Pedophilia: clinical definitions, etiology, and prevention

Pedophilia - Efficacy of Combination Therapy Using Cognitive Behavioral Therapy in Combination with SSRIs for Treating Therapy-Resistant Pedophilic Behaviors

Pedophilia demonstrates a higher recidivism rate when compared to other sexual offenses. Pedophilia does not respond well to traditional treatment programs. The primary reason for this lack of response lies in the willingness of the pedophile to change their behavior. Unlike other sexual offenses, pedophilia involves cultural issues that could affect the willingness of pedophiles to change their behaviors. This study investigates the long-term recidivism rates among pedophiles that have undergone four of the most prevalent treatments available. The study compared groups that received group therapy, cognitive therapy, SSRIs and Chemical castration. It compared single therapies, as well as a number of combinations. The study indicated that a combination of cognitive therapy and SSRIs was the most effective means for reducing recidivism rates. The study indicates the need for ongoing therapy throughout the lifetime of the offender for best results.