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85-408: The stria terminalis covers the superior thalamostriate vein , marking a line of separation between the thalamus and the caudate nucleus as seen upon gross dissection of the ventricles of the brain, viewed from the superior aspect. The stria terminalis extends from the region of the interventricular foramina to the temporal horn of the lateral ventricle , carrying fibers from the amygdala to

170-526: A "contented pedophile"—an individual who fantasizes about having sex with a child and masturbates to these fantasies, but does not commit child sexual abuse, and who does not feel subjectively distressed afterward—met the DSM-IV-TR criteria for pedophilia since this person did not meet criterion B. Criticism also concerned someone who met criterion B, but did not meet criterion A. A large-scale survey about usage of different classification systems showed that

255-652: A U.S. study on 2429 adult male sex offenders who were categorized as "pedophiles", only 7% identified themselves as exclusive; indicating that many or most child sexual abusers may fall into the non-exclusive category. Some pedophiles do not molest children. Little is known about this population because most studies of pedophilia use criminal or clinical samples, which may not be representative of pedophiles in general. Researcher Michael Seto suggests that pedophiles who commit child sexual abuse do so because of other anti-social traits in addition to their sexual attraction. He states that pedophiles who are "reflective, sensitive to

340-408: A continuum according to strength and exclusivity of pedophilic interest, and motivation for the offense (see child sexual offender types ). Exclusive pedophiles are sometimes referred to as true pedophiles. They are sexually attracted to prepubescent children, and only prepubescent children. Showing no erotic interest in adults, they can only become sexually aroused while fantasizing about or being in

425-408: A correctional setting have been convicted of a crime, making it more likely that they will show anti-social characteristics. Impaired self-concept and interpersonal functioning were reported in a sample of child sex offenders who met the diagnostic criteria for pedophilia by Cohen et al. (2002), which the authors suggested could contribute to motivation for pedophilic acts. The pedophilic offenders in

510-545: A diagnosable mental disorder under the DSM-5 to resolve the physical development overlap between pedophilia and hebephilia by combining the categories under pedophilic disorder , but with specifiers on which age range (or both) is the primary interest. The proposal for hebephilia was rejected by the American Psychiatric Association, but the distinction between paraphilia and paraphilic disorder

595-484: A disturbance in the prefrontal networks, which "may be associated with stimulus-controlled behaviours, such as sexual compulsive behaviours". The findings may also suggest "a dysfunction at the cognitive stage of sexual arousal processing". Blanchard, Cantor, and Robichaud (2006) reviewed the research that attempted to identify hormonal aspects of pedophiles. They concluded that there is some evidence that pedophilic men have less testosterone than controls, but that

680-468: A female-typical number of cells in the BSTc, whereas a trans man (female-to-male) was found to have a male-typical number. The authors (Jiang-Ning Zhou, Frank PM Kruijver, Dick Swaab ) also examined subjects with hormone-related disorders and found no pattern between those disorders and the BSTc while the single untreated male-to-female transsexual had a female-typical number of cells. They concluded that

765-405: A follow-up study by the same group which found that the sexual dimorphism of the BSTc is not present before adulthood (approximately 22 years of age) even though transsexuals report being aware of their gender identity since childhood. Since somatostatin-expressing neurons typically block dendritic inputs to the postsynaptic neuron, thus inhibiting signals traveling through associated structures, it

850-546: A larger number of victims who are frequently extrafamilial; are more inwardly driven to offend; and have values or beliefs that strongly support an offense lifestyle. One study found that pedophilic molesters had a median of 1.3 victims for those with girl victims and 4.4 for those with boy victims. Child molesters, pedophilic or not, employ a variety of methods to gain sexual access to children. Some groom their victims into compliance with attention and gifts, while others use threats, alcohol or drugs, or physical force. Pedophilia

935-547: A long-term change in sexual preference. Michael Seto suggests that attempts to cure pedophilia in adulthood are unlikely to succeed because its development is influenced by prenatal factors. Pedophilia appears to be difficult to alter but pedophiles can be helped to control their behavior, and future research could develop a method of prevention. There are several common limitations to studies of treatment effectiveness. Most categorize their participants by behavior rather than erotic age preference, which makes it difficult to know

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1020-436: A male child are not true pedophilia and that, in his observation, victims of such men tended to be older and pubescent. He also lists pseudopaedophilia as a related condition wherein "individuals who have lost libido for the adult through masturbation and subsequently turn to children for the gratification of their sexual appetite" and claimed this is much more common. Austrian neurologist Sigmund Freud briefly wrote about

1105-551: A microinjection of oxytocin receptor antagonist had lower social recognition scores than rats that received a vehicle injection, and microinjections of oxytocin into the BNST enhanced social memory in male, but not female, rats. Reduction of the size of the bed nucleus of the stria terminalis has been observed in pedophilic male perpetrators, in addition to reductions in the right amygdala, hypothalamus and abnormalities in related structures. The authors propose that childhood deficits in

1190-498: A more appropriate object. In 1908, Swiss neuroanatomist and psychiatrist Auguste Forel wrote of the phenomenon, proposing that it be referred to it as "Pederosis", the "Sexual Appetite for Children". Similar to Krafft-Ebing's work, Forel made the distinction between incidental sexual abuse by persons with dementia and other organic brain conditions, and the truly preferential and sometimes exclusive sexual desire for children. However, he disagreed with Krafft-Ebing in that he felt

1275-548: A normal IQ. Another study, using structural MRI , indicated that male pedophiles have a lower volume of white matter than a control group . Functional magnetic resonance imaging ( fMRI ) has indicated that child molesters diagnosed with pedophilia have reduced activation of the hypothalamus as compared with non-pedophilic persons when viewing sexually arousing pictures of adults. A 2008 functional neuroimaging study notes that central processing of sexual stimuli in heterosexual "paedophile forensic inpatients" may be altered by

1360-448: A person who acts upon these urges yet experiences no distress about their fantasies or urges can also qualify for the diagnosis. Acting on sexual urges is not limited to overt sex acts for purposes of this diagnosis, and can sometimes include indecent exposure , voyeuristic or frotteuristic behaviors. The ICD-11 also considers planning or seeking to engage in these behaviors, as well as the use of child pornography , to be evidence of

1445-669: A primary or exclusive sexual interest in 11- to 14-year-old pubescents. The DSM-5 does not list hebephilia among the diagnoses. While evidence suggests that hebephilia is separate from pedophilia, the ICD-10 includes early pubertal age (an aspect of hebephilia) in its pedophilia definition, covering the physical development overlap between the two philias. In addition to hebephilia, some clinicians have proposed other categories that are somewhat or completely distinguished from pedophilia; these include pedohebephilia (a combination of pedophilia and hebephilia) and ephebophilia (though ephebophilia

1530-420: A role in deviant attractions. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) states, "The diagnostic criteria for pedophilic disorder are intended to apply both to individuals who freely disclose this paraphilia and to individuals who deny any sexual attraction to prepubertal children (generally age 13 years or younger), despite substantial objective evidence to

1615-479: A typology of "psycho-sexual perversion". He wrote that he had only encountered it four times in his career and gave brief descriptions of each case, listing three common traits: He mentions several cases of pedophilia among adult women (provided by another physician), and also considered the abuse of boys by homosexual men to be extremely rare. Further clarifying this point, he indicated that cases of adult men who have some medical or neurological disorder and abuse

1700-621: A variety of purposes, ranging from private sexual gratification or trading with other collectors, to preparing children for sexual abuse as part of the child grooming process. Pedophilic viewers of child pornography are often obsessive about collecting, organizing, categorizing, and labeling their child pornography collection according to age, gender, sex act and fantasy. According to FBI agent Ken Lanning, "collecting" pornography does not mean that they merely view pornography, but that they save it, and "it comes to define, fuel, and validate their most cherished sexual fantasies". Lanning states that

1785-718: A variety of referral sources inside and outside the criminal justice system as well as controls , these studies found associations between pedophilia and lower IQs , poorer scores on memory tests, greater rates of non-right-handedness, greater rates of school grade failure over and above the IQ differences, being below average height, greater probability of having had childhood head injuries resulting in unconsciousness, and several differences in MRI -detected brain structures. Such studies suggest that there are one or more neurological characteristics present at birth that cause or increase

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1870-417: Is believed that the larger bed nucleus of the stria terminalis found in men (including transgender men) reduce the startle response in men and may be responsible for the higher incidence of specific phobias in women, and a possible source for the stereotype of women being afraid of mice. Oxytocin receptor activity in the BNST is important for social recognition in rats. Both male and female rats that received

1955-593: Is believed to have occurred in humans throughout history. The term paedophilie (in German) has been used since the late 1830s by researchers of pederasty in ancient Greece . The term "paedophilia erotica" was coined in an 1896 article by the Viennese psychiatrist Richard von Krafft-Ebing but does not enter the author's Psychopathia Sexualis until the 10th German edition. A number of authors anticipated Krafft-Ebing's diagnostic gesture. In Psychopathia Sexualis ,

2040-501: Is commonly used by the public to describe all child sexual abuse offenders. This usage is considered problematic by researchers, because many child molesters do not have a strong sexual interest in prepubescent children, and are consequently not pedophiles. There are motives for child sexual abuse that are unrelated to pedophilia, such as stress, marital problems, the unavailability of an adult partner, general anti-social tendencies, high sex drive or alcohol use. As child sexual abuse

2125-531: Is defined as a pattern of pedophilic arousal accompanied by either subjective distress or interpersonal difficulty, or having acted on that arousal. The DSM-5 requires that a person must be at least 16 years old, and at least five years older than the prepubescent child or children they are aroused by, for the attraction to be diagnosed as pedophilic disorder. Similarly, the ICD-11 excludes sexual behavior among post-pubertal children who are close in age. The DSM requires

2210-418: Is distressed as a result of having these feelings. The criteria also indicate that the subject should be 16 or older and that the child or children they fantasize about are at least five years younger than them, though ongoing sexual relationships between a 12- to 13-year-old and a late adolescent are advised to be excluded. A diagnosis is further specified by the sex of the children the person is attracted to, if

2295-733: Is mixed. A 2012 Cochrane Review of randomized trials found that CBT had no effect on risk of reoffending for contact sex offenders. Meta-analyses in 2002 and 2005, which included both randomized and non-randomized studies, concluded that CBT reduced recidivism. There is debate over whether non-randomized studies should be considered informative. More research is needed. Behavioral treatments target sexual arousal to children, using satiation and aversion techniques to suppress sexual arousal to children and covert sensitization (or masturbatory reconditioning) to increase sexual arousal to adults. Behavioral treatments appear to have an effect on sexual arousal patterns during phallometric testing, but it

2380-561: Is more likely. A study analyzing the sexual fantasies of 200 heterosexual men by using the Wilson Sex Fantasy Questionnaire exam determined that males with a pronounced degree of paraphilic interest (including pedophilia) had a greater number of older brothers, a high 2D:4D digit ratio (which would indicate low prenatal androgen exposure), and an elevated probability of being left-handed , suggesting that disturbed hemispheric brain lateralization may play

2465-693: Is more limited and mostly based on open trials and case studies. All of these treatments, commonly referred to as " chemical castration ", are often used in conjunction with cognitive behavioral therapy. According to the Association for the Treatment of Sexual Abusers , when treating child molesters, "anti-androgen treatment should be coupled with appropriate monitoring and counseling within a comprehensive treatment plan." These drugs may have side-effects, such as weight gain, breast development, liver damage and osteoporosis. Historically, surgical castration

2550-463: Is not a legal term, as having a sexual attraction to children without acting on it is not illegal. In law enforcement circles, the term pedophile is sometimes used informally to refer to any person who commits one or more sexually-based crimes that relate to legally underage victims. These crimes may include child sexual abuse , statutory rape , offenses involving child pornography , child grooming , stalking , and indecent exposure . One unit of

2635-475: Is not automatically an indicator that its perpetrator is a pedophile, offenders can be separated into two types: pedophilic and non-pedophilic (or preferential and situational). Estimates for the rate of pedophilia in detected child molesters generally range between 25% and 50%. A 2006 study found that 35% of its sample of child molesters were pedophilic. Pedophilia appears to be less common in incest offenders, especially fathers and step-fathers. According to

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2720-571: Is not considered pathological). Pedophilia emerges before or during puberty, and is stable over time. It is self-discovered, not chosen. For these reasons, pedophilia has been described as a disorder of sexual preference, phenomenologically similar to a heterosexual or homosexual orientation. These observations, however, do not exclude pedophilia from being classified as a mental disorder since pedophilic acts cause harm, and mental health professionals can sometimes help pedophiles to refrain from harming children. In response to misinterpretations that

2805-490: Is not known whether the effect represents changes in sexual interests or changes in the ability to control genital arousal during testing, nor whether the effect persists in the long term. For sex offenders with mental disabilities, applied behavior analysis has been used. Pharmacological interventions are used to lower the sex drive in general, which can ease the management of pedophilic feelings, but does not change sexual preference. Antiandrogens work by interfering with

2890-427: Is not specified in hard numbers and instead requires careful consideration of the situation. There was discussion on the DSM-IV-TR being overinclusive and underinclusive. Its criterion A concerns sexual fantasies or sexual urges regarding prepubescent children, and its criterion B concerns acting on those urges or the urges causing marked distress or interpersonal difficulty. Several researchers discussed whether or not

2975-479: Is rarely methodologically correct, in part owing to confusion between pedophiles and child sex offenders, as well as the difficulty of obtaining a representative, community sample of pedophiles. Seto (2004) points out that pedophiles who are available from a clinical setting are likely there because of distress over their sexual preference or pressure from others. This increases the likelihood that they will show psychological problems. Similarly, pedophiles recruited from

3060-441: Is thought to act as a relay site within the hypothalamic-pituitary-adrenal axis and regulate its activity in response to acute stress . However, the stress response is time-related and the BNST does not activate for contextual fear. This means that a sudden scary situation that is under ten minutes long does not activate the BNST. It is also thought to promote behavioral inhibition in response to unfamiliar individuals, by input from

3145-465: Is used to refer to a sexual preference for children under the age of 5 (especially infants and toddlers ). This is sometimes referred to as nepiophilia (from the Greek νήπιος ( népios ) meaning ' infant ' or ' child ' , which in turn derives from ne- and epos meaning ' not speaking ' ), though this term is rarely used in academic sources. Hebephilia is defined as individuals with

3230-508: The American Psychiatric Association considers pedophilia a sexual orientation because of wording in its printed DSM-5 manual, which distinguishes between paraphilia and what it calls "paraphilic disorder", subsequently forming a division of "pedophilia" and "pedophilic disorder", the association commented: "'[S]exual orientation' is not a term used in the diagnostic criteria for pedophilic disorder and its use in

3315-518: The orbitofrontal cortex . Bilateral disruption of this pathway has been shown to attenuate reinstatement of drug seeking behaviour in rodents. This nucleus is known to project inhibitory fibers to the lateral hypothalamus and participate in the control of feeding in rodents. Optogenetic activation of this inhibitory pathway rapidly produced voracious feeding behavior in well-fed mice and optogenetic inhibition of this pathway reduces food intake even in starved animals. Derangement of opioid signaling in

3400-452: The public domain from page 653 of the 20th edition of Gray's Anatomy (1918) This cardiovascular system article is a stub . You can help Misplaced Pages by expanding it . Paedophilia Pedophilia ( alternatively spelled paedophilia ) is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin

3485-472: The septal nuclei , hypothalamic , and thalamic areas of the brain. It also carries fibers projecting from these areas back to the amygdala. The bed nucleus of the stria terminalis (BNST) is a collection of nuclei at the base of the lateral ventricles , and in front of the septum. The BNST, hypothalamic nuclei, and septal nuclei are all in close proximity with each other and share many projections. It correlates with anxiety in response to threat monitoring. It

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3570-513: The 1830s among researchers of pederasty in Ancient Greece . It was further used in the field of forensics after the 1890's, following Richard von Krafft-Ebing 's coinage of the term paedophilia erotica in the 1896 edition of Psychopathia Sexualis . Krafft-Ebing was the first researcher to use the term pedophilia to refer to a pattern of sexual attraction toward children who had not yet reached puberty, excluding pubescent minors from

3655-451: The APA, as it would only apply to a tiny minority of commitments, as well as deny help-seeking pedophiles access to clinical care due to not having an official diagnosis for insurance purposes. In practice, the patient's behaviors need to be considered in-context with an element of clinical judgment before a diagnosis is made. Likewise, when the patient is in late adolescence, the age difference

3740-441: The American Psychiatric Association's approach in 1997 and instead recommended the use of actions as the sole criterion for the diagnosis of pedophilia, as a means of taxonomic simplification. There is no evidence that pedophilia can be cured. Instead, most therapies focus on helping pedophiles refrain from acting on their desires. Some therapies do attempt to cure pedophilia, but there are no studies showing that they result in

3825-509: The BNST and medial amygdala may cause inhibition of sexual maturity. Superior thalamostriate vein The superior thalamostriate vein or terminal vein commences in the groove between the corpus striatum and thalamus , receives numerous veins from both of these parts, and unites behind the crus of the fornix with the superior choroid vein to form each of the internal cerebral veins . [REDACTED] This article incorporates text in

3910-431: The BNST appears to mediate chronic alcohol-induced changes in stress response. The central subdivision of the bed nucleus of the stria terminalis (BSTc) is sexually dimorphic . On average, the BSTc is twice as large in men as in women and contains twice the number of somatostatin neurons. A sample of six post-mortem, long-term hormone replacement therapy (HRT) treated trans women (male-to-female) were found to have

3995-490: The BSTc provides evidence for a neurobiological basis of gender identity and proposed that such was determined before birth. Hormone replacement therapy has been shown to influence hypothalamic size, even though the study tried to do this by including non-transsexual male and female controls which, for a variety of medical reasons, had experienced hormone reversal. The statement about the neurobiological basis from birth has later been brought to question, though not refuted, by

4080-548: The DSM classification is only rarely used. As an explanation, it was suggested that the underinclusiveness, as well as a lack of validity, reliability and clarity might have led to the rejection of the DSM classification. Ray Blanchard , an American-Canadian sexologist known for his research studies on pedophilia, addressed (in his literature review for the DSM-5) the objections to the overinclusiveness and under underinclusiveness of

4165-500: The DSM-5 text discussion is an error and should read 'sexual interest.'" They added, "In fact, APA considers pedophilic disorder a 'paraphilia,' not a 'sexual orientation.' This error will be corrected in the electronic version of DSM-5 and the next printing of the manual." They said they strongly support efforts to criminally prosecute those who sexually abuse and exploit children and adolescents, and "also support continued efforts to develop treatments for those with pedophilic disorder with

4250-454: The DSM-IV-TR, and proposed a general solution applicable to all paraphilias. This meant namely a distinction between paraphilia and paraphilic disorder . The latter term is proposed to identify the diagnosable mental disorder which meets Criterion A and B, whereas an individual who does not meet Criterion B can be ascertained but not diagnosed as having a paraphilia. Blanchard and a number of his colleagues also proposed that hebephilia become

4335-636: The Treatment of Sexual Abusers opposes surgical castration and the Council of Europe works to bring the practice to an end in Eastern European countries where it is still applied through the courts. The prevalence of pedophilia in the general population is not known, but is estimated to be lower than 5% among adult men. Less is known about the prevalence of pedophilia in women, but there are case reports of women with strong sexual fantasies and urges towards children. Male perpetrators account for

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4420-607: The activity of testosterone. Cyproterone acetate (Androcur) and medroxyprogesterone acetate (Depo-Provera) are the most commonly used. The efficacy of antiandrogens has some support, but few high-quality studies exist. Cyproterone acetate has the strongest evidence for reducing sexual arousal, while findings on medroxyprogesterone acetate have been mixed. Gonadotropin-releasing hormone analogs such as leuprorelin (Lupron), which last longer and have fewer side-effects, are also used to reduce libido, as are selective serotonin reuptake inhibitors . The evidence for these alternatives

4505-525: The arousal pattern must be present for 6 months or longer, while the ICD lacks this requirement. The ICD criteria also refrain from specifying chronological ages. In popular usage, the word pedophilia is often applied to any sexual interest in children or the act of child sexual abuse , including any sexual interest in minors below the local age of consent or age of adulthood , regardless of their level of physical or mental development. This use conflates

