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Stigma-Related Stress and Its Correlates Among Men with Pedophilic Sexual Interests

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Abstract

Despite decades of research on the adverse consequences of stereotyping and discrimination for many stigmatized groups, little is known about how people with pedophilia perceive and react to stigma. In this article, we present a framework that outlines how stigma-related stress might negatively affect emotional and social areas of functioning, cognitive distortions, and the motivation to pursue therapy, all of which may contribute to an increased risk of sexual offending. We tested our hypotheses in an online survey among self-identified German-speaking people with pedophilia (N = 104) using a wide range of validated indicators of social and emotional functioning (Brief Symptom Inventory-53, UCLA Loneliness Scale, Emotion Subscale of the Coping Inventory for Stressful Situations, Fear of Negative Evaluation-5, Rosenberg Self-Esteem Scale). Specific risk factors such as self-efficacy, cognitive distortions, and the motivation to seek treatment were also assessed. In line with our hypotheses, fear of discovery generally predicted reduced social and emotional functioning. Contrary to our predictions, perceived social distance and fear of discovery were not linked to self-efficacy, cognitive distortions, or treatment motivation. Results were controlled for the effects of confounding variables (e.g., age, educational level, social desirability, relationship status). We critically evaluate the empirical contribution of this study to research on stigma and child sex offenses, including a discussion of the results in light of the potential indirect effects that public stigma may have on the overall risk for sexual offenses.

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References

  • Abel, G. G., Becker, J. V., & Cunningham-Rathner, J. (1984). Complications, consent, and cognitions in sex between children and adults. International Journal of Law and Psychiatry, 7, 89–103. doi:10.1016/0160-2527(84)90008-6.

    Article  PubMed  Google Scholar 

  • Adiele, T., Davidson, C. M., Harlow, M. C., & del Busto, E. (2011). Co-morbid mental disorders in incarcerated paedophiles. Sexual Offender Treatment, 6(2). Retrieved from http://www.sexual-offender-treatment.org/100.html.

  • Ahmad, S., & Bhugra, D. (2010). Homophobia: An updated review of the literature. Sexual and Relationship Therapy, 25, 447–455. doi:10.1080/14681994.2010.515206.

    Article  Google Scholar 

  • Alanko, K., Haikio, J., Laiho, M., Jahnke, S., & Santtila, P. (2015). Attitudes and knowledge to treat potential child sexual offenders among Finnish health care professionals. Manuscript submitted for publication.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

    Google Scholar 

  • Angermeyer, M. C., & Dietrich, S. (2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatrica Scandinavica, 113, 163–179. doi:10.1111/j.1600-0447.2005.00699.x.

    Article  PubMed  Google Scholar 

  • Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497–529. doi:10.1037/0033-2909.117.3.497.

    Article  PubMed  Google Scholar 

  • Beier, K. M., Ahlers, C. J., Goecker, D., Neutze, J., Mundt, I. A., Hupp, E., & Schaefer, G. A. (2009). Can pedophiles be reached for primary prevention of child sexual abuse? First results of the Berlin Prevention Project Dunkelfeld (PPD). Journal of Forensic Psychiatry & Psychology, 20, 851–867. doi:10.1080/14789940903174188.

    Article  Google Scholar 

  • Beier, K. M., Amelung, T., Kuhle, L., Grundmann, D., Scherner, G., & Neutze, J. (2013). Hebephilie als sexuelle Störung. Fortschritte der Neurologie Psychiatrie, 81, 128–137. doi:10.1055/s-0032-1330539.

    Article  PubMed  Google Scholar 

  • Bilsky, W., & Hosser, D. (1998). Soziale Unterstützung und Einsamkeit: Psychometrischer Vergleich zweier Skalen auf Basis einer bundesweiten Repräsentativbefragung. Zeitschrift für Differentielle und Diagnostische Psychologie, 19, 130–144.

    Google Scholar 

  • Borchers, M. (2007). Gemeinsame und differenzierende psychologische Charakteristika von Kindesmissbrauchern mit und ohne Pädophilie. (Unpublished diploma thesis). Technische Universität Dresden, Dresden.

