Primary Prevention Project First Results

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Primary Prevention Project First Results
Schaefer GA, Ahlers CH J, Feelgood S, Goecker D,
Neutze J, Hupp E, Mundt I, Beier KM

• Institute of Sexology and Sexual Medicine
• Universitätsmedizin Charité Campus Mitte
• Freie- und Humboldt-Universität zu Berlin
• www.sexualmedizin-charite.de

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Hypotheses

• Primary prevention reduces
• dissexual behavior
• Dunkelfeld pedophiles pedosexuals seek therapy
• Dunkelfeld it is not that dunkel
• Lack of adequate treatment options

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Definitions

• Paraphilia
• Sexual Preference Disorder
• - Pedophilia

• Dissexuality
• Sexual Behavior Disorder
• - Pedosexuality

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Methods

• Phone-Screening
• Clinical Interview
• Assessments
• Sexuality (FSEV, WSFQ)
• Specific Scales e.g. High Risk Situation (HRST)
• Personality (NEO-FFI)
• Cognitive Abilities (BMS, BRS, CIS-R, CISS,
  CUSI)
• Emotion (ECS, MSIS, MEF, FLSD, RSE)
• Motivation (MSW)
• Social Behavior (UCLA-LS, HTW, BID-R, IIP-D)
• Psychopathology (ADS, BSI)

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Sample

• 418 Contacts
• 251 Phone-Screenings
• 210 Clinical Interviews
• 175 Completed Assessments

www.sexualmedizin-charite.de
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Number of Contacts Clinical Interviews (N 418)
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7 13
.
25 33 39
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Phone-Screening - Results (N 251)

• Average age 43 (17-67)
• Education 39.5 High School LC
• 58.9 other SLC
• Single 65.3
• Therapy 60.6
• Realisation of pedophilia age 22

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Clinical Interview(N 210)

• Sexual Preference Structure
• 1. Sexual orientation towards male and / or
  female gender
• 2. Sexual inclination towards developmental age
  / body scheme
• 3. Sexual alignment towards ways of practices
• Cave fantasy and behavior often contradictory
• gt attention is crucial in diagnostic process

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Sexual Preference Structure (N 194)
pre-pubescent body scheme
pubescent body scheme
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Exclusion Criteria (N 88)
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Dissexual Behavior I 6 month - (N 145)

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Dissexual Behavior II6 month - (N 94)

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Dissexual Behavior - 6 monthHellfeld -
Dunkelfeld

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Dissexual Behavior I 6 month - (N 145)

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Dissexual Fantasies 6 month - (N 51)

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Comorbidity - BSI (N 150)
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Expected changes

• cause less harm to children
• feel less guilty
• less loneliness
• higher self-esteem
• feel more accepted
• experience more nurturing
• more able to trust
• lusty / passionate sex
• more intimate relationships with adults

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Differences
Non-exclusive -Type
Exclusive-Type
Dissexual Fantasies

• Expected changes
• Self-confidence
• Acceptance
• Nurture
• Passion
• Intimate relationships
• with adults

No differences in dissexual behavior Non-exclusive
pedophiles expectations when remaining
offence-free are, above all, satisfaction of
basic psychosocial needs
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Results

• 54.6 have committed CSA (lifetime)
• 34.3 had 1 victim
• 35.8 had lt 5 victims
• 1/3 had gt 5 victims
• 32.1 to 56.2 Dunkelfeld offenders
• 52.2 fear to sexually offend
• 45.2 travelled to Berlin, Ø 342 Km
• (up to 868 Km)
• Cities of 1000 7.5 m inhabitants

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Summary

• Dunkelfeld it is not that dunkel
• Dunkelfeld pedophiles pedosexuals seek therapy
  with great effort
• High comorbidity
• Lack of adequate treatment options

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Thank You for Your Attention !
www.sexualmedizin-charite.de

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