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Journal of Child & Adolescent Trauma Jun 2024From a case report of a person with pedophilic disorder, this paper focuses on the issue of pedophilia, child sexual abuse, and the need for specific prevention and...
From a case report of a person with pedophilic disorder, this paper focuses on the issue of pedophilia, child sexual abuse, and the need for specific prevention and treatment strategies in Brazil. It seems inevitable to increase awareness for this topic within the mental health care system to protect children and reduce the risk for sexual offense in individuals at-risk. This is a case report of an individual, known by medical-psychiatric and forensic facilities for a past history of patricide, who revealed his pedophilic fantasies and behavior belatedly. To assess a pedophilic disorder and screen for other paraphilic contents, a screening questionnaire and clinical interview were used during the patient hospitalization in 2020 for a proper evaluation of sexual history and past offending behaviors. A review of the literature on pedophilia prevention programs was also carried out. WW is a middle-aged man admitted to a psychiatric unit for a severe episode of major depressive disorder and at risk of suicide. During recovery, he reported pedophilic fantasies and behaviors in his life. Sexual fantasies involving children and actual sexual offenses have remained unknown to mental health professionals and unreported to legal authorities. WW's case alarmingly emphasizes the need for the training of health care professionals and for preventive strategies in Brazil for those who are at risk of engaging in offending sexual behaviors in a combined and intensive effort to protect children from sexual offense.
PubMed: 38938962
DOI: 10.1007/s40653-023-00586-2 -
Child Abuse & Neglect Jun 2024Lay perceptions of persons who download and distribute Child Sexual Abuse Material (CSAM) is an underexplored subject. There is a need for understanding the factors that...
BACKGROUND
Lay perceptions of persons who download and distribute Child Sexual Abuse Material (CSAM) is an underexplored subject. There is a need for understanding the factors that influence perceptions as the public perceptions have implications for endorsement of sex offender rehabilitation that in turn can influence the availability of treatment programs and stigma for help-seeking.
OBJECTIVE
To explore public perceptions of individuals that commit child sexual abuse offences, to compare the results to those obtained in a large US sample, and to explore associations between demographic variables, general perceptions and endorsement of imprisonment and treatment for individuals that commit CSAM offences.
PARTICIPANTS AND SETTING
An online survey were distributed in Norway in February 2023. 618 individuals responded, 76 % were female, mean age 34.99 (SD = 14.23), the majority (>70 %) had higher education, and 44 % had children.
RESULTS
Consistent with prior research, the public perceptions overestimated the risk of future contact offences and recidivism. Women overestimated the percentage of risk of contact offences and pedophilic interest more than men. The overestimation was significantly less in this sample compared to the US sample (d = 0.39-0.96). Those working with online child abuse had perceptions of persons committing CSAM offences that were more aligned with empirical findings. Demographic variables were only marginally associated with endorsement for treatment and imprisonment, except for having children, which was associated with endorsement of imprisonment. Perceived risk of contact offences, pedophilic preference, and assumed childhood sexual victimization were associated with perceptions of individuals committing CSAM offences as different than those committing physical sexual abuse and both endorsement of treatment and imprisonment.
CONCLUSIONS
The perceptions of those who commit CSAM offences showed a stronger association with endorsement for treatment and imprisonment than demographic variables.
PubMed: 38926007
DOI: 10.1016/j.chiabu.2024.106922 -
International Journal of Impotence... Jun 2024This study sought to disentangle several phenotypic correlates of pedophilic sexual interests, such as emotional congruence with children and lack of empathy. We...
This study sought to disentangle several phenotypic correlates of pedophilic sexual interests, such as emotional congruence with children and lack of empathy. We utilized Implicit Association Tests and self-report questionnaires for emotional congruence with children and analyzed the psychometric properties of these measures. Further, we analyzed the associations between these measures and self-reported pedophilic sexual interests and empathy. The sample consisted of 110 adult community males (prevalence of sexual interest in children at least to some extent: 5.5%) with or without child-related jobs (43.6% vs. 56.4%) recruited online in the general population. Overall, we found equivocal parameters for reliability of the implicit and explicit measures of emotional congruence with children (α = 0.29 to 0.76). The self-reported emotional congruence with children was only weakly linked to the implicit positive evaluations of children (r = 0.170, p = 0.039), not linked to empathy except for distress in social interactions (r = 0.199, p = 0.019), and moderately linked to deviant sexual interests in children (r = 0.321 to 0.404, p < 0.001), especially in men working with children (R = 0.04, p = 0.027). Further studies are warranted to expand the sample to the offender population and explore the more complex network of constructs related to pedophilia.
PubMed: 38902515
DOI: 10.1038/s41443-024-00911-9 -
Journal of Sex Research Jun 2024We conducted three studies to examine the factor structure and measurement invariance of the Paraphilia Scale, a measure of paraphilic interests used in multiple...
We conducted three studies to examine the factor structure and measurement invariance of the Paraphilia Scale, a measure of paraphilic interests used in multiple studies. In the first study, we conducted a confirmatory factor analysis (CFA) testing different a priori models with a community sample of 1,040 adults previously reported by Seto et al. (2021), and found support for a hierarchical four-factor model: An involving coercion or physical pain (biastophilia, sexual sadism, masochism), (pedophilia, hebephilia), (voyeurism, exhibitionism, and frotteurism), and (object fetishism, transvestic fetishism, urophilia-coprophilia). This factor structure was replicated in a second study comprising a combined sample of 400 mTurk participants and 870 university students. The third study analyzed the community sample and found evidence of configural invariance but not scalar or metric invariance across gender (man or woman) and sexual orientation for gender (heterosexual or other sexual orientation). This indicates that the factor structure of the Paraphilia Scale is robust for gender and sexual orientation for gender, but factor loadings differ across these groups, as do the loadings of individual items on the four factors. Implications for research on gender and sexual orientation differences in paraphilic interests are discussed.
PubMed: 38832846
DOI: 10.1080/00224499.2024.2353303 -
Behavioral Sciences & the Law May 2024The present study examined distinctions between child (n = 30) and adult (n = 212) sexual homicide offenders (SHOs) in Australia and New Zealand, contributing to the...
The present study examined distinctions between child (n = 30) and adult (n = 212) sexual homicide offenders (SHOs) in Australia and New Zealand, contributing to the limited international research on the subject. Data, primarily sourced from judges' sentencing comments on AustLII and New Zealand Legal Information Institute, revealed significant differences. Child SHOs displayed elevated rates of pedophilia, sexual deviance, and adverse childhood experiences, including sexual abuse. They were more likely to be married, cohabitate, and target familial victims. Their crimes were more often committed during daylight and outdoors, involving tactics such as victim conning, restraints, strangulation, and hiding victim's bodies. No significant group differences emerged regarding offenders' psychopathy or sexual sadism scores. Results were interpreted in line with child SHOs' deviant sexual preferences and the routine activity theory. The study, as the first investigating child sexual homicides in Australia and New Zealand, sets the foundation for an evidence-based approach to policy and practice.
PubMed: 38801740
DOI: 10.1002/bsl.2665 -
Current Psychiatry Reports Apr 2024Web-based programs to prevent sexual offense perpetration could provide an opportunity that avoids many of the barriers associated with in-person treatment. The aim of... (Review)
Review
PURPOSE OF REVIEW
Web-based programs to prevent sexual offense perpetration could provide an opportunity that avoids many of the barriers associated with in-person treatment. The aim of this systematic review is to give an overview of the literature on web-based initiatives aimed at sexual offense perpetration prevention published during the last 10 years (2013-2023) and to report data on the efficacy as well as issues of the discussed initiatives.
RECENT FINDINGS
We included 18 empirical studies discussing web-based perpetration prevention initiatives, of which six are randomized controlled trials. Among the articles, four cover programs focusing on prevention of sexual reoffending and 14 discuss programs aimed at preventing initial sexual offenses. Evaluations and observations of web-based initiatives aimed at preventing sexual offense perpetration show overall promising results and are well-appreciated. However, evaluation studies are scarce and more randomized controlled trials replicating this effect are warranted.
Topics: Humans; Sex Offenses; Sexual Behavior; Internet
PubMed: 38509408
DOI: 10.1007/s11920-024-01489-1 -
Journal of Sex Research Feb 2024Paraphilia is defined as a condition in which sexual excitement relies on fantasizing about and/or participating in unusual sexual behavior. Although recent studies have...
Paraphilia is defined as a condition in which sexual excitement relies on fantasizing about and/or participating in unusual sexual behavior. Although recent studies have assessed the concordance between paraphilic interests and paraphilic behaviors, few studies have studied which individual traits and demographics predict engaging in paraphilic behaviors, or the level of concordance between arousal and behavior. The current study replicated and expanded Joyal and Carpentier's 2022 study. We assessed concordance between paraphilic arousal and behavior. Further, we assessed the impact of Dark Tetrad traits, impulsivity, social desirability and demographic variables on engaging in paraphilic behaviors using self-report questionnaires in a sample from the general population and FetLife. Finally, we were interested in whether these individual differences moderated the concordance between arousal and behavior. Results indicated high concordance between paraphilic arousal and behavior for all paraphilias except pedophilia and hebephilia. Younger, male participants were more likely to engage in various paraphilias than women and older participants. Machiavellianism was linked with lower paraphilic behavior, particularly impulsive or risky ones. Psychopathy predicted engaging in more deviant or illegal paraphilias, whereas sadism only showed an association for engaging in frotteurism and narcissism was not a predictor for engaging in any paraphilia. For several paraphilias, individual traits moderated the effect of arousal on behavior. Implications of these findings and future directions are discussed.
PubMed: 38416411
DOI: 10.1080/00224499.2024.2319242 -
Law and Human Behavior Feb 2024In 2007, New York enacted the Sex Offender Management and Treatment Act, empowering the state to civilly manage individuals who have committed sexual offenses...
