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Caregiver's Dilemma: The Case of Pedophilia (From Treatment of Sexual Aggression: Legal and Ethical Issues, P 75-90, 1988, Richard J Freeman and Simon J Verdun-Jones, eds. -- See NCJ-112493)

NCJ Number
112497
Author(s)
D N Cox
Date Published
1988
Length
16 pages
Annotation
This chapter considers ethical and legal dilemmas in the treatment of pedophiles within the context of a 1978-1979 study of 77 unincarcerated pedophiles.
Abstract
The majority of these subjects (71 percent) were homosexuals with a modal age preference for children 12 to 14 years old. The main factors concerning their attraction to children included the children's feminine characteristics, the pedophiles' greater comfort in approaching children than adults, and an expectation that children would be more socially and sexually receptive to them. The majority indicated indifference to sex with adults; had had less than satisfactory relationships with parents; and emphasized the affectionate, intimate, and loving nature of their relationships with children. Very few felt guilt or shame over their pedophilia, and a majority had not sought professional advice or treatment. Of those who had sought treatment, many were dissatisfied with treatment, feeling it had been ineffective and often coerced. These findings suggest major issues that must be addressed by clinicians. For inmates, the voluntariness of treatment participation often is lacking, as participation may be a condition of release or a means of avoiding a harsher sentence. In addition, there may be a conflict between the best interests of the client and those of the court or employing institution. The use of aversive stimuli to modify behavior also raises ethical concerns. Finally, therapists must ensure that their own values and attitudes will not interfere with their treatment effectiveness. 29 footnotes.