Cohen Lisa J, McGeoch Pamela G, Watras-Gans Sniezyna, Acker Sara, Poznansky Olga, Cullen Ken, Itskovich Yelena, Galynker Igor
Beth Israel Medical Center, New York, NY 10003, USA.
J Clin Psychiatry. 2002 Oct;63(10):912-9. doi: 10.4088/jcp.v63n1009.
Despite the large body of literature on the psychological sequelae of childhood sexual abuse, the literature on the psychopathology of pedophiles is surprisingly underdeveloped. The present article explores the hypothesis that pedophiles evidence deficits in interpersonal functioning (lack of assertiveness and empathy, passive-aggressiveness) and in self-concept, which might contribute to the motivation for pedophilic acts, as well as elevated sociopathy, impulsivity, and propensity for cognitive distortions, which might underlie the inhibitory failure.
Twenty male heterosexual pedophiles (DSM-IV criteria) recruited from an outpatient clinic for sex offenders were compared with 24 demographically similar, healthy male controls using 3 personality instruments: the Millon Clinical Multiaxial Inventory-II, the Dimensional Assessment of Personality Impairment-Questionnaire, and the Temperament and Character Inventory.
The data suggested that pedophiles have impaired interpersonal functioning, specifically, reduced assertiveness and elevated passive-aggressiveness, as well as impaired self-concept. Regarding disinhibitory traits, pedophiles demonstrated elevated sociopathy and propensity for cognitive distortions.
Our data are consistent with previous reports of pathologic personality traits in pedophiles and lend support to a hypothesis that such pathology is related to both motivation for and failure to inhibit pedophilic behavior. Such information could potentially have important treatment implications.
尽管有大量关于儿童性虐待心理后遗症的文献，但关于恋童癖者精神病理学的文献却惊人地不发达。本文探讨了以下假设：恋童癖者在人际功能（缺乏自信和同理心、被动攻击行为）和自我概念方面存在缺陷，这可能导致恋童行为的动机，以及反社会人格、冲动性和认知扭曲倾向的增加，这可能是抑制失败的潜在原因。
从一家性犯罪者门诊招募了20名符合《精神疾病诊断与统计手册》第四版（DSM-IV）标准的男性异性恋恋童癖者，并使用三种人格量表与24名人口统计学特征相似的健康男性对照进行比较：米隆临床多轴问卷第二版、人格损害维度评估问卷和气质与性格量表。
数据表明，恋童癖者的人际功能受损，具体表现为自信降低和被动攻击行为增加，以及自我概念受损。关于抑制解除特征，恋童癖者表现出反社会人格增加和认知扭曲倾向。
我们的数据与之前关于恋童癖者病理性人格特征的报道一致，并支持这样一种假设，即这种病理学与恋童行为的动机和抑制失败均有关。此类信息可能对治疗具有重要意义。