OBJECTIVE
In 2007, New York enacted the Sex Offender Management and Treatment Act, empowering the state to civilly manage individuals who have committed sexual offenses (respondents) and are deemed to have a mental abnormality (MA) that predisposes them to sexually recidivate after serving their criminal sentences. We sought to replicate and extend a previous study (Lu et al., 2015) to identify factors predicting legal decisions.
HYPOTHESES
We predicted, on the basis of previous research, that clinical information (e.g., diagnosis) as well as empirically supported risk factors (e.g., sexual deviance) would predict trial outcomes.
METHOD
We analyzed multiple pieces of demographic, criminogenic, and clinical data on three nested subsamples of respondents on the basis of the legal process: MA consent ( = 713), MA trial ( = 316), and disposition hearing ( = 643). The binary outcomes of interest were as follows: For the MA consent subsample, it was whether the respondent waived their MA trial; for the MA trial subsample, it was whether the respondent was found at trial to have an MA; and for the disposition hearing, it was whether the respondent was ordered to inpatient or outpatient civil management.
RESULTS
The strongest predictor of waiving the trial was geographic location; respondents outside New York City and Long Island were more likely to waive their trials (s = 2.38-3.37). The strongest predictors of MA trial and disposition hearing outcomes were diagnoses; pedophilia (s = 4.05-7.22) and sexual sadism (s = 2.68-7.03) diagnoses increased the likelihood of an MA finding and confinement order.
CONCLUSIONS
Judges and juries give significant weight to clinical information, particularly pedophilia diagnoses, when making civil management legal decisions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Topics: Humans; Criminals; Sexual Behavior; Sex Offenses; Paraphilic Disorders; New York City
PubMed: 38252101
DOI: 10.1037/lhb0000550 -
Archives of Sexual Behavior Apr 2024Suicide represents a significant public health problem, with around 800,000 deaths per year worldwide and up to 20 times as many episodes of self-harm and suicide...
Suicide represents a significant public health problem, with around 800,000 deaths per year worldwide and up to 20 times as many episodes of self-harm and suicide attempts. Members of stigmatized groups may experience increased risk of suicide due in part to stigma-related factors, such as expectations of rejection, internalization of negative stereotypes, or potential for greater social isolation. Research suggests that adults who are attracted to children face extreme stigma, even those who do not commit sexual crimes involving children. Adults who are attracted to children also experience significantly increased risk for suicidal ideation and behavior (SIB) compared to general population samples. The current study sought to explore experiences with SIB among adults attracted to children to better understand factors underlying suicidality in this population. The lead author conducted semi-structured interviews in a community sample of 15 adults attracted to children who self-reported some form of SIB in their lifetime. Using interpretative phenomenological analysis, the lead author explored and interpreted interview data to generate themes driven by respondents' characterizations of their SIB. Superordinate themes related to suicidality in this sample included low self-esteem or self-worth, cumulative impacts of the attraction and other stressors, and concerns about the ability to have a positive future due to the attraction. Findings underscore the importance of addressing internalized stigma, treating problems like depression and social isolation, and instilling hope for the future to promote mental health and prevent SIB among adults attracted to children.
Topics: Adult; Child; Humans; Suicidal Ideation; Suicide, Attempted; Social Stigma; Social Isolation; Personality Disorders
PubMed: 38200329
DOI: 10.1007/s10508-023-02770-9 -
Zhurnal Nevrologii I Psikhiatrii Imeni... 2023To study visual event-related potentials (ERPs) associated with presentation of erotic pictures in backward masking condition in order to investigate perception,...
OBJECTIVE
To study visual event-related potentials (ERPs) associated with presentation of erotic pictures in backward masking condition in order to investigate perception, attention and information processing underlying the initiation and maintenance of abnormal sexual behavior in pedophilia.
MATERIAL AND METHODS
Participants (58 males committed sexual offenses against children) were divided into the pedophilia group (=38) and the control group without disorders of sexual preference (=20). Three types of stimuli were used: neutral pictures of nature (S1), adult heterosexual erotic pictures (S2) and erotic pictures with children (S3). Posterior N1 (N140) and anterior N1 (N120) and P3 (P320) ERP components were included in analysis.
RESULTS
In both groups, the perception of erotic stimuli was accompanied by a significant increase in the amplitude and prolongation of the latency of the N140 and P320 components (<0.001). N140 changes were characterized by right-hemispheric bias in both groups, however, asymmetry was observed for amplitude in the control group, and for latency - in the pedophilia group; besides, reactivity to S3 stimuli was weaker than to S2 ones in the pedophilia group. N120 amplitude was elevated significantly in response to S2 stimuli in the control group, and no changes were found in the pedophilia group. Between-group differences were revealed for early negative components N140 and N120, which parameters were entered as predictors into classification model based on discriminant analysis. The obtained accuracy of model was 87.23%.
CONCLUSION
The specificity of neurophysiological reactions to erotic pictures in pedophilic patients corroborates the concept of disease as general neurodevelopmental disorder.
Topics: Adult; Child; Male; Humans; Pedophilia; Cognition; Discriminant Analysis; Evoked Potentials; Neurodevelopmental Disorders
PubMed: 38147389
DOI: 10.17116/jnevro202312312199