4590-405: The attraction is a sexual preference for prepubescent children, such offenders are considered pedophiles in the same vein as exclusive offenders. Neither the DSM nor the ICD-11 diagnostic criteria require actual sexual activity with a prepubescent youth. The diagnosis can therefore be made based on the presence of fantasies or sexual urges even if they have never been acted upon. On the other hand,

4675-479: The brain, while non-offending pedophiles had no such deficits. According to Abel, Mittleman, and Becker (1985) and Ward et al. (1995), there are generally large distinctions between the characteristics of pedophilic and non-pedophilic molesters. They state that non-pedophilic offenders tend to offend at times of stress; have a later onset of offending; and have fewer, often familial, victims, while pedophilic offenders often start offending at an early age; often have

4760-444: The chapter's other listings." If hebephilia had been accepted as a DSM-5 diagnosable disorder, it would have been similar to the ICD-10 definition of pedophilia that already includes early pubescents, and would have raised the minimum age required for a person to be able to be diagnosed with pedophilia from 16 years to 18 years (with the individual needing to be at least 5 years older than the minor). O'Donohue, however, suggests that

4845-516: The collection is the single best indicator of what the offender wants to do, but not necessarily of what has been or will be done. Researchers Taylor and Quayle reported that pedophilic collectors of child pornography are often involved in anonymous internet communities dedicated to extending their collections. Although what causes pedophilia is not yet known, researchers began reporting a series of findings linking pedophilia with brain structure and function, beginning in 2002. Testing individuals from

4930-745: The company of children less threatening than that of adults, or whether the social withdrawal implied by their introversion is a result of the isolation engendered by their preference i.e., awareness of the social [dis]approbation and hostility that it evokes" (p. 324). In a non-clinical survey, 46% of pedophiles reported that they had seriously considered suicide for reasons related to their sexual interest, 32% planned to carry it out, and 13% had already attempted it. A review of qualitative research studies published between 1982 and 2001 concluded that child sexual abusers use cognitive distortions to meet personal needs, justifying abuse by making excuses, redefining their actions as love and mutuality, and exploiting

5015-484: The condition of the latter was largely ingrained and unchangeable. The term pedophilia became the generally accepted term for the condition and saw widespread adoption in the early 20th century, appearing in many popular medical dictionaries such as the 5th Edition of Stedman's in 1918. In 1952, it was included in the first edition of the Diagnostic and Statistical Manual of Mental Disorders . This edition and

5100-418: The contrary." The manual outlines specific criteria for use in the diagnosis of this disorder. These include the presence of sexually arousing fantasies, behaviors or urges that involve some kind of sexual activity with a prepubescent child (with the diagnostic criteria for the disorder extending the cut-off point for prepubescence to age 13) for six months or more, or that the subject has acted on these urges or

5185-859: The diagnosis. However the DSM-5-TR, in a change from the prior edition, excludes the use of child pornography alone as meeting the criteria for "acting on sexual urges." This change is controversial due to being made for legal reasons rather than scientific. According to forensic psychologist Michael C. Seto , who was part of the DSM-5-TR workgroup, the removal of child pornography use alone was to avoid diagnosing criminal defendants convicted of child pornography offenses, but no in-person offenses, with pedophilic disorder, as this could potentially lead to such defendants being committed to mental institutions under sexually violent predator laws . Seto, who has published several research studies on pedophilia and its relationship with child pornography, objected to this reasoning by

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5270-517: The diagnostic criteria for pedophilia be simplified to the attraction to children alone if ascertained by self-report, laboratory findings, or past behavior. He states that any sexual attraction to children is pathological and that distress is irrelevant, noting "this sexual attraction has the potential to cause significant harm to others and is also not in the best interests of the individual." Also arguing for behavioral criteria in defining pedophilia, Howard E. Barbaree and Michael C. Seto disagreed with

5355-399: The feelings of others, averse to risk, abstain from alcohol or drug use, and endorse attitudes and beliefs supportive of norms and the laws" may be unlikely to abuse children. A 2015 study indicates that pedophiles who molested children are neurologically distinct from non-offending pedophiles. The pedophilic molesters had neurological deficits suggestive of disruptions in inhibitory regions of

