Skip to main content

Pedophilia

  • Chapter
  • First Online:
Emotional, Physical and Sexual Abuse

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders DSM-5. American Psychiatric Press, Washington, DC

    Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. 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

  4. Quinsey VL (1986) Men who have sex with children. In: Weisstub D (ed) Law and mental health, vol 2. Pergamon, Oxford, pp 532–534

    Google Scholar 

  5. 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)

    Google Scholar 

  6. Walkowitz J (1994) City of dreadful delight. Virago, London

    Google Scholar 

  7. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, text rev. American Psychiatric Press, Washington, DC

    Google Scholar 

  8. De Block A, Adriaens PR (2013) Pathologizing sexual deviance: a history. J Sex Res 50(3–4):276–298

    Article  PubMed  Google Scholar 

  9. Ford H (2006) Women who sexually abuse children. Wiley, Chichester

    Google Scholar 

  10. 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

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Blanchard R (2013) A dissenting opinion on DSM-5 pedophilic disorder. Arch Sex Behav 42:675–678

    Article  PubMed  Google Scholar 

  12. 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

    Article  PubMed  Google Scholar 

  13. 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

    Article  Google Scholar 

  14. Freund K, Kuban M (1993) Toward a testable developmental model of pedophilia: the development of erotic age preference. Child Abuse Negl 17:315–324

    Article  CAS  PubMed  Google Scholar 

  15. Marshall WL, Barbaree HE, Eccles A (1991) Early onset and deviant sexuality in child molesters. J Interpers Violence 6:323–336

    Article  Google Scholar 

  16. 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

    Google Scholar 

  17. 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

  18. Mayer A (1992) Women sex offenders: treatment and dynamics. Learning Publications, Holmes Beach

    Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. Hanson RK, Steffy RA, Gauthier R (1993) Long-term recidivism of child molesters. J Consult Clin Psychol 61:646–652

    Article  CAS  PubMed  Google Scholar 

  21. Greenberg DM (1998) Sexual recidivism in sex offenders. Can J Psychiatry 43(5):459–465

    CAS  PubMed  Google Scholar 

  22. 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

    Article  PubMed  Google Scholar 

  23. 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

    PubMed Central  PubMed  Google Scholar 

  24. Seto MC (2008) Pedophilia and sexual offending against children: theory, assessment and intervention. American Psychological Association, Washington, DC

    Book  Google Scholar 

  25. Seto MC (2012) Is pedophilia a sexual orientation? Arch Sex Behav 41:231–236

    Article  PubMed  Google Scholar 

  26. 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

    Article  CAS  PubMed  Google Scholar 

  27. 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

    Article  Google Scholar 

  28. McConaghy N (1998) Paedophilia: a review of the evidence. Aust N Z J Psychiatry 32(2):252–265

    Article  CAS  PubMed  Google Scholar 

  29. McConaghy N (1993) Sexual behavior: problems and management. Plenum, New York, NY

    Book  Google Scholar 

  30. Abel GG, Becker JV, Cunningham-Rathner J et al (1988) Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16:153–168

    CAS  PubMed  Google Scholar 

  31. Cohen LJ, Galynker II (2002) Clinical features of pedophilia and implications for treatment. J Psychiatr Pract 8(5):276–289

    Article  PubMed  Google Scholar 

  32. 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

    Article  CAS  PubMed  Google Scholar 

  33. 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

    Article  PubMed  Google Scholar 

  34. Seto MC, Cantor JM, Blanchard R (2006) Child pornography offenses are a valid diagnostic indicator of pedophilia. J Abnorm Psychol 115:610–615

    Article  PubMed  Google Scholar 

  35. Craissati J (1998) Child sexual abusers: a community treatment approach. Psychology Press, Hove

    Google Scholar 

  36. Saradjian J (1996) Women who sexually abuse children. Wiley, Chichester

    Google Scholar 

  37. 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

    Article  PubMed  Google Scholar 

  38. Doya K (2000) Complementary roles of basal ganglia and cerebellum in learning and motor control. Curr Opin Neurobiol 10(6):732–739

    Article  CAS  PubMed  Google Scholar 

  39. 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

    Article  PubMed  Google Scholar 

  40. Cantor JM, Kabani N, Christensen BK et al (2008) Cerebral white matter deficiencies in pedophilic men. J Psychiatr Res 42:167–183

    Article  PubMed  Google Scholar 

  41. 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

    Article  PubMed  Google Scholar 

  42. Cantor JM, Blanchard R, Robichaud LK et al (2005) Quantitative reanalysis of aggregate data on IQ in sexual offenders. Psychol Bull 131:555–568

    Article  PubMed  Google Scholar 

  43. Cantor JM, Blanchard R, Christensen BK et al (2004) Intelligence, memory, and handedness in pedophilia. Neuropsychology 18(1):3–14

    Article  PubMed  Google Scholar 

  44. 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

    Article  PubMed  Google Scholar 

  45. 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

    CAS  PubMed  Google Scholar 

  46. Motz A (2008) The psychology of female violence: crimes against the body. Routledge, East Sussex

    Google Scholar 

  47. Ward T, Beech T (2006) An integrated theory of sexual offending. Aggress Violent Behav 11:44–63

    Article  Google Scholar 

  48. Casciani D (2011) ‘World’s largest paedophile ring’ uncovered. BBC. http://www.bbc.co.uk/news/uk-12762333. Accessed 31 Jan 2014

  49. 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

  50. 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

  51. BBC (2000) To name and shame. BBC. http://news.bbc.co.uk/1/hi/uk/848759.stm. Accessed 31 Jan 2014

  52. Frank DJ, Camp BJ, Boutcher SA (2010) Worldwide trend in criminal regulation of sex, 1945–2005. Am Sociol Rev 75(6):867–893

    Article  Google Scholar 

  53. Fass PS (2003) Children and globalization. J Soc Hist 36(4):963–977

    Article  Google Scholar 

  54. 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

  55. Raymond NC, Coleman E, Ohlerking F et al (1999) Psychiatric comorbidity in pedophilic sex offenders. Am J Psychiatry 156:786–788

    CAS  PubMed  Google Scholar 

  56. 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

    Article  CAS  PubMed  Google Scholar 

  57. 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

    Google Scholar 

  58. Baker M, White T (2002) Sex offenders in high security care in Scotland. J Forensic Psychiatr 13:285–297

    Article  Google Scholar 

  59. 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

    Article  CAS  PubMed  Google Scholar 

  60. 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

    Article  CAS  PubMed  Google Scholar 

  61. 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

    Article  PubMed  Google Scholar 

  62. Letourneau EJ (2002) A comparison of objective measures of sexual arousal and interest: visual reaction time and penile plethysmography. Sex Abuse 14:207–223

    PubMed  Google Scholar 

  63. 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

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Abhi Shetty .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-06787-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06786-5

  • Online ISBN: 978-3-319-06787-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics