Library 4
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Introduction to special issue on "Boys' sexuality and age of consent";
Thymos;
4(2), 95-98,
Oct 01 2010
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Sexual consent and human rights;
Thymos;
4(2), 99-102,
Oct 01 2010
The basic human right to sexual autonomy and self-determination encompasses two sides: it enshrines both the right to engage in wanted sexuality on the one hand, and the right to be free and protected from unwanted sexuality, from sexual abuse and sexual violence on the other.
This concept elaborated by the European Court of Human Rights, in the light of European legal consensus, suggests that the age of consent for sexual relations (outside of relationships of authority and outside of pornography and prostitution) should be set between 12 and 16 years. In any event the age of criminal responsibility should be the same as the age of sexual consent.
The basic human right to sexual autonomy and self-determination encompasses two sides: it enshrines both the right to engage in wanted sexuality on the one hand, and the right to be free and protected from unwanted sexuality, from sexual abuse and sexual violence on the other.
This concept elaborated by the European Court of Human Rights, in the light of European legal consensus, suggests that the age of consent for sexual relations (outside of relationships of authority and outside of pornography and prostitution) should be set between 12 and 16 years. In any event the age of criminal responsibility should be the same as the age of sexual consent.
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Social Response to Age-Gap Sex Involving Minors: Empirical, Historical, Cross-Cultural, and Cross-Species Considerations;
Thymos;
4(2), 113,
Oct 01 2010
Social response to age-gap sex involving minors has become increasingly severe. In the US, non-coercive acts that might have been punished with probation 30 years ago often lead to decades in prison today. Punishment also increasingly includes civil commitment up to life, as well as scarlet-letter-like public registries and onerous residence restrictions for released offenders. Advocates and the general public approve, believing that age-gap sex with minors is uniquely injurious, pathological, and criminal. Critics argue that public opinion and policy have been shaped by moral panic, consisting of unfounded assumptions and invalid science being uncritically promoted by ideology, media sensationalism, and political pandering. This talk critically examines the basic assumptions and does so using a multi-perspective approach (empirical, historical, cross-cultural, cross-species) to overcome the biases inherent in traditional clinical-forensic reports. Non-clinical empirical reviews of age-gap sex involving minors show claims of intense, pervasive injuriousness to be highly exaggerated. Historical and cross-cultural reviews show that adult-adolescent sexual relations have been common and frequently socially integrated in other times and places, indicating that present-day Western conceptualizations are socially constructed to reflect current social and economic arrangements rather than expressions of a priori truths. Analogous relations in primates are commonplace, non-pathological, and not infrequently functional, contradicting implicit assumptions of a biologically-based "trauma response" in humans. It is concluded that, though age-gap sex involving minors is a significant mismatch for contemporary culture—and this talk therefore does not endorse it— attitudes and social policy concerning it have been driven by an upward-spiraling moral panic, which itself is immoral in its excessive adverse consequences for individuals and society.
Social response to age-gap sex involving minors has become increasingly severe. In the US, non-coercive acts that might have been punished with probation 30 years ago often lead to decades in prison today. Punishment also increasingly includes civil commitment up to life, as well as scarlet-letter-like public registries and onerous residence restrictions for released offenders. Advocates and the general public approve, believing that age-gap sex with minors is uniquely injurious, pathological, and criminal. Critics argue that public opinion and policy have been shaped by moral panic, consisting of unfounded assumptions and invalid science being uncritically promoted by ideology, media sensationalism, and political pandering. This talk critically examines the basic assumptions and does so using a multi-perspective approach (empirical, historical, cross-cultural, cross-species) to overcome the biases inherent in traditional clinical-forensic reports. Non-clinical empirical reviews of age-gap sex involving minors show claims of intense, pervasive injuriousness to be highly exaggerated. Historical and cross-cultural reviews show that adult-adolescent sexual relations have been common and frequently socially integrated in other times and places, indicating that present-day Western conceptualizations are socially constructed to reflect current social and economic arrangements rather than expressions of a priori truths. Analogous relations in primates are commonplace, non-pathological, and not infrequently functional, contradicting implicit assumptions of a biologically-based "trauma response" in humans. It is concluded that, though age-gap sex involving minors is a significant mismatch for contemporary culture—and this talk therefore does not endorse it— attitudes and social policy concerning it have been driven by an upward-spiraling moral panic, which itself is immoral in its excessive adverse consequences for individuals and society.
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"The individual can ...": Objectifying consent;
Thymos;
4(2), 103-112,
Oct 01 2010
The issue of age of consent for sexual activities has been bedevilled by the absence of any objective standards or criteria for what is meant by or involved in 'consent'. Despite this absence-or because of it-the social and political response has been to reach for blanket prohibitions on sexual activity by persons under particular ages-ages which have settled in the mid- to late teens.
At the same time, the percentages of persons aged 15 and under who are sexually active in our societies indicate that young people are regularly consenting to sexual activities. Consent to sexual activity has also been a concern in relation to the lives of the cognitively or mentally impaired.
In an attempt to clarify issues surrounding consent there, a significant proposal in regard to objectifying standards for consent was reported by Carrie Hill Kennedy, in her article "Assessing Competency to Consent to Sexual Activity in the Cognitively Impaired Population" (Journal of Forensic Neuropsychology 1:3, 1999), where she developed a two-part scale for ability to consent, including twelve criteria involving knowledge and five criteria involving personal assertiveness and safety. Kennedy herself has maintained that there is no relevance for her research as applied to minors: adults have sexual rights, minors do not.
However, it would seem clear that there is a certain relevance-if not in the use of a similar scale for assessing the competence of a particular minor to consent, then in generally comparing the age at which children attain the developmental level comparable with that implied by Kennedy's five Safety standards, and using that information to critique the present, obviously unrealistic ages of consent. In relation to the Knowledge scale, the importance of sexual education becomes still clearer.
The issue of age of consent for sexual activities has been bedevilled by the absence of any objective standards or criteria for what is meant by or involved in 'consent'. Despite this absence-or because of it-the social and political response has been to reach for blanket prohibitions on sexual activity by persons under particular ages-ages which have settled in the mid- to late teens.
At the same time, the percentages of persons aged 15 and under who are sexually active in our societies indicate that young people are regularly consenting to sexual activities. Consent to sexual activity has also been a concern in relation to the lives of the cognitively or mentally impaired.
In an attempt to clarify issues surrounding consent there, a significant proposal in regard to objectifying standards for consent was reported by Carrie Hill Kennedy, in her article "Assessing Competency to Consent to Sexual Activity in the Cognitively Impaired Population" (Journal of Forensic Neuropsychology 1:3, 1999), where she developed a two-part scale for ability to consent, including twelve criteria involving knowledge and five criteria involving personal assertiveness and safety. Kennedy herself has maintained that there is no relevance for her research as applied to minors: adults have sexual rights, minors do not.
However, it would seem clear that there is a certain relevance-if not in the use of a similar scale for assessing the competence of a particular minor to consent, then in generally comparing the age at which children attain the developmental level comparable with that implied by Kennedy's five Safety standards, and using that information to critique the present, obviously unrealistic ages of consent. In relation to the Knowledge scale, the importance of sexual education becomes still clearer.
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APA Guidelines Ignored in Development of Diagnostic Criteria for Pedohebephilia,
Oct 30 2010
This Letter describes how the proposed DSM-5 criteria for pedohebephilia
have been developed without following four key guidelines specified by the American Psychiatric Association (APA) and to point out significant flaws that have resulted. It also proposes solutions.
The failures described above have resulted in serious flaws
in the proposed diagnostic criteria - Kramer mentions five flaws.
There are significant ethical consequences of the above
failures.
The APA and the paraphilias subworkgroup have an intellectual
and ethical responsibility to promote valid research and
to counter rather than reinforce false stereotypes.
There are steps they can take to fulfill this responsibility - follow five points.
This Letter describes how the proposed DSM-5 criteria for pedohebephilia
have been developed without following four key guidelines specified by the American Psychiatric Association (APA) and to point out significant flaws that have resulted. It also proposes solutions.
The failures described above have resulted in serious flaws
in the proposed diagnostic criteria - Kramer mentions five flaws.
There are significant ethical consequences of the above
failures.
The APA and the paraphilias subworkgroup have an intellectual
and ethical responsibility to promote valid research and
to counter rather than reinforce false stereotypes.
There are steps they can take to fulfill this responsibility - follow five points.
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Inside the Battle to Define Mental Illness,
Dec 27 2010
What the battle over DSM-5 should make clear to all of us—professional and layman alike—is that psychiatric diagnosis will probably always be laden with uncertainty, that the labels doctors give us for our suffering will forever be at least as much the product of negotiations around a conference table as investigations at a lab bench.
Allen Frances, lead editor of the fourth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (universally known as the DSM-IV), [...] wrote the book on mental illness, confessing that “these concepts are virtually impossible to define precisely with bright lines at the boundaries.”
What the battle over DSM-5 should make clear to all of us—professional and layman alike—is that psychiatric diagnosis will probably always be laden with uncertainty, that the labels doctors give us for our suffering will forever be at least as much the product of negotiations around a conference table as investigations at a lab bench.
Allen Frances, lead editor of the fourth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (universally known as the DSM-IV), [...] wrote the book on mental illness, confessing that “these concepts are virtually impossible to define precisely with bright lines at the boundaries.”
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The Consequences of Sexual Abuse of Minors;
Chapter, summarized
The Consequences of Sexual Abuse of Minors - On behalf of the Commission for Examination of Sexual Abuse of Minors in the Roman-Catholic Church [* in the Netherlands]; In: Rapport Commissie Deetman, Balans, 2011, Part 2. Summary and conclusions in English by Frans E J Gieles, PhD.
In this essay, sexual abuse is, conform the scientific and juridical mores, defined as "... sexual-genital manipulation of a child below the age of sixteen, by an adult of whom the child is dependent or with whom he or she has a relationship of confidence, with the aim of satisfaction of the sexual need of the first. [...] There is an age difference, and/or a difference in power, by which the child is not able to refuse the sexual contact, which is not consensual."
Research of the later consequences of sexual abuse is done in three phases or generations of research.
The most recent research explores what has appeared to be the most central factor: disturbance of the stress regulation.
There is consensus about harm for the physical and emotional health, especially the attachment and sexuality, even if the consequences are invisible at first sight. They are just like a time bomb, that explodes as soon as, in adulthood, the impact of the events becomes significant.
The Consequences of Sexual Abuse of Minors - On behalf of the Commission for Examination of Sexual Abuse of Minors in the Roman-Catholic Church [* in the Netherlands]; In: Rapport Commissie Deetman, Balans, 2011, Part 2. Summary and conclusions in English by Frans E J Gieles, PhD.
In this essay, sexual abuse is, conform the scientific and juridical mores, defined as "... sexual-genital manipulation of a child below the age of sixteen, by an adult of whom the child is dependent or with whom he or she has a relationship of confidence, with the aim of satisfaction of the sexual need of the first. [...] There is an age difference, and/or a difference in power, by which the child is not able to refuse the sexual contact, which is not consensual."
Research of the later consequences of sexual abuse is done in three phases or generations of research.
The most recent research explores what has appeared to be the most central factor: disturbance of the stress regulation.
There is consensus about harm for the physical and emotional health, especially the attachment and sexuality, even if the consequences are invisible at first sight. They are just like a time bomb, that explodes as soon as, in adulthood, the impact of the events becomes significant.
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Critical Dictionary of Sexology
Erwin J. Haeberle
Critical Dictionary of Sexology
This is a work-in-progress. New words and their definitions will be added at irregular intervals as the need arises. Suggestions from our readers are always welcome. If you want to make a suggestion, please contact the author at HaeberleE@web.de.
Erwin J. Haeberle
Critical Dictionary of Sexology
This is a work-in-progress. New words and their definitions will be added at irregular intervals as the need arises. Suggestions from our readers are always welcome. If you want to make a suggestion, please contact the author at HaeberleE@web.de.
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David - A True Story;
60 pps
The following is a story of a great boy - and a great boylover. The story and its author can serve as sorely needed role models to young boylovers who have nowhere else to turn for guidance. - Ipce
What follows this introduction is the true story of a man and a boy’s passionate love for one another. It is meant to provide a small glimpse into just one of many such positive, though precarious and often dangerous, intergenerational friendships. These sometimes romantic friendships have existed throughout recorded, and one would assume unrecorded, history and they continue to exist. For those that strangely pretend to know the consequences of such couplings, without having any real knowledge about boylovers or the boys whose lives we’re sometimes part of, this was written for you, too.
The following is a story of a great boy - and a great boylover. The story and its author can serve as sorely needed role models to young boylovers who have nowhere else to turn for guidance. - Ipce
What follows this introduction is the true story of a man and a boy’s passionate love for one another. It is meant to provide a small glimpse into just one of many such positive, though precarious and often dangerous, intergenerational friendships. These sometimes romantic friendships have existed throughout recorded, and one would assume unrecorded, history and they continue to exist. For those that strangely pretend to know the consequences of such couplings, without having any real knowledge about boylovers or the boys whose lives we’re sometimes part of, this was written for you, too.
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Deviations: A Gayle Rubin Reader;
504 pp
Deviations is the definitive collection of writing by Gayle S. Rubin, a pioneering theorist and activist in feminist, lesbian and gay, queer, and sexuality studies since the 1970s.
Rubin first rose to prominence in 1975 with the publication of “The Traffic in Women,” an essay that had a galvanizing effect on feminist thinking and theory. In another landmark piece, “Thinking Sex,” she examined how certain sexual behaviors are constructed as moral or natural, and others as unnatural.
That essay became one of queer theory’s foundational texts.
Along with such canonical work, Deviations features less well-known but equally insightful writing on many subjects.
This book brings together a canonical collection of her writing, but it is more than a reader: she rewrites the genealogy of sexuality studies, giving us a precise intellectual history of sexuality studies that recognises the pivotal role played by academic homosexuals ...
A must read!
Ipce editor's note: Book included here for downloading.
Deviations is the definitive collection of writing by Gayle S. Rubin, a pioneering theorist and activist in feminist, lesbian and gay, queer, and sexuality studies since the 1970s.
Rubin first rose to prominence in 1975 with the publication of “The Traffic in Women,” an essay that had a galvanizing effect on feminist thinking and theory. In another landmark piece, “Thinking Sex,” she examined how certain sexual behaviors are constructed as moral or natural, and others as unnatural.
That essay became one of queer theory’s foundational texts.
Along with such canonical work, Deviations features less well-known but equally insightful writing on many subjects.
This book brings together a canonical collection of her writing, but it is more than a reader: she rewrites the genealogy of sexuality studies, giving us a precise intellectual history of sexuality studies that recognises the pivotal role played by academic homosexuals ...
A must read!
Ipce editor's note: Book included here for downloading.
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Glossary of Inappropriate Scientific and Professional Terms
Sexological research and training are often hampered by traditional terms that contain hidden value judgements or are even openly ideological. Originally, they were part of semantic strategies by which various religious, legal, medical, and pedagogic "experts" tried to impose their professional interests or moral convictions upon the general public. In addition, there are many imprecise and misleading terms still current in our field, so that it is often extremely difficult to describe sexual matters in an objective way. In any case, today the following terms should be avoided:
Sexological research and training are often hampered by traditional terms that contain hidden value judgements or are even openly ideological. Originally, they were part of semantic strategies by which various religious, legal, medical, and pedagogic "experts" tried to impose their professional interests or moral convictions upon the general public. In addition, there are many imprecise and misleading terms still current in our field, so that it is often extremely difficult to describe sexual matters in an objective way. In any case, today the following terms should be avoided:
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Michael Jackson’s Dangerous Liaisons - Review;
Archives of Sexual Behavior
This is an unusual book, especially for review in an academic journal. Its subject is pop icon Michael Jackson, one of the most famous, talented, and financially successful entertainers of all time — and also one of the strangest. Specifically, the book focuses on Jackson’s interest in children, and whether that interest was sexual in nature. The author, Tom O’Carroll (under the pseudonym ‘‘Carl Toms’’), is himself an unapologetic pedophile, and his pedophilia has influenced both his insight into Jackson and his aspirations for the book. [... ... ...]