5440-499: The goal of preventing future acts of abuse." Studies of pedophilia in child sex offenders often report that it co-occurs with other psychopathologies , such as low self-esteem , depression, anxiety, and personality problems. It is not clear whether these are features of the disorder itself, artifacts of sampling bias , or consequences of being identified as a sex offender. One review of the literature concluded that research on personality correlates and psychopathology in pedophiles

5525-768: The impulses or acts are limited to incest , and if the attraction is "exclusive" or "nonexclusive". The ICD-11 defines pedophilic disorder as a "sustained, focused, and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—involving pre-pubertal children." It also states that for a diagnosis of pedophilic disorder, "the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. This diagnosis does not apply to sexual behaviours among pre- or post-pubertal children with peers who are close in age." Several terms have been used to distinguish "true pedophiles" from non-pedophilic and non-exclusive offenders, or to distinguish among types of offenders on

5610-559: The incidence of a person committing child sexual abuse. The exact causes of pedophilia have not been conclusively established. Some studies of pedophilia in child sex offenders have correlated it with various neurological abnormalities and psychological pathologies. The word pedophilia comes from the Greek παῖς, παιδός ( paîs, paidós ), meaning ' child ' , and φιλία ( philía ), ' friendly love ' or ' friendship ' . The term paedophilie (in German) started being used in

5695-403: The introversion scale, with pedophiles showing elevated shyness, sensitivity and depression. The pedophiles scored higher on neuroticism and psychoticism , but not enough to be considered pathological as a group. The authors caution that "there is a difficulty in untangling cause and effect. We cannot tell whether paedophiles gravitate towards children because, being highly introverted, they find

5780-483: The likelihood of being pedophilic. Some studies have found that pedophiles are less cognitively impaired than non-pedophilic child molesters. A 2011 study reported that pedophilic child molesters had deficits in response inhibition, but no deficits in memory or cognitive flexibility. Evidence of familial transmittability "suggests, but does not prove that genetic factors are responsible" for the development of pedophilia. A 2015 study indicated that pedophilic offenders have

5865-508: The likelihood of sexual offenses against children. Its content varies widely between therapists, but a typical program might involve training in self-control, social competence and empathy, and use cognitive restructuring to change views on sex with children. The most common form of this therapy is relapse prevention , where the patient is taught to identify and respond to potentially risky situations based on principles used for treating addictions. The evidence for cognitive behavioral therapy

5950-518: The pedophilic age range. In 1895, the English word pedophily was used as a translation of the German word pädophilie . The term pedophilia was hardly used by 1945, but started appearing in medical records after 1950. By the 1950s and throughout the 1980s, the word pedophilia started being increasingly used by the popular media. Infantophilia (or nepiophilia ) is a sub-type of pedophilia; it

6035-408: The power imbalance inherent in all adult–child relationships. Other cognitive distortions include the idea of "children as sexual beings", uncontrollability of sexual behavior, and "sexual entitlement-bias". Consumption of child pornography is a more reliable indicator of pedophilia than molesting a child, although some non-pedophiles also view child pornography. Child pornography may be used for

6120-409: The prenatal environment predispose a male to develop both affective disorders and pedophilia, or do the frustration, danger, and isolation engendered by unacceptable sexual desires—or their occasional furtive satisfaction—lead to anxiety and despair?" They indicated that, because they previously found mothers of pedophiles to be more likely to have undergone psychiatric treatment, the genetic possibility

6205-401: The presence of prepubescent children, or both. Non-exclusive offenders—or "non-exclusive pedophiles"—may at times be referred to as non-pedophilic offenders, but the two terms are not always synonymous. Non-exclusive offenders are sexually attracted to both children and adults, and can be sexually aroused by both, though a sexual preference for one over the other in this case may also exist. If

6290-504: The process of puberty at age 10 or 11, and boys at age 11 or 12, psychiatric diagnostic criteria for pedophilia extend the cut-off point for prepubescence to age 13. People with the disorder are often referred to as pedophiles (or paedophiles ). Pedophilia is a paraphilia . In recent versions of formal diagnostic coding systems such as the DSM-5 and ICD-11 , "pedophilia" is distinguished from "pedophilic disorder." Pedophilic disorder

