Review of Medical Reports on Pedophilia
John R. Hughes, MD, PhD*
University of Illinois Medical Center (M/C 796)
* To whom correspondence should be addressed. E-mail: jhughes{at}uic.edu.
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Abstract |
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The present report is a review of all 554 papers published on Medline on pedophilia. The
first discussion is the history of the disorder from ancient Greece to the present time,
especially the influence of the liberal country of the Netherlands, the North American
Man-Boy Love Association, and the sexual crisis in the Catholic Church. One important
question is the relationship between homosexual pedophilia and adult homosexuality. Evidence
for and against this relationship is presented. Next discussed are the characteristics of
the victim and the long lasting serious effects of sexual abuse. Laboratory correlations are
included, especially phallometric tests in order to objectively measure the physical
responses to sexual stimuli. Electrophysiological and radiographic tests are also mentioned,
including electroencephalography, computed tomography, magnetic resonance imaging, and
positron emission tomography scans. An important section is the characterization of
pedophiles with emphasis on their frequent previous sexual abuse, their past, their present,
and their anticipated future. The final topic is treatment of this disorder with surgery,
medication, behavioral therapy and the combination of medication and behavioral therapy.
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