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[Pedophilia and its treatment]
1Kantonale Psychiatrische Klinik, Münsterlingen.
Abstract:
Pedophilia is a frequent cause of infringement of children's sexual integrity. It's a widely spread deviant pattern of sexual arousal and behavior, which seems to be deeply rooted in human nature, as shown by impressive ethological and cultural historical evidence. Aetiology and pathogenesis of pedophilia are still not clarified, but there is a number of interesting findings suggesting multifactorial developmental disorder as the basis of pedophilia. Regarding the treatment of pedophiles, there is usually drawn a distinction between somatic and non-somatic methods. The latter aim at relapse-prevention by augmentation of self-control. The former mean drive-reduction on a hormonal basis. Antiandrogens, progestogens and LHRH-agonists have proven themselves as having significant effects on sexual drive, whereas their side effects are quite tolerable on the whole.