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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 -
Women's History Review 2023This article explores arguments within American psychiatry from the 1950s around whether rapists were mentally ill. It analyses debates in the lead-up to the various...
This article explores arguments within American psychiatry from the 1950s around whether rapists were mentally ill. It analyses debates in the lead-up to the various editions of the American Psychiatric Association's (APA's) (DSM) from 1952 to the latest version in 2013, focussing particularly on a diagnostic category called 'Paraphilic Coercive Disorder' (PCD). Since the first DSM, American psychiatrists had routinely considered people who committed certain forms of sexual violence to be suffering from mental disorders. For example, 'Paedophilia' and 'Sexual Sadism' had always been considered valid diagnoses. However, the APA to pathologise non-sadistic sexual violence committed against adults. Opposition can be classified into four overlapping arguments: uncertainty about 'normal' male sexual aggression, feminist worries about 'excusing' harmful sexual behaviours, concerns about the misuse of psychiatry in courts, and the need to defend the psychiatric profession from encroachments on their 'territory' by non-medically trained psychologists, social workers, and anti-psychiatric activists.
PubMed: 38013781
DOI: 10.1080/09612025.2023.2197792 -
Child Abuse & Neglect Dec 2023Sexual violence is a major public health issue worldwide, with a high prevalence and extensive human and financial costs. Implementing prevention programs is complex,... (Review)
Review
BACKGROUND
Sexual violence is a major public health issue worldwide, with a high prevalence and extensive human and financial costs. Implementing prevention programs is complex, requiring not only evidence-based practices and high ethical standards, but also close collaboration with local governments and non-governmental organizations. In order to guide and support all stakeholders necessary to achieve large-scale prevention (e.g., politicians, decision-makers, in-field professionals), it is essential to establish international benchmarks for the prevention of sexual violence.
OBJECTIVE
The main goal of this collaborative study was to conduct a systematic review of the frameworks adopted by WHO, UN Women, UNESCO, and UNICEF to help prevent sexual violence worldwide, according to the PRISMA methodology. A secondary objective was to highlight the levels of prevention and determinants of health targeted by these organizations.
RESULTS
Overall, 1008 references were identified, of which 50 met the inclusion criteria. All international guidelines were limited to primary or tertiary prevention, and they were not specifically dedicated to sexual violence. In addition, each organization had developed idiosyncratic prevention strategies. Common primary prevention determinants of health were still found across organizations, including education, socio-economic inequalities, and life skills training. Tertiary prevention was poorly developed and polarized between victims and perpetrators. Secondary prevention was never addressed, however, despite the effectiveness of approaches such as helplines for people sexually attracted to children.
DISCUSSION
Given these results, an international French-speaking consortium of professional teams, all involved in the secondary prevention of sexual violence, was recently formed with a ratified charter presented here.
Topics: Child; Humans; Female; UNESCO; Sex Offenses; Sexual Behavior; Public Health; World Health Organization
PubMed: 37832246
DOI: 10.1016/j.chiabu.2023.106497 -
Forensic Sciences Research Mar 2023Visual attention plays a central role in current theories of sexual information processing and is key to informing the use of eye-tracking techniques in the study of... (Review)
Review
Visual attention plays a central role in current theories of sexual information processing and is key to informing the use of eye-tracking techniques in the study of typical sexual preferences and more recently, in the study of atypical preferences such as pedophilia (prepubescent children) and hebephilia (pubescent children). The aim of this theoretical-empirical review is to connect the concepts of a visual attention-based model of sexual arousal processing with eye movements as indicators of atypical sexual interests, to substantiate the use of eye-tracking as a useful indirect measure of sexual preferences according to sex and age of the stimuli. Implications for research are discussed in terms of recognizing the value, scope and limitations of eye-tracking in the study of pedophilia and other chronophilias in males and females, and the generation of new hypotheses using this type of indirect measure of human sexual response.
PubMed: 37712065
DOI: 10.1093/fsr/owad009 -
Archives of Sexual Behavior Jan 2024Diagnosing pedohebephilia is fraught with obstacles given the tabooed nature of this sexual preference. The viewing reaction time effect (VRT) provides a non-intrusive...
