Clinical and ontogenetic differentiation of pedophilic disorder
Suggested citation:
Vasil'ev NG, Tkachenko AA. [Clinical and ontogenetic differentiation of pedophilic disorder]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2022;(6):14-25. Russian
In a cross-sectional retrospective study, in order to identify parameters that are significant for the diagnosis of pedophilic disorder, 133 men who have committed sexual acts with children were examined, of which 90 (67.7%) subjects were found to have sexual attraction to a pedophilic object according to ICD-10 criteria. Signs were revealed that reliably distinguish between groups of subjects with pedophilia and without disorders of sexual preference.
We substantiate the idea of depersonification as a key phenomenon of pedophilia, in relation to which other clinical signs are derivatives. The dysontogenetic nature and comparability with the stages of disturbance of the formation of the Theory of Mind set its dimensional character, which determines the typological heterogeneity of pedophilic disorder.
Keywords pedophilia; pedophilic disorder; perception; Theory of Mind; depersonification; dimensional approach
1. Shport SV, Kamenskov MY, Vvedenskii GE, et al. Pedofiliya: sotsial'no-pravovye i meditsinskie aspekty [Pedophilia: social, legal and medical aspects]. Obshchestvennoe zdorov'e [Public Health]. 2022;2(4):45–57. (In Russ.) DOI: https://doi.org/10.21045/2782-1676-2022-2-4-45-57 2. Reed GM, Drescher J, Krueger RB, et al. Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry. 2016;15(3):205–21. DOI: https://doi.org/10.1002/wps.20354 3. Kneer J, Engel J, Veit M, et al. 201 Neural mechanisms underlying pedophilia and sexual offending against children – first results of a multicenter study. J Sex Med. 2018;15(7):S201–2. DOI: https://doi.org/10.1016/j.jsxm.2018.04.169 4. Storch M, Kanthack M, Amelung T, et al. Hypothalamic volume in pedophilia with or without child sexual offense. Eur Arch Psychiatry Clin Neurosci. 2022. Advance online publication. DOI: https://doi.org/10.1007/s00406-022-01501-w 5. Gerwinn H, Weiß S, Tenbergen G, et al. Clinical characteristics associated with paedophilia and child sex offending – Differentiating sexual preference from offence status. Eur Psychiatry. 2018;51:74–85. DOI: https://doi.org/10.1016/j.eurpsy.2018.02.002 6. Schiffer B, Vonlaufen C. Executive dysfunctions in pedophilic and nonpedophilic child molesters. J Sex Med. 2011;8(7):1975–84. DOI: https://doi.org/10.1111/j.1743-6109.2010.02140.x 7. Massau C, Tenbergen G, Kärgel C, et al. Executive Functioning in Pedophilia and Child Sexual Offending. J Int Neuropsychol Soc. 2017;23(6):460–70. DOI: https://doi.org/10.1017/S1355617717000315 8. World Health Organization. ICD-10: international statistical classification of diseases and related health problems: tenth revision, 2nd ed. 2004. World Health Organization. URL: https://apps.who.int/iris/handle/10665/42980 (accessed on: 02.10.2022). 9. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. 947 p. 10. Groth AN, Hobson WF, Gary TS. The child molester: Clinical observations. J Soc Work Hum Sex. 1982;1(1–2):129–44. DOI: https://doi.org/10.1300/J291v01n01_08 11. Holmes ST, Holmes RM. Sex Crimes: Patterns and Behavior. SAGE Publication, Inc. 2008. Vol. 3. 