989:211–224
Letourneau EJ (2002) A comparison of objective measures of sexual arousal and interest: visual reaction time and penile plethysmography. Sex Abuse 14:207–223
Abel GG, Jordan A, Hand CG et al (2001) Classification models of child molesters utilizing the Abel Assessment for sexual interest. Child Abuse Negl 25:703–718
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Shetty, A., Nayak, A., Travers, R., Vaidya, H., Wylie, K. (2014). Pedophilia. In: Corona, G., Jannini, E., Maggi, M. (eds) Emotional, Physical and Sexual Abuse. Springer, Cham. https://doi.org/10.1007/978-3-319-06787-2_1
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