Cohen Lisa J, Nikiforov Konstantin, Gans Sniezyna, Poznansky Olga, McGeoch Pamela, Weaver Carrie, King Enid Gertmanian, Cullen Ken, Galynker Igor
Beth Israel Medical Center, 1st Ave. & 16th St., New York, NY 10003, USA.
Psychiatr Q. 2002 Winter;73(4):313-36. doi: 10.1023/a:1020416101092.
This paper presents data from a series of preliminary neuropsychiatric studies, including neuropsychological, personality, sexual history, plethysmographic and neuroimaging investigations, on a sample of 22 male, heterosexual, nonexclusive pedophiles and 24 demographically similar healthy controls. A psychobiological model of pedophilia is proposed, positing that early childhood sexual abuse leads to neurodevelopmental abnormalities in the temporal regions mediating sexual arousal and erotic discrimination and the frontal regions mediating the cognitive aspects of sexual desire and behavioral inhibition. In this way, pedophiles develop deviant pedophilic arousal. Subsequently, if there is comorbid personality pathology, specifically sociopathy and cognitive distortions, there will be failure to inhibit pedophilic behavior.
本文呈现了一系列初步神经精神病学研究的数据，这些研究包括神经心理学、人格、性史、体积描记法和神经影像学调查，研究对象为22名男性、异性恋、非排他性恋童癖者以及24名在人口统计学上与之相似的健康对照者。本文提出了一种恋童癖的心理生物学模型，假定儿童期早期性虐待会导致在介导性唤起和性辨别功能的颞叶区域以及介导性欲认知方面和行为抑制功能的额叶区域出现神经发育异常。通过这种方式，恋童癖者会产生异常的恋童癖性唤起。随后，如果存在共病的人格病理学问题，特别是反社会人格障碍和认知扭曲，就会导致无法抑制恋童癖行为。