6375-476: The research is of poor quality and that it is difficult to draw any firm conclusion from it. While not causes of pedophilia themselves, childhood abuse by adults or comorbid psychiatric illnesses—such as personality disorders and substance abuse —are risk factors for acting on pedophilic urges. Blanchard, Cantor, and Robichaud addressed comorbid psychiatric illnesses that, "The theoretical implications are not so clear. Do particular genes or noxious factors in

6460-480: The sexual attraction to prepubescent children with the act of child sexual abuse and fails to distinguish between attraction to prepubescent and pubescent or post-pubescent minors. Such use should be avoided, because although some people who commit child sexual abuse are pedophiles, child sexual abuse offenders are not pedophiles unless they have a primary or exclusive sexual interest in prepubescent children, and many pedophiles do not molest children. Pedophilia

6545-567: The specific treatment outcome for pedophiles. Many do not select their treatment and control groups randomly . Offenders who refuse or quit treatment are at higher risk of offending, so excluding them from the treated group, while not excluding those who would have refused or quit from the control group, can bias the treated group in favor of those with lower recidivism. The effectiveness of treatment for non-offending pedophiles has not been studied. Cognitive behavioral therapy (CBT) aims to reduce attitudes, beliefs, and behaviors that may increase

6630-469: The study had elevated psychopathy and cognitive distortions compared to healthy community controls. This was interpreted as underlying their failure to inhibit their criminal behavior. Studies in 2009 and 2012 found that non-pedophilic child sex offenders exhibited psychopathy, but pedophiles did not. Wilson and Cox (1983) studied the characteristics of a group of pedophile club members. The most marked differences between pedophiles and controls were on

6715-464: The subsequent DSM-II listed the disorder as one subtype of the classification "Sexual Deviation", but no diagnostic criteria were provided. The DSM-III, published in 1980, contained a full description of the disorder and provided a set of guidelines for diagnosis. The revision in 1987, the DSM-III-R, kept the description largely the same, but updated and expanded the diagnostic criteria. Pedophilia

6800-507: The term appears in a section titled "Violation of Individuals Under the Age of Fourteen", which focuses on the forensic psychiatry aspect of child sexual offenders in general. Krafft-Ebing describes several typologies of offender, dividing them into psychopathological and non-psychopathological origins, and hypothesizes several apparent causal factors that may lead to the sexual abuse of children. Krafft-Ebing mentioned paedophilia erotica in

6885-524: The topic in his 1905 book Three Essays on the Theory of Sexuality , in a section titled The Sexually immature and Animals as Sexual objects. He wrote that exclusive pedophilia was rare and only occasionally were prepubescent children exclusive objects. He wrote that they usually were the subject of desire when a weak person "makes use of such substitutes" or when an uncontrollable instinct which will not allow delay seeks immediate gratification and cannot find

6970-572: The vast majority of sexual crimes committed against children. Among convicted offenders, 0.4% to 4% are female, and one literature review estimates that the ratio of male-to-female child molesters is 10 to 1. The true number of female child molesters may be underrepresented by available estimates, for reasons including a "societal tendency to dismiss the negative impact of sexual relationships between young boys and adult women, as well as women's greater access to very young children who cannot report their abuse", among other explanations. The term pedophile

7055-408: Was first formally recognized and named in the late 19th century. A significant amount of research in the area has taken place since the 1980s. Although mostly documented in men, there are also women who exhibit the disorder, and researchers assume available estimates underrepresent the true number of female pedophiles. No cure for pedophilia has been developed, but there are therapies that can reduce

7140-486: Was implemented. The American Psychiatric Association stated that "[i]n the case of pedophilic disorder, the notable detail is what wasn't revised in the new manual. Although proposals were discussed throughout the DSM-5 development process, diagnostic criteria ultimately remained the same as in DSM-IV TR" and that "[o]nly the disorder name will be changed from pedophilia to pedophilic disorder to maintain consistency with

7225-558: Was used to lower sex drive by reducing testosterone. The emergence of pharmacological methods of adjusting testosterone has made it largely obsolete, because they are similarly effective and less invasive. It is still occasionally performed in Germany, the Czech Republic, Switzerland, and a few U.S. states. Non-randomized studies have reported that surgical castration reduces recidivism in contact sex offenders. The Association for

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