Pedophillia: A sexual Disorder

                                                                                                                           Author: Muafia Bashir

Pedophilia is a sexual disorder; a person is sexually attracted to youngster less than the age of thirteen. It is a severe mental disorder where a person has powerful sexual urges towards a child (Tenbergen et al., 2015). A pedophile is fascinated towards children either the boy or girl. They generally have a preference for the contrasting gender child. Some are interested in a child who is well-known to them. Archetypal pedophile lacks pleasure in mature sexual relationships and found to have low self-worth. Therefore, sexual desirability towards a child is dominating within pedophile life. Most of the males are pedophiles as compared to females (Kruger and Schiffer, ). As people have less awareness about this disorder, its identification is tough.
For identification of this, given standards according to DSM-V should be fulfilled.
   Minimum for six months, persistent, extreme sexually arousing fantasies, and sexual desires or sexual activities with a prepubescent/preadolescent child, usually under the age of 13 years or younger.
    The individual has done with these sexual impulses or fantasies, and it causes significant distress and difficulties in personal life.
    The individual is at least the age of 16 years and at least five years older than the child to whom he is doing this.

Etiological Factors of Pedophilic Tendencies

Psychosocial dynamics have a vital part for a person to be a pedophile.
Pedophilia is fantasized for a child, as he is considered psychologically immatured. A study exposed that due to fetal anomalies, a pedophilia man has a double ratio of a head injury after 13, which disturbs the cognitive functioning (Geer et al., ). They have less IQ and delayed recall memory. Outcomes of the study also depict that attention deficit hyperactivity disorder may be present besides left-handedness between pedophiles (Blanchard 2002).
Another cause maybe, if a person fails to dominate his sexual partner, then he does this with children since the child is a feeble and much smaller. He considered the child a non-threatening partner. So, he spits out his anger on a child.
A person who has abusive child history may have the tendencies to be pedophilic in the future. Most pedophiles have sexual histories in childhood extending from 40% to 100% (Kuban, 2004). A randomly selected sample of men stated that those who were sexually abused as a child is more probable to have 40 times sexual interaction with child lower than the age of 13(Bagley, Wood, & Young, 1994).
The pedophilic disorder runs in families, but there is no indication whether the genetics factors play a crucial role to be a pedophile. Based on these pieces of evidence, we can say why a person sexually abused a child.

Brain Images of Pedophilia

Brain scanning of a pedophile presented that differences that have been noticed in the pedophilia are related to change in frontal and temporal lobes.
The frontal lobe refers to the orbitofrontal cortex. Orbitofrontal cortex is accountable for rational thoughts, decision-making, feelings as well as behaviour control, explicitly preventing the sexual behaviours. Malfunctioning in this portion is interconnected with sexual behaviour disorder linked with pedophilia (Bechara, 2000: and O’Doherty, 2003).
The temporal lobe plays an important role that may lead to a pedophile. Disturbances in temporal lobe connected to the hypersexuality seen in pedophile (Schiltz, 2007: Ponseti, 2012).

Treatment

The person who is identified as pedophile refuses to get treatment. He feels shame because societies don’t accept such people. Most don’t involve any treatment procedure, but those who wanted to gain treatment have to face societal taunts.
Medication and psychotherapy can help in controlling and managing the behaviour of a pedophile.
Different medication therapies are used for treating pedophiles. Medicines are most effective in handling such people. The combination of psychotherapies and conventional treatments might bring positive results in the management of pedophilia disorder (Rice & Harris, 2011).
Androgen deprivation therapy is a drug intervention which controls the male hormones, especially the testosterone, which decreases the sexual desires.
Gonadotropin-releasing, hormone agonists are a collection of drugs that lessen the sex hormone, which is a superior method for treating pedophiles.
Anti-depression medication can also be useful to some extent in treating pedophilia disorder.
Hormone therapy is optimum for the decline of sexual impulses so that they become more willing to participate in psychotherapy (Hall & Hall, 2007).
Furthermost, psychotherapies are cognitive behaviour therapy and behavioural therapy, which consist of empathy training and rearranging the distorted and divergent thinking and behaviours.
 Cognitive behaviour therapy focuses on altering the thoughts and behaviours, which are maladaptive and generates problems. CBT is centred on the idea that how we think (cognition), feels (emotion) and act (behaviour) all collaborate. Primarily, our thoughts govern our feelings and behaviour. Negative and unrealistic thinking can be painful, and source of problems. When a person experiences mental stress, how they infer, alter the circumstances, which in turn has an adverse influence on the activities they carry on. Cognitive behaviour therapy is primarily concerned with restructuring the pedophile’s thinking via numerous approaches and helps him to eradicate his stimulating thoughts toward children (Berlin & Krout, 1994).
Behavioural therapy emphasis on existing problematic behaviours also to underpin the desirable actions. Behavioural therapy is a mixture of different therapies approaches such as behaviour skill training, empathy training and empathy training which focus on changing the behaviours, which are problematic. Aversion therapy is a form of behavioural therapy in which negative consequences are linked to each pedophile immoral thinking about the erotic deed. In this therapy, a person is evaluated for imagined thoughts, e.g. if he drives these fantasies, then he can be arrested, or punished.
 Interpersonal therapy or family therapy is very significant. These are attachment-focused therapies that concentrated on solving interpersonal problems related to family members and partners.