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Within the large body of research regarding sexual offenses toward children, the terms child molestation and pedophilia are used interchangeably, though there are some distinctions between the two. Child molestation is a layman's term, whereas pedophilia is a diagnostic term used within the medical arena to assess and diagnose offenders with a sexual proclivity toward children. A child molester may or may not meet the scientific criteria necessary to be considered a pedophile. What follows is a description of the criteria established by the American Psychiatric Association.

Pedophilia, which is also a paraphilia, may be defined as recurrent, intense, sexually arousing fantasies about or engages in sexual behavior involving a prepubescent child or children, generally the age of 13 years or younger. The Diagnostic and Statistical Manuel of Mental Disorders (DSM-IV) further distinguishes two subtypes of pedophilia, which include the exclusive type, or sexual attraction to children only, and the nonexclusive type, sexual attraction to both children and adults. The behaviors described above must last over a period of at least 6 months to be considered paraphilic. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in the social, occupational, or other important areas of functioning for the pedophile.

Characteristics of Pedophiles

There are several elements characteristic of a pedophile. The most common type of offender is the heterosexual pedophile, usually a male offender and a female child victim. Homosexual pedophilic relations involving a male offender and a male child victim occur in 20% to 23% of the cases (Bartol, 2002). A small percentage of offenders chose victims from both sexes. The sexual contact between the pedophile and the victim can range from caressing the body, fondling the genitals of the victim, or forcing the victim to manipulate the genitals of the offender, to actual penile penetration and oral copulation. In extreme cases, the sexual contact becomes violent in nature, resulting in sexual homicide of the victim. Pedophiles range in aggressiveness from passive to extremely violent, based on their fantasy development.

As with any paraphilia, the role of fantasy is a fundamental aspect of the sexually deviant behavior, perhaps the most critical catalytic force. In addition to fantasy, compulsive masturbation and facilitating agents such as pornography, drugs, and alcohol are also vital in sustaining the behavior. The sexual offender is typically a social introvert. Because of a lack of social and sexual socialization, offenders become reliant on their own internal thought processing. The fantasy world becomes a coping mechanism in which offenders can create a reality of their own, a reality of dominance and control over any situation and any person. The fantasy contains a desired paraphilia, as well as a circumstance or situation the offender has rehearsed in his mind. The pedophile's behavior can range in aggressiveness, a continuum of behavior, depending on the development and content of the fantasy system. A pedophile who is attracted to children and watches them only from afar may have a fantasy system reflecting a socially appropriate, caring relationship with the child, whereas a pedophile who is a mysoped (a sadistic offender), may fantasize the rape, torture, mutilation, and murder of the child.

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