what is the ICD-11 diagnostic criteria for paedophilia
sustained, focused and intense pattern of sexual arousal
persistent sexual thoughts, fantasies, urgers, behaviours involving pre-pubertal children
individual must have acted on these OR be markedly distressed by them
doesn’t apply to sexual behaviours among pre- or post- pubertal children with peers close in age
what is the DSM-V criteria for paedophilia
recurrent, intense sexually arousing fantasies, urges or behaviours involving a prepubescent child or children (usually under 13 yos)
present for more than 6 months
has acted on urges or is greatly distressed/impaired by them
more than sixteen years old and more than five years older than target child (but excluding an older adolescent who is in an ongoing relationship with a 12/13 yo????????)
what did the national representative study for the czech republic find was the prevalence of paedophilia
national register: 50,000 people (12K men and 13.5K women were contacted)
final sample: 5K men (18-88 with MEAN AGE 45 and 47) and 5K women
demographic data, sexual orientation and 13 paraphilic interests ie voyeurism/torture/exhibitionism etc collected
likert-type scale 1-5 and 1-9 questionnaire
how many child sex offender have a pedophilic disorder diagnoses?
phallometric testing, Blanchard et al. (2001):
30-61% of child molesters have one
interview data, Eher et al. (2019): 67% of sexual offenders have a pedophilic disorder, 14% are exclusively interested in children
what did Dombert et al. (2016) find about men’s sexual interest in prepubescent children
self-report
8,718 German men
sexual offenses against children is higher than the sexual preference reported for children (0.1% exclusive/0.6% nonexclusive)
12.3% of all men indicating paedophilic interest/50% men with genuine preference for children over adults have thought about help seeking
greater number of sexual offenses against children WEREN’T committed by pedophilic men
how to diagnose someone with paedophilia in a non-forensic context
sexual anamnesis
sexual history questionnaire (see Cohen et al 2010)
minor attracted persons questionnaire (see Cohen et al 2018)
how to diagnose someone with paedophilia in a forensic context
forensic records
objective measures like penile-plethsmography and eye movements
child molester vs paedophile
child molester = someone who has sexually interfered with a minor
paedophile = may or may not be a child molester, someone sexually attracted to children but may have never acted on it
what is Prevention Dunkel
an initiative that started several years ago in eastern Germany to see the difference between child molester and paedophile
what does Feld say about paedophiles
recognises its a sexual orientation that affects an estimated 1% of the adult male population in Germany and elsewhere
he reaches out to paedophiles and gives them therapeutic tools including pharmaceutical options, to stop them from sexually abusing children
can also take medication to lower testosterone
