Jordan Kirsten, Fromberger Peter, Müller Isabel, Wild Tamara Sheila Nadine, Müller Jürgen Leo
Department of Psychiatry and Psychotherapy, Forensic Psychiatry and Psychotherapy, University Medical Center, University of Goettingen, Goettingen, Germany.
University of Goettingen, Goettingen, Germany.
Int J Impot Res. 2025 Mar;37(3):238-250. doi: 10.1038/s41443-023-00802-5. Epub 2023 Dec 12.
This data analysis was initiated to further understand the infrequent yet intense instances of sexual arousal and signs of decompensation that emerge after exposing men who have committed sexual offenses against children to experimental sexual stimuli. We analyzed retrospectively and exploratory data of a self-developed sexual arousal questionnaire ("Current-State-of-Emotions-Questionnaire", CSEQ) with the following objectives: (i) examine subjective sexual arousal changes elicited during confrontation with experimental sexual stimuli, (ii) analyze these sexual arousal changes at an individual level to detect large responses, and (iii) ask for associations between large responses in sexual arousal and individual characteristics of participants, e.g., demographic, clinical, and criminological parameters. The sample consisted of 241 adult, male Germans, comprising four groups: Ten individuals who have committed sexual offenses against children and have been placed in forensic psychiatric facilities (ISOCFP), 31 non-hospitalized individuals with sexual interest in children (ISIC), eight individuals who have committed other offenses and have been placed in forensic psychiatric facilities (IOFP), and 192 individuals without sexual interest in children and offense histories (IWO). We found a significant increase in subjective sexual arousal after confrontation with sexual stimuli (three experiments: initial orientation: Z = -4.819, p < .001, sexual distractor task: Z = -2.954, p = .003, stimulus rating: Z = -6.899, p < .001). Up to 14.3% of participants indicated high sexual arousal values before, but mainly after the experiments, with 20.0% of ISOCFP, 12.9% of ISIC, 12.5% of IOFP, and 14.6% of IWO. ISOCFP and ISIC with high sexual arousal were more likely to be diagnosed with paraphilia (pedophilia) and/or affective disorders, and to receive anti-depressive treatment. We assume a higher emotional lability or/and reduced emotion regulation abilities in those individuals. A careful weighing up of anticipated scientific knowledge gain and a potentially, though rare, increased risk of recidivism or decompensation seems indispensable.
开展这项数据分析是为了进一步了解，在对有针对儿童性犯罪行为的男性施加实验性性刺激后出现的罕见但强烈的性唤起情况及失代偿迹象。我们对一份自行编制的性唤起问卷（“情绪现状问卷”，CSEQ）的数据进行了回顾性和探索性分析，目标如下：（i）检查在面对实验性性刺激时引发的主观性唤起变化；（ii）在个体层面分析这些性唤起变化，以检测强烈反应；（iii）探究性唤起方面的强烈反应与参与者个体特征之间的关联，例如人口统计学、临床和犯罪学参数。样本包括241名成年德国男性，分为四组：10名有针对儿童性犯罪行为且已被安置在法医精神病机构的人（ISOCFP），31名对儿童有性兴趣的非住院个体（ISIC），8名有其他犯罪行为且已被安置在法医精神病机构的人（IOFP），以及192名对儿童无性兴趣且无犯罪史的个体（IWO）。我们发现，在面对性刺激后（三项实验：初始定向：Z = -4.819，p <.001；性干扰任务：Z = -2.954，p =.003；刺激评分：Z = -6.899，p <.001），主观性唤起有显著增加。高达14.3%的参与者在实验前表示有较高的性唤起值，但主要是在实验后，其中ISOCFP组为20.0%，ISIC组为12.9%，IOFP组为12.5%，IWO组为14.6%。性唤起强烈的ISOCFP和ISIC个体更有可能被诊断患有性偏好障碍（恋童癖）和/或情感障碍，并接受抗抑郁治疗。我们推测这些个体具有更高的情绪易感性或/和更低的情绪调节能力。认真权衡预期的科学知识收获以及潜在的（尽管罕见）再犯或失代偿风险增加似乎是必不可少的。