This book is fascinating, challenging, and discomfiting. Anyone wanting to understand Michael Jackson will need to read it. [...] It certainly illuminates the most controversial aspect of Jackson’s life, one that was surely important to Jackson. [..]
Dangerous Liaisons is also worth reading for the challenges it raises regarding pedophilic relationships and their consequences. I suspect O’Carroll believes that this is a suitable tribute to Michael Jackson’s unfinished life.
This is an unusual book, especially for review in an academic journal. Its subject is pop icon Michael Jackson, one of the most famous, talented, and financially successful entertainers of all time — and also one of the strangest. Specifically, the book focuses on Jackson’s interest in children, and whether that interest was sexual in nature. The author, Tom O’Carroll (under the pseudonym ‘‘Carl Toms’’), is himself an unapologetic pedophile, and his pedophilia has influenced both his insight into Jackson and his aspirations for the book. [... ... ...]
This book is fascinating, challenging, and discomfiting. Anyone wanting to understand Michael Jackson will need to read it. [...] It certainly illuminates the most controversial aspect of Jackson’s life, one that was surely important to Jackson. [..]
Dangerous Liaisons is also worth reading for the challenges it raises regarding pedophilic relationships and their consequences. I suspect O’Carroll believes that this is a suitable tribute to Michael Jackson’s unfinished life.
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Of Goode and evil - Review of "Paedophiles in Society: Reflecting on Sexuality, Abuse and Hope" By Sarah D. Goode
Sociologist Sarah Goode’s latest book is not primarily a work of research within her discipline; rather, it takes us on an ambitious grand tour in a bid to situate paedophilia historically and cross-culturally.
“We have got ourselves into a pickle sexually”, she says, proposing a way out of it that many will regard as both bold and humane. As will be seen, I beg to differ.
The new book can be read independently. It should be noted, though, that only the first volume considers the harm that is intrinsic, or is allegedly so, to every adult-child sexual contact, no matter how loving and non-coercive it might be. This is a crucial issue, to which I shall return.
Goode begins the Preface to Paedophiles in Society with the large claim that this will be unlike “any other book you may have read on paedophiles, or adult sexual attraction to children, or child protection”; instead of focusing on medical, forensic, psychological, psychiatric, legal or criminological aspects, it promises to be “a book about ordinariness, about culture and society around us”.
It is not, in fact, unique in this regard as it follows several such works
Sociologist Sarah Goode’s latest book is not primarily a work of research within her discipline; rather, it takes us on an ambitious grand tour in a bid to situate paedophilia historically and cross-culturally.
“We have got ourselves into a pickle sexually”, she says, proposing a way out of it that many will regard as both bold and humane. As will be seen, I beg to differ.
The new book can be read independently. It should be noted, though, that only the first volume considers the harm that is intrinsic, or is allegedly so, to every adult-child sexual contact, no matter how loving and non-coercive it might be. This is a crucial issue, to which I shall return.
Goode begins the Preface to Paedophiles in Society with the large claim that this will be unlike “any other book you may have read on paedophiles, or adult sexual attraction to children, or child protection”; instead of focusing on medical, forensic, psychological, psychiatric, legal or criminological aspects, it promises to be “a book about ordinariness, about culture and society around us”.
It is not, in fact, unique in this regard as it follows several such works
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Paedophiles in Society: Reflecting on Sexuality, Abuse and Hope;
243 pp
This book is not like any other book you may have read on paedophiles, or adult sexual attraction to children, or child protection. It is not about the medical, forensic, psychological, psychiatric, legal or criminological aspects of these phenomena.
Those issues are adequately dealt with in other texts. Instead, this book is about ordinariness, about culture and society around us and about how people in everyday life think about and make sense of men being sexually attracted to children
(the book says something too about women sexually attracted to children but the focus is predominantly on men).
