Quayle Ethel, Newman Emily
School of Health in Social Science, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK,
Curr Psychiatry Rep. 2015 Jun;17(6):43. doi: 10.1007/s11920-015-0579-8.
Sexual images have long been associated with sexual interest and behaviour with minors. The Internet has impacted access to existing content and the ability to create content which can be uploaded and distributed. These images can be used forensically to determine the legality of the behaviour, but importantly for psychiatry, they offer insight into motivation, sexual interest and deviance, the relationship between image content and offline sexual behaviour, and how they might be used in online solicitation and grooming with children and adolescents. Practitioners will need to consider the function that these images may serve, the motivation for their use and the challenges of assessment. This article provides an overview of the literature on the use of illegal images and the parallels with existing paraphilias, such as exhibitionism and voyeurism. The focus is on recent research on the Internet and sexual images of children, including the role that self-taken images by youth may play in the offending process.
长期以来，性图像一直与对未成年人的性兴趣和性行为相关联。互联网影响了获取现有内容的途径以及创建可上传和传播内容的能力。这些图像可用于法医学目的，以确定行为的合法性，但对精神病学而言重要的是，它们有助于洞察动机、性兴趣和偏差行为、图像内容与线下性行为之间的关系，以及它们如何可能被用于与儿童和青少年进行网络招揽和诱骗。从业者将需要考虑这些图像可能发挥的作用、使用它们的动机以及评估方面的挑战。本文概述了关于非法图像使用的文献以及与现有性偏好障碍（如露阴癖和窥阴癖）的相似之处。重点是关于互联网和儿童性图像的最新研究，包括青少年自拍图像在犯罪过程中可能扮演的角色。