  • Bumby, K. M. (1996). Assessing the cognitive distortions of child molesters and rapists: Development and validation of the MOLEST and RAPE scales. Sexual Abuse: A Journal of Research and Treatment, 8, 37–54. doi:10.1177/107906329600800105.

    Google Scholar 

  • Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25, 875–884. doi:10.1521/jscp.2006.25.8.875.

    Article  Google Scholar 

  • Crowne, D. P., & Marlowe, D. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology, 24, 349–354. doi:10.1037/h0047358.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R., & Savitz, K. L. (2000). The SCL-90-R and Brief Symptom Inventory (BSI) in primary care. In M. Maruish (Ed.), Handbook of psychological assessment in primary care settings (pp. 297–334). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Derogatis, L. R., & Spencer, M. S. (1982). The Brief Symptom Inventory (BSI): Administration, scoring, and procedures manual 1. Baltimore: Johns Hopkins University School of Medicine, Clinical Psychometrics Research Unit.

    Google Scholar 

  • Dombert, B., Schmidt, A. F., Banse, R., Briken, P., Hoyer, J., Neutze, J., & Osterheider, M. (in press). How common is males’ self-reported sexual interest in prepubescent children? Journal of Sex Research.

  • Endler, N. S., & Parker, J. D. A. (1990). Multidimensional assessment of coping: A critical evaluation. Journal of Personality and Social Psychology, 58, 844–854. doi:10.1037//0022-3514.58.5.844.

    Article  PubMed  Google Scholar 

  • Feelgood, S., Cortoni, F., & Thompson, A. (2005). Sexual coping, general coping and cognitive distortions in incarcerated rapists and child molesters. Journal of Sexual Aggression, 11, 157–170. doi:10.1080/13552600500073657.

    Article  Google Scholar 

  • Feldman, D. B., & Crandall, C. S. (2007). Dimensions of mental illness stigma: What about mental illness causes social rejection? Journal of Social and Clinical Psychology, 26, 137–154. doi:10.1521/jscp.2007.26.2.137.

    Article  Google Scholar 

  • Ferring, D., & Filipp, S.-H. (1996). Messung des Selbstwertgefühls: Befunde zu Reliabilität, Validität und Stabilität der Rosenberg-Skala. Diagnostica, 42, 284–292.

    Google Scholar 

  • Finkelhor, D., & Araji, S. (1986). Explanations of pedophilia: A four factor model. Journal of Sex Research, 22, 145–161. doi:10.1080/00224498609551297.

    Article  Google Scholar 

  • Fog, A. (1992). Paraphilias and therapy. Nordisk Sexologi, 10, 236–242.

    Google Scholar 

  • Franke, G. H. (2000). Brief Symptom Inventory von Derogatis (BSI). Göttingen: Hogrefe.

    Google Scholar 

  • Geisheim, C., Hahlweg, K., Fiegenbaum, W., Frank, M., Schröder, B., & von Witzleben, I. (2002). Das Brief Symptom Inventory (BSI) als Instrument zur Qualitätssicherung in der Psychotherapie. Diagnostica, 48, 28–36.

    Article  Google Scholar 

  • Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Touchstone.

    Google Scholar 

  • Gonsior, K. (2002). Erfassung von kognitiven Verzerrungen und Opferempathie bei Sexualstraftätern. Unpublished diploma thesis, Technische Universität Dresden, Dresden.

  • Hall, R. C. W., & Hall, R. C. W. (2007). A profile of pedophilia: Definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues. Mayo Clinic Proceedings, 82, 457–471. doi:10.4065/82.4.457.

    Article  PubMed  Google Scholar 

  • Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730. doi:10.1037/a0016441.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103, 813–821. doi:10.2105/AJPH.2012.301069.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hoffmann, A., Schmidt, A. F., Waubert de Puiseau, B., & Musch, J. (2015). On the comprehensibility and perceived privacy protection of indirect questioning techniques. Manuscript submitted for publication.

  • Holt, T. J., Blevins, K. R., & Burkert, N. (2010). Considering the pedophile subculture online. Sexual Abuse: A Journal of Research and Treatment, 22, 3–24. doi:10.1177/1079063209344979.

    Google Scholar 

  • Hoyer, J., Kunst, H., & Schmidt, A. (2001). Social phobia as a comorbid condition in sex offenders with paraphilia or impulse control disorder. Journal of Nervous and Mental Disease, 189, 463–470. doi:10.1097/00005053-200107000-00008.

    Article  PubMed  Google Scholar 

  • Imhoff, R. (2015). Punitive attitudes against pedophiles or persons with sexual interest in children: Does the label matter? Archives of Sexual Behavior, 44, 35–44. doi:10.3389/fpsyg.2014.00085.

    Article  PubMed  Google Scholar 

  • Jahnke, S., & Hoyer, J. (2013). Stigmatization of people with pedophilia: A blind spot in stigma research. International Journal of Sexual Health, 25, 169–184. doi:10.1080/19317611.2013.795921.

    Article  Google Scholar 

  • Jahnke, S., Imhoff, R., & Hoyer, J. (2015a). Stigmatization of people with pedophilia: Two comparative surveys. Archives of Sexual Behavior, 44, 21–34. doi:10.1007/s10508-014-0312-4.

    Article  PubMed  Google Scholar 

  • Jahnke, S., Philipp, K., & Hoyer, J. (2015b). Stigmatizing attitudes towards people with pedophilia and their malleability among psychotherapists in training. Child Abuse and Neglect, 40, 93–102. doi:10.1016/j.chiabu.2014.07.008.

    Article  PubMed  Google Scholar 

  • Kälin, W. (1995). Deutsche 24-Item Kurzform des “Coping Inventory for Stressful Situations” (CISS) von N. S. Endler & J. D. A. Parker. Basierend auf der Übersetzung von N. Semmer, F. Tschan, & V. Schade (unveröffentlichter Fragebogen). Institut für Psychologie, Universität Bern.

  • Kays, K., Gathercoal, K., & Buhrow, W. (2012). Does survey format influence self-disclosure on sensitive question items? Computers in Human Behavior, 28, 251–256. doi:10.1016/j.chb.2011.09.007.

    Article  Google Scholar 

  • Kemper, C. J., Lutz, J., & Neuser, J. (2012). Konstruktion und Validierung einer Kurzform der Skala Angst vor negativer Bewertung (SANB-5). Klinische Diagnostik und Evaluation, 4, 343–360.

    Google Scholar 

  • Lane, J. D., & Wegner, D. M. (1995). The cognitive consequences of secrecy. Journal of Personality and Social Psychology, 69, 237–253. doi:10.1037//0022-3514.69.2.237.

    Article  Google Scholar 

  • Leue, A., Borchard, B., & Hoyer, J. (2004). Mental disorders in a forensic sample of sexual offenders. European Psychiatry, 19, 123–130. doi:10.1016/j.eurpsy.2003.08.001.

    Article  PubMed  Google Scholar 

  • Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38, 177–190. doi:10.2307/2955424.

    Article  PubMed  Google Scholar 

  • Mann, R. E., Hanson, R. K., & Thornton, D. (2010). Assessing risk for sexual recidivism: Some proposals on the nature of psychologically meaningful risk factors. Sexual Abuse: A Journal of Research and Treatment, 22, 191–217. doi:10.1177/1079063210366039.

    Article  Google Scholar 

  • Marshall, W. L., Serran, G. A., & Cortoni, F. A. (2000). Childhood attachments, sexual abuse, and their relationship to adult coping in child molesters. Sexual Abuse: A Journal of Research and Treatment, 12, 17–26. doi:10.1177/107906320001200103.

    Google Scholar 

  • McCartan, K. F. (2010). Student/trainee-professional implicit theories of paedophilia. Psychology, Crime & Law, 16, 265–288. doi:10.1080/10683160802614144.

    Article  Google Scholar 

  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5.674.

    Article  PubMed Central  PubMed  Google Scholar 

  • Neuser, J. (2003). Skala “Angst vor negativer Bewertung” (SANB). In J. Hoyer & J. Margraf (Eds.), Grundlagen und Testverfahren: Angstdiagnostik (pp. 280–283). Berlin: Springer.

    Google Scholar 

  • Neutze, J., Grundmann, D., Scherner, G., & Beier, K. M. (2012). Undetected and detected child sexual abuse and child pornography offenders. International Journal of Law and Psychiatry, 35, 168–175. doi:10.1016/j.ijlp.2012.02.004.

    Article  PubMed  Google Scholar 

  • Neutze, J., Seto, M. C., Schaefer, G. A., Mundt, I. A., & Beier, K. M. (2011). Predictors of child pornography offenses and child sexual abuse in a community sample of pedophiles and hebephiles. Sexual Abuse: A Journal of Research and Treatment, 23, 212–242. doi:10.1177/1079063210382043.

    Google Scholar 

  • Okami, P., & Goldberg, A. (1992). Personality correlates of pedophilia: Are they reliable indicators? Journal of Sex Research, 29, 297–328.

    Article  Google Scholar 

  • Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328–345. doi:10.1037/0033-2909.133.2.328.

    Article  PubMed  Google Scholar 

  • Pithers, W. D., Kashima, K. M., Cumming, G. F., Beal, L. S., & Buell, M. M. (1988). Relapse prevention of sexual aggression. Annals of the New York Academy of Sciences, 528, 244–260. doi:10.1111/j.1749-6632.1988.tb50868.x.

    Article  PubMed  Google Scholar 

  • Rambow, J., Elsner, K., Feelgood, S., & Hoyer, J. (2008). Einstellungen zum Kindesmissbrauch: Untersuchungen mit der Bumby Child Molest Scale bei Missbrauchs-und Gewalttätern. Zeitschrift für Sexualforschung, 21, 341–355. doi:10.1055/s-0028-1098723.

    Article  Google Scholar 

  • Raymond, N. C., Coleman, E., Ohlerking, F., Christenson, G. A., & Miner, M. (1999). Psychiatric comorbidity in pedophilic sex offenders. American Journal of Psychiatry, 156, 786–788.

    PubMed  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Rusch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20, 529–539.

    Article  PubMed  Google Scholar 

  • Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20–40. doi:10.1207/s15327752jpa6601_2.

    Article  PubMed  Google Scholar 

  • Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 472–480. doi:10.1037/0022-3514.39.3.472.

    Article  PubMed  Google Scholar 

  • Schaefer, G. A., Mundt, I. A., Feelgood, S., Hupp, E., Neutze, J., Ahlers, C. J., … Beier, K. M. (2010). Potential and Dunkelfeld offenders: Two neglected target groups for prevention of child sexual abuse. International Journal of Law and Psychiatry, 33, 154–163. doi:10.1016/j.ijlp.2010.03.005.

    Article  PubMed  Google Scholar 

  • Schmidt, A. F., Mokros, A., & Banse, R. (2013). Is pedophilic sexual preference continuous? A taxometric analysis based on direct and indirect measures. Psychological Assessment, 25, 1146–1153. doi:10.1037/A0033326.

    Article  PubMed  Google Scholar 

  • Seto, M. C. (2008). Pedophilia and sexual offending against children: Theory, assessment, and intervention. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Seto, M. C. (2012). Is pedophilia a sexual orientation? Archives of Sexual Behavior, 41, 231–236.

    Article  PubMed  Google Scholar 

  • Smart, L., & Wegner, D. M. (2000). The hidden costs of hidden stigma. In T. F. Heatherton, R. E. Kleck, M. R. Hebl, & J. G. Hull (Eds.), The social psychology of stigma (pp. 220–242). New York: Guilford Press.

    Google Scholar 

  • Smolenski, D. J., Stigler, M. H., Ross, M. W., & Rosser, B. R. S. (2011). Direct and indirect associations between internalized homonegativity and high-risk sex. Archives of Sexual Behavior, 40, 785–792. doi:10.1007/s10508-010-9705-1.

    Article  PubMed Central  PubMed  Google Scholar 

  • Stiels-Glenn, M. (2010). The availability of outpatient psychotherapy for paedophiles in Germany. Recht & Psychiatrie, 28, 74–80.

    Google Scholar 

  • Stöber, J. (1999). Die Soziale-Erwünschtheits-Skala-17 (SES-17): Entwicklung und erste Befunde zu Reliabilität und Validität. Diagnostica, 45, 173–177. doi:10.1026//0012-1924.45.4.173.

    Article  Google Scholar 

  • Vogel, D. L., & Wade, N. G. (2009). Stigma and help-seeking. Psychologist, 22, 20–23.

    Google Scholar 

  • Ward, T., & Beech, A. (2006). An integrated theory of sexual offending. Aggression and Violent Behavior, 11, 44–63. doi:10.1016/j.avb.2005.05.00.

    Article  Google Scholar 

  • Ward, P., Clark, T., Zabriskie, R., & Morris, T. (2012). Paper/pencil versus online data collection: An exploratory study. Journal of Leisure Research, 44, 507–530.

    Google Scholar 

  • Ward, T., & Keenan, T. (1999). Child molesters’ implicit theories. Journal of Interpersonal Violence, 14, 821–838. doi:10.1177/088626099014008003.

    Article  Google Scholar 

  • Ward, T., & Siegert, R. J. (2002). Toward a comprehensive theory of child sexual abuse: A theory knitting perspective. Psychology, Crime & Law, 8, 319–351. doi:10.1080/1068316021000054274.

    Article  Google Scholar 

  • Warner, S. L. (1965). Randomized-response: A survey technique for eliminating evasive answer bias. Journal of the American Statistical Association, 60, 63–69. doi:10.2307/2283137.

    Article  PubMed  Google Scholar 

  • Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457. doi:10.1037/H0027806.

    Article  PubMed  Google Scholar 

  • West, D. (2000). Paedophilia: Plague or panic? Journal of Forensic Psychiatry, 11, 511–531. doi:10.1080/09585180010002669.

    Article  Google Scholar 

  • Westefeld, J. S., Maples, M. R., Buford, B., & Taylor, S. (2001). Gay, lesbian, and bisexual college students: The relationship between sexual orientation and depression, loneliness, and suicide. Journal of College Student Psychotherapy, 15, 71–82. doi:10.1300/J035v15n03_06.

    Article  Google Scholar 

  • Whitaker, D. J., Le, B., Hanson, R. K., Baker, C. K., McMahon, P. M., Ryan, G., … Rice, D. D. (2008). Risk factors for the perpetration of child sexual abuse: A review and meta-analysis. Child Abuse & Neglect, 32, 529–548. doi:10.1016/j.chiabu.2007.08.005.

    Article  Google Scholar 

  • Williams, A., Moore, E., Adshead, G., McDowell, A., & Tapp, J. (2011). Including the excluded: High security hospital user perspectives on stigma, discrimination, and recovery. British Journal of Forensic Practice, 13, 197–204. doi:10.1108/14636641111157841.

    Article  Google Scholar 

  • Wilson, G., & Cox, D. (1983). The child lovers: A study of paedophiles in society. London: Peter Owen Publishers.

    Google Scholar 

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Authors and Affiliations

  1. Klinische Psychologie und Psychotherapie, Technische Universität Dresden, Hohe Straße 53, 01187, Dresden, Germany

    Sara Jahnke, Max Geradt & Jürgen Hoyer

  2. INSIDE Research Unit, Institute for Health and Behaviour, University of Luxembourg, Walferdange, Luxembourg

    Alexander F. Schmidt

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  1. Sara Jahnke
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  2. Alexander F. Schmidt
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Correspondence to Sara Jahnke.

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Max Geradt is sexually interested in children and co-authoring this article under a pseudonym.

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Jahnke, S., Schmidt, A.F., Geradt, M. et al. Stigma-Related Stress and Its Correlates Among Men with Pedophilic Sexual Interests. Arch Sex Behav 44, 2173–2187 (2015). https://doi.org/10.1007/s10508-015-0503-7

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