This book is not like any other book you may have read on paedophiles, or adult sexual attraction to children, or child protection. It is not about the medical, forensic, psychological, psychiatric, legal or criminological aspects of these phenomena.
Those issues are adequately dealt with in other texts. Instead, this book is about ordinariness, about culture and society around us and about how people in everyday life think about and make sense of men being sexually attracted to children
(the book says something too about women sexually attracted to children but the focus is predominantly on men).
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Quotes from: Insecure Parental Attachment in Pedophiles
This proposal focuses on demonstrating a correlation between attachment deficits and pedophilia that has been neglected in the research to date. Prior research shows that there is a link between insecure parental attachment and individuals diagnosed with pedophilia, which can be an indicator of inappropriate relationships in adulthood such as romantic relations with a child.
Fifty incarcerated males who have been convicted of any sexual act involving a minor will be randomly assigned to either the standard cognitive-behavioral treatment (CBT) or CBT and interpersonal psychotherapy. They will be assessed pre- and post-treatment and over a period of 10 years.
It is hypothesized that the group who receives CBT and interpersonal psychotherapy will demonstrate lower levels of recidivism than the group with the standard CBT treatment. The implications of this research study would update and correct the flaws in the current sex offender treatment being used across the country, as well as state or federal policies regarding sexual offender treatment. [...]
There is a vast difference between child sex offenders and pedophiles.
Child sexual offender is a legal term that refers to anyone who has committed a sexual act involving a child [...]. A child sexual offender may have no direct desire or love for children [...]
In contrast, pedophilia is strictly a psychological term. The DSM-IV-TR defines pedophilia as recurrent sexual fantasies, urges, and/or behaviors that involve sexual activity with a prepubescent child, as well as if the individual has acted on these fantasies or urges [...].
However, there is also the possibility that an individual diagnosed with pedophilia can also be legally classified as a child sexual offender after engaging in pedophilic illegal behavior and being convicted.
[* Ipce remarks: This a a proposal for research, including 10 years controll for recidive; published in 2011, the results can be puiblished after 2021. However, the article gives a good overview of the literature about pedophila, attachment, treatment, recidive, and more.]
This proposal focuses on demonstrating a correlation between attachment deficits and pedophilia that has been neglected in the research to date. Prior research shows that there is a link between insecure parental attachment and individuals diagnosed with pedophilia, which can be an indicator of inappropriate relationships in adulthood such as romantic relations with a child.
Fifty incarcerated males who have been convicted of any sexual act involving a minor will be randomly assigned to either the standard cognitive-behavioral treatment (CBT) or CBT and interpersonal psychotherapy. They will be assessed pre- and post-treatment and over a period of 10 years.
It is hypothesized that the group who receives CBT and interpersonal psychotherapy will demonstrate lower levels of recidivism than the group with the standard CBT treatment. The implications of this research study would update and correct the flaws in the current sex offender treatment being used across the country, as well as state or federal policies regarding sexual offender treatment. [...]
There is a vast difference between child sex offenders and pedophiles.
Child sexual offender is a legal term that refers to anyone who has committed a sexual act involving a child [...]. A child sexual offender may have no direct desire or love for children [...]
In contrast, pedophilia is strictly a psychological term. The DSM-IV-TR defines pedophilia as recurrent sexual fantasies, urges, and/or behaviors that involve sexual activity with a prepubescent child, as well as if the individual has acted on these fantasies or urges [...].
However, there is also the possibility that an individual diagnosed with pedophilia can also be legally classified as a child sexual offender after engaging in pedophilic illegal behavior and being convicted.
[* Ipce remarks: This a a proposal for research, including 10 years controll for recidive; published in 2011, the results can be puiblished after 2021. However, the article gives a good overview of the literature about pedophila, attachment, treatment, recidive, and more.]
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Raunch or romance?