Diagnosing pedohebephilia is fraught with obstacles given the tabooed nature of this sexual preference. The viewing reaction time effect (VRT) provides a non-intrusive indirect measure of sexual interest in minors. In forensic populations, the ability of the difference between the latencies while viewing child and adult sexual stimuli (VRT index) to discern child sexual offenders from a range of control groups has been ascertained meta-analytically. Given that the effect has been studied almost exclusively in forensic samples, its dependence or independence on prior overt (deviant) sexual behavior remains unclear. The present study sought to examine the relationship of prior sexual and non-sexual behaviors with the VRT in a sample of 282 self-referring, help-seeking men with and without pedohebephilia with and without a history of prior child sexual offenses (CSO) or a use of child sexual abuse materials (CSAM) recruited outside a forensic context. We found that (1) the clinical diagnosis of pedohebephilia but not prior CSO or CSAM showed a significant association with the VRT index; (2) the discriminatory ability of the VRT index did not differ significantly between samples with and without a history of prior overt sexual behavior with children; (3) the VRT index correlated positively with a behavioral marker of pedohebephilia in a subsample of individuals with prior judicially detected or undetected overt sexual behavior with children; and (4) in the same subsample, the VRT index correlated positively with markers of sexual interests in minors or hypersexuality but not of antisociality. Equivalence testing failed to refute a potential effect of prior sexual behavior on the VRT index. Our study showed that the VRT may provide an unintrusive diagnostic tool for pedohebephilia. The effect of prior overt sexual behavior with children needs further examination.
Topics: Male; Adult; Child; Humans; Pedophilia; Reaction Time; Sexual Behavior; Sex Offenses; Child Abuse, Sexual; Paraphilic Disorders
PubMed: 37594679
DOI: 10.1007/s10508-023-02662-y -
Current Psychiatry Reports Sep 2023With the Internet allowing consumers easy access to fantasy and fictional sexual materials (FSM), it is becoming increasingly important to understand the context of... (Review)
Review
PURPOSE OF REVIEW
With the Internet allowing consumers easy access to fantasy and fictional sexual materials (FSM), it is becoming increasingly important to understand the context of their use among specific populations. Of particular, social, clinical, and legal interest is FSM use by people who are attracted to children and whether this may have a risk-enhancing or protective impact on their likelihood of committing a contact or non-contact sexual offence.
RECENT FINDINGS
There is a lack of data currently available in relation to the use of FSM by those with sexual attractions to children. Evidence from allied areas appears to show no meaningful associations between FSM use and sexual aggression. We propose a novel research program and some initial research questions that provide a theoretical framework for more evidence-based inquiry on FSM use by people who experience attractions to children.
Topics: Humans; Child; Fantasy; Sexual Behavior; Sex Offenses; Child Abuse, Sexual; Pedophilia
PubMed: 37523114
DOI: 10.1007/s11920-023-01435-7 -
Industrial Psychiatry Journal 2023Children constitute vulnerable section of the society, and governments have moral responsibility to safeguard their interests and safety. It does so by enacting various... (Review)
Review
Children constitute vulnerable section of the society, and governments have moral responsibility to safeguard their interests and safety. It does so by enacting various laws and providing framework for its implementation. Child sexual abuse (CSA) is widely prevalent in all societies and World Health Organization has promulgated broad guidelines against such practices. There are enough provisions against such perpetrators in India and suitable amendments have been provisioned based on inputs from various sections of the society. This article delves into the provisions of the act, its medicolegal application, and psychodynamics of such behaviors among the perpetrators.
PubMed: 37274576
DOI: 10.4103/ipj.ipj_169_21 -
Sexual Abuse : a Journal of Research... Aug 2024Emotional congruence with children (ECWC) is a psychologically meaningful risk factor for sexual offending against children (SOC). Based on previous research and theory,...
