de Tribolet-Hardy Fanny, Veitz Simon, Dittli Laura, Habermeyer Elmar
University of Zurich, Department of Forensic Psychiatry, University Hospital of Psychiatry Zurich, Zurich, Switzerland.
Int J Impot Res. 2025 Mar;37(3):199-203. doi: 10.1038/s41443-024-00968-6. Epub 2024 Aug 29.
Individuals with pedophilia are considered to have an elevated risk for child sexual abuse (CSA). Nevertheless, it is assumed that pedophilic sexual impulses can be controlled from acting out. To prevent CSA an outpatient treatment facility for people with pedophilia was founded in Zurich, Switzerland in 2021. The program focuses on the prevention of CSA and improvement of quality of life, incorporating empirically validated treatment principles, such as the Risk-Need-Responsivity (RNR) model and the Good Lives Model (GLM). Within the initial 24-month 142 individuals sought help, 46 individuals (mean age 36.0 ± 12.4 years) completed the assessment phase, two-thirds suffered from psychiatric comorbidities, and 67.4% reported sexual delinquency. The high drop-out rate was predominantly due to ongoing criminal proceedings, or other mental health conditions. Overall patients at this facility generally sought treatment voluntarily, leading to good treatment adherence, with severe self-harm being more prevalent than acute danger to others. A treatment approach focused solely on pedophilia is considered insufficient; psychiatric and psychosocial factors must also be addressed.
患有恋童癖的个体被认为实施儿童性虐待（CSA）的风险较高。然而，人们认为恋童癖的性冲动可以得到控制而不付诸行动。为预防CSA，2021年在瑞士苏黎世设立了一家针对恋童癖者的门诊治疗机构。该项目侧重于预防CSA和改善生活质量，纳入了经实证验证的治疗原则，如风险-需求-反应性（RNR）模型和美好生活模型（GLM）。在最初的24个月里，有142人寻求帮助，46人（平均年龄36.0±12.4岁）完成了评估阶段，三分之二的人患有精神疾病合并症，67.4%的人有性犯罪记录。高辍学率主要是由于正在进行的刑事诉讼或其他心理健康状况。总体而言，该机构的患者通常是自愿寻求治疗的，从而有良好的治疗依从性，严重的自我伤害比他人面临的急性危险更为普遍。仅专注于恋童癖的治疗方法被认为是不够的；还必须解决精神和心理社会因素。