This article explores the relationship between the media and young people’s sexual health as articulated within public health policy in the United Kingdom. It argues that this relationship is largely framed by covert moralism and by a focus on media effect and exposure and sexual risk and harm. Through the presentation of preliminary findings from my own research, which is situated at the intersection between public health, and media and cultural studies, I argue that this framing may in fact constrict and even contain the sexual agency, health and sexual expression of young people. I suggest that this is incongruent with the World Health Organization working definition of sexual health and has implications for sex education, sex educators and practitioners and policy-makers. I conclude by suggesting that the relationship between sexualized culture and the sexual health of young people may be best understood in terms of competency and considered within a pleasure and rights based definition of sexual health.
This article explores the relationship between the media and young people’s sexual health as articulated within public health policy in the United Kingdom. It argues that this relationship is largely framed by covert moralism and by a focus on media effect and exposure and sexual risk and harm. Through the presentation of preliminary findings from my own research, which is situated at the intersection between public health, and media and cultural studies, I argue that this framing may in fact constrict and even contain the sexual agency, health and sexual expression of young people. I suggest that this is incongruent with the World Health Organization working definition of sexual health and has implications for sex education, sex educators and practitioners and policy-makers. I conclude by suggesting that the relationship between sexualized culture and the sexual health of young people may be best understood in terms of competency and considered within a pleasure and rights based definition of sexual health.
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The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury;
Acta Psychiatrica Scandinavica;
2011(124), 30 - 41
Objective: To address the best available scienti?c evidence on the role of child sexual abuse in the etiology of suicide and non-suicidal self-injury. Seven databases were searched.
There is evidence that child sexual abuse is a statistically signi?cant, although general and non-speci?c, risk factor for suicide and non-suicidal self-injury.
Child sexual abuse may not have a psrimary role in the etiology of suicide and non-suicidal self-injury.
The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury is complex.
Additional biological and psychological risk factors may, in some cases, be directly responsible for, or, in other cases, contribute to the risk of suicidal en on-suicidal self-injurious behavior by mediating the relationship between child sexual abuse and self-injurious behavior.
The presence of confounding variables and the poor quality of the studies do not allow for causal inferences to be made.
Objective: To address the best available scienti?c evidence on the role of child sexual abuse in the etiology of suicide and non-suicidal self-injury. Seven databases were searched.
There is evidence that child sexual abuse is a statistically signi?cant, although general and non-speci?c, risk factor for suicide and non-suicidal self-injury.
Child sexual abuse may not have a psrimary role in the etiology of suicide and non-suicidal self-injury.
The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury is complex.
Additional biological and psychological risk factors may, in some cases, be directly responsible for, or, in other cases, contribute to the risk of suicidal en on-suicidal self-injurious behavior by mediating the relationship between child sexual abuse and self-injurious behavior.
The presence of confounding variables and the poor quality of the studies do not allow for causal inferences to be made.
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Sex Offenders: The Last Pariahs
Our sex offender laws are expansive, costly and ineffective — guided by panic, not reason. It is time to change the conversation: to promote child welfare based on sound data rather than statistically anomalous horror stories, and in some cases to revisit outdated laws that do little to protect children. Little will have been gained if we trade a bloated prison system for sprawling forms of electronic surveillance that offload the costs of imprisonment onto offenders, their families and their communities.
Our sex offender laws are expansive, costly and ineffective — guided by panic, not reason. It is time to change the conversation: to promote child welfare based on sound data rather than statistically anomalous horror stories, and in some cases to revisit outdated laws that do little to protect children. Little will have been gained if we trade a bloated prison system for sprawling forms of electronic surveillance that offload the costs of imprisonment onto offenders, their families and their communities.
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Sexual abuse and lifetime diagnosis of psychiatric disorders;
Mayo Clinic Proceedings ;
2011(July 31, 2011 ),
There was no statistically significant association between sexual abuse and a diagnosis of schizophrenia or somatoform disorders.
No longitudinal studies that assessed bipolar disorder or
obsessive-compulsive disorder were found.
Associations between sexual abuse and depression, eating disorders, and posttraumatic stress disorder were strengthened by a history of rape.
Conclusion: A history of sexual abuse is associated with an increased risk of a lifetime diagnosis of multiple psychiatric disorders.
There was no statistically significant association between sexual abuse and a diagnosis of schizophrenia or somatoform disorders.