327 p. 12. World Health Organization. International Classification of Diseases, Eleventh Revision (ICD-11). World Health Organization (WHO), 2019/2021. URL: https://icd.who.int/browse11 (accessed on: 02.10.2022). 13. Scarpazza C, Finos L, Genon S, et al. Idiopathic and acquired pedophilia as two distinct disorders: an insight from neuroimaging. Brain Imaging Behav. 2021;15(5):2681–92. DOI: https://doi.org/10.1007/s11682-020-00442-z 14. Camperio Ciani AS, Scarpazza C, Covelli V, Battaglia U. Profiling acquired pedophilic behavior: Retrospective analysis of 66 Italian forensic cases of pedophilia. Int J Law Psychiatry. 2019;67:101508. DOI: https://doi.org/10.1016/j.ijlp.2019.101508 15. Knight RA, Carter DL, Prentky RA. A System for the Classification of Child Molesters. J Interpers Violence. 1989;4(1):3–23. DOI: https://doi.org/10.1177/088626089004001001 16. Martijn FM, Babchishin KM, Pullman LE, et al. Attraction to Physical and Psychological Features of Children in Child-Attracted Persons. J Sex Res. 2022;59(3):391–402. DOI: https://doi.org/10.1080/00224499.2021.1948957 17. Keeley JW, Briken P, Evans SC, et al. Can Clinicians Use Dimensional Information to Make a Categorical Diagnosis of Paraphilic Disorders? An ICD-11 Field Study. J Sex Med. 2021;18(9):1592–606. DOI: https://doi.org/10.1016/j.jsxm.2021.06.016 18. Stephens S, Leroux E, Skilling T, et al. Taxometric analyses of pedophilia utilizing self-report, behavioral, and sexual arousal indicators. J Abnorm Psychol. 2017;126(8):1114–9. DOI: https://doi.org/10.1037/abn0000291 19. Tkachenko AA. Seksual'nye izvrashcheniya-parafilii. Moscow: Triada; 1999. 461 p. (In Russ.) 20. Vasilev NG, Tkachenko AA. [Features of perception of the abnormal object as the basis of the typology of pedophilic disorder]. Sotsial'naya i klinicheskaya psikhiatriya [Social and clinical psychiatry]. 2022;32(2):33–41. (In Russ.) 21. Tkachenko AA. Igrovoi mir transgressivnoi seksual'nosti: osnovaniya k psikhopatologicheskoi fenomenologii parafilii. [The Game world of Transgressive Sexuality: Foundations for the Psychopathological Phenomenology of Paraphilias]. Logos. 1998;1:204–29. (In Russ.) 22. McAnulty RD, Burnett MM. Sex and Sexuality, Vol. 1. Sexuality today: trends and controversies. 2006. 377 p. 23. Stelzmann D, Jahnke S, Kuhle LF. Media Coverage of Pedophilia: Benefits and Risks from Healthcare Practitioners’ Point of View. Int J Environ Res Public Health. 2020;17(16):5739. DOI: https://doi.org/10.3390/ijerph17165739 24. Stermac LE, Segal ZV. Adult sexual contact with children: An examination of cognitive factors. Behav Ther. 1989;20(4):573–84. DOI: https://doi.org/10.1016/S0005-7894(89)80135-2 25. Ward T, Hudson SM, Marshall WL, Siegert R. Attachment style and intimacy deficits in sexual offenders: A theoretical framework. Sex Abus A J Res Treat. 1995;7(4):317–35. DOI: https://doi.org/10.1007/BF02256835 26. McPhail IV, Hermann CA, Fernane S, et al. Validity in Phallometric Testing for Sexual Interests in Children: A Meta-Analytic Review. Assessment. 2019;26(3):535–51. DOI: https://doi.org/10.1177/1073191117706139 27. Sergienko EA, Ulanova AYu, Lebedeva EI. Model' psikhicheskogo: Struktura i dinamika. Moscow; 2020. 503 p. (In Russ.) 28. Wellman HM, Liu D. Scaling of Theory-of-Mind Tasks. Child Dev. 2004;75(2):523–41. DOI: https://doi.org/10.1111/j.1467-8624.2004.00691.x
DOI: http://dx.doi.org/10.47877/1560-957Х-2022-10602
Article Metrics
Metrics powered by PLOS ALM