Emotional congruence with children (ECWC) is a psychologically meaningful risk factor for sexual offending against children (SOC). Based on previous research and theory, three models have been proposed to explain ECWC: Blockage, Sexual Domain, and Psychological Immaturity. Using structural equation modelling in a routine correctional sample of men adjudicated for sexual offences ( = 983), we found little support for all three of these models. Instead, we found that atypical sexual interests, alone, best explained ECWC, with a moderate relationship to ECWC. Using the predictors associated with each of the three models of ECWC, we identified three classes of men with a history of SOC who are high in ECWC using latent class analyses ( = 377). These three classes generally did not replicate the three models of ECWC. We instead propose three subgroups of men with histories of SOC who are high in ECWC, characterized respectively by: relationship deficits; youth and loneliness; and high sexual and general criminality. High levels of ECWC are predictive of a higher risk of sexual recidivism, regardless of class association; however, these subgroups are differentially at risk for some types of recidivism. Our findings suggest that ECWC is a multi-faceted construct, which is still not well understood.
Topics: Humans; Male; Child; Child Abuse, Sexual; Adult; Criminals; Sex Offenses; Emotions; Models, Psychological; Risk Factors; Recidivism; Middle Aged
PubMed: 37272074
DOI: 10.1177/10790632231172160 -
Clinical Neuropsychiatry Apr 2023Disgust is a basic emotion evolved to safeguard our omnivorous species from contagion. Although the factors eliciting disgust typically involve concerns related to...
OBJECTIVE
Disgust is a basic emotion evolved to safeguard our omnivorous species from contagion. Although the factors eliciting disgust typically involve concerns related to physical contamination, physical disgust responses are also prompted by moral transgressions, (i.e. cannibalism, pedophilia, betrayal). The link between the general propensity to experience disgust (i.e. "Disgust Sensitivity") and morality, in particular in the deontological domain, is supported by an increasing amount of data on clinical and non-clinical sample. Evolutionistic explanations of this link posit that disgust evolved to indicate the presence of a threat to the integrity of the individual not only in the physical domain but also in the social and moral domain.In addition to the evolutionary point of view, this link could also be better investigated in terms of individual development. To the best of our knowledge, literature is scarce regarding which early experiences are associated to high DS. Therefore, this study aims to explore the content of early memories associated with disgust. Based on the strict link between disgust and morality, we hypothesized an association between DS and early memories of moral criticism.
METHOD
60 non-clinical participants filled in measures of DS. They were then presented with an auditory disgust induction, after which they recalled early memories through the technique of the "affect bridge". 10 independent raters assessed the emotional content of the memories on visual-analogical scales.
RESULTS
Results showed a positive association between disgust sensitivity and the propensity to experience deontological guilt. There was also a significant positive association between disgust sensitivity and moral memories, in particular relating to early experiences of being the object of contempt, moral criticism, anger, and of being held responsible.
CONCLUSIONS
These data directly support the centrality of early morally-loaded interpersonal experiences in the development of DS, confirming the link between disgust and morality also at the level of individual historical development.
PubMed: 37234358
DOI: 10.36131/cnfioritieditore20230203 -
PloS One 2023Negatively valenced news dominates the press, with stories of death and destruction gaining significant traction while also negatively impacting people's mental health...
Negatively valenced news dominates the press, with stories of death and destruction gaining significant traction while also negatively impacting people's mental health and perceptions of humanity. Given that horrific acts happen and need to be reported, we examined if news stories featuring others' kindness could undo the aversive effects of news stories featuring others' immorality. In Studies 1a-d we tested whether media exposure to the acts of kindness that occurred in response to a terrorist attack could alleviate the aversive effects of media exposure to the terrorist attack. In Study 2, we examined whether, more generally, the aversive effects of news stories featuring immorality (e.g., homicide, paedophilia, bullying) could be alleviated through news stories featuring acts of kindness (e.g., volunteering, philanthropy, caring for the homeless). In Studies 1 and 2, we found that participants exposed to others' immorality and then others' kindness suffered from less aversive changes to their mood, experienced greater levels of elevation and were more inclined to believe in the goodness of others, than participants exposed only to others' immorality. Given this, we suggest there is merit in journalists shining a light on others' kindness if people's affective well-being and belief in the goodness of humanity is to remain intact.
Topics: Humans; Affect; Bullying
PubMed: 37195988
DOI: 10.1371/journal.pone.0284438