No longitudinal studies that assessed bipolar disorder or
obsessive-compulsive disorder were found.
Associations between sexual abuse and depression, eating disorders, and posttraumatic stress disorder were strengthened by a history of rape.
Conclusion: A history of sexual abuse is associated with an increased risk of a lifetime diagnosis of multiple psychiatric disorders.
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The Trauma Myth by Susan Clancy (book review and commentary by Ray Harris)
Ray notes that many victims are not heared because their story does not fit with the generally accepted trauma model of, among others, David Finkelhor.
He notes that Clancy indeed does listen to the victims, but that she also gives a moral judgement.
"Always, always listen to the victim. If they tell you they thought it was wrong, but liked it and went along with it, then accept what they say and validate their experience.
Whatever you do, don’t become morally outraged on their behalf because then they might to begin to doubt themselves and enter the spiral of negative thoughts that are the real cause of stress.
[...] Dare I suggest that more harm, more trauma has been caused by the self-appointed moral protectors than by the the actual abuse itself."
Ray notes that many victims are not heared because their story does not fit with the generally accepted trauma model of, among others, David Finkelhor.
He notes that Clancy indeed does listen to the victims, but that she also gives a moral judgement.
"Always, always listen to the victim. If they tell you they thought it was wrong, but liked it and went along with it, then accept what they say and validate their experience.
Whatever you do, don’t become morally outraged on their behalf because then they might to begin to doubt themselves and enter the spiral of negative thoughts that are the real cause of stress.
[...] Dare I suggest that more harm, more trauma has been caused by the self-appointed moral protectors than by the the actual abuse itself."
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Defining Paraphilia in DSM-5: Do Not Disregard Grammar;
Journal of Sex and Marital Therapy;
37, ,
Jan 07 2011
Blanchard has proposed a definition of paraphilia for DSM-5, delimiting a range of so-called normative sexuality, and defining paraphilia as any intense and persistent sexual interest other than that. The author examines the wording and intended meaning of this definition, and he argues that there are many problems with it that "correct" interpretation requires ignoring what it says. Because of these problems and the possibility of civil commitment under sexually violent predator/person laws on the basis of a diagnosis of paraphilia NOS, caution and careful consideration of grammar are urged in drafting a definition of paraphilia for DSM-5.
Blanchard has proposed a definition of paraphilia for DSM-5, delimiting a range of so-called normative sexuality, and defining paraphilia as any intense and persistent sexual interest other than that. The author examines the wording and intended meaning of this definition, and he argues that there are many problems with it that "correct" interpretation requires ignoring what it says. Because of these problems and the possibility of civil commitment under sexually violent predator/person laws on the basis of a diagnosis of paraphilia NOS, caution and careful consideration of grammar are urged in drafting a definition of paraphilia for DSM-5.
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Hebephilia Is Not a Mental Disorder in DSM-IV-TR and Should Not Become One in DSM-5;
Journal of the American Academy of Psychiatry and the Law;
39(1), 78-85,
Feb 01 2011
The paraphilia section of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is being misinterpreted in the forensic evaluations of sexually violent offenders. The resulting misuse of the term paraphilia not otherwise specified, hebephilia, has justified the inappropriate involuntary commitment of individuals who do not in fact qualify for a DSM-IV-TR diagnosis of mental disorder. This article has two purposes: to clarify what the DSM-IV-TR was meant to convey and how it has been twisted in translation within the legal system, and to warn that the DSM-5 proposal to include pedohebephilia threatens to make the current bad situation very much worse in the future.
The paraphilia section of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is being misinterpreted in the forensic evaluations of sexually violent offenders. The resulting misuse of the term paraphilia not otherwise specified, hebephilia, has justified the inappropriate involuntary commitment of individuals who do not in fact qualify for a DSM-IV-TR diagnosis of mental disorder. This article has two purposes: to clarify what the DSM-IV-TR was meant to convey and how it has been twisted in translation within the legal system, and to warn that the DSM-5 proposal to include pedohebephilia threatens to make the current bad situation very much worse in the future.
