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Pedophilic Disorder

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on 19 November 2013

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Transcript of Pedophilic Disorder

Pedophilic Disorder
Paraphilic Disorder
includes the following disorders:
Voyeuristic
Exhibitionistic
Frotteuristic
Sexual Sadism and Masochism
Pedophilic
Fetishistic
Transvestic
other specified paraphilias
Risk Factors/Motivations
Temperamental
high impulsivity
Genetic and physiological
Presence of Blockage Theory
Disinhibition Theory
Deviant Emotional Concurrence Theory
Deviant Sexual Arousal Theory
Assessment
penile plethymsography and vaginal photoplethymsography
Viewing time
Pedophilic Disorder
Specifications
Two types
exclusive (only attracted to children)
nonexclusive
Attracted to
males
females
both
is it limited to incest?
Comorbidity
substance use; usually alcohol
depressive (coping mechanism?)
bipolar
anxiety disorder; antisocial personality disorder
other paraphilic disorders (rare)

Prevalence Rate
3-5 % in male population
Uncertain in female population
sexual focus on children
13 years and younger
Lifelong condition
Criteria
For at least 6 months, recurrent, intense sexual arousing fantasies, sexual urges, or behaviors involving sexual activity with prepubescent child or children (13 and under)
The individual has acted on these urges , or the sexual urges or fantasies cause marked distress or interpersonal difficulty
The individual is at least age 16 years and at least 5 years older than the child or children in the first criterion
Overview
Overview of Paraphilias
What is Pedophilic disorder?
Specification
Criterion
Etiology
Prevalence
Risk Factors and Comordbidity
Assessment
Treatment
Sex Offender vs Pedophilic disorder
Etiology is unclear
Hypothalamus controls sexual behavior
increased Amgydala activation with stimulus
Increased level of Dopamine
Most have experience sexual abuse themselves
Etiology
Treatment
Cognitive Behavior Treatment
Enhanced Motivation
Biological Treatment
References
Marvasti, J. A. (2004). Psychiatric treatment of sexual offenders: Treating the past traumas in traumatizers : a bio-psycho-social perspective. Springfield, Ill., U.S.A: Charles C. Thomas.
American Psychiatric Association., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.
Ann M. Kring et al. (2012). Abnormal Psychology (twelfth ed.).
http://aspe.hhs.gov/hsp/08/sr/statelaws/statelaws.shtml
Sartorius, A., Ruf, M., Kief, C., Demirakca, T., Bailer, J., Ende, G., … Dressing, H. (2008). Abnormal amygdala activation profile in pedophilia. European archives of psychiatry and clinical neuroscience, 258(5), 271–7. doi:10.1007/s00406-008-0782-2
Berlin, F. S. (2002). Peer Commentaries on Green ( 2002 ) and Schmidt ( 2002 ), 31(6), 479–503.
Effects on Sex offender
(American Psychiatric Association, 2013)
(American Psychiatric Association, 2013)
(American Psychiatric Association, 2013 Kring et al 2012)
(American Psychiatric Association, 2013 Psychiatric Treatment of Sexual Offenders, 2004)
(Psychiatric Treatment of Sexual Offenders, 2004)

Sex offenders vs. Pedophilic Disorder
http://aspe.hhs.gov/hsp/08/sr/statelaws/statelaws.shtml
Peer commentaries on Green (2002) and Schmidt(2002)
(Psychiatric Treatment of sexual offenders, 2004)
(Psychiatric Treatment of Sexual Offenders, 2004)
(Satorius et al. 2008, American Psychological Association 2013)

(American Psychiatric Association, 2013)
google images
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