Diagnostic Criteria for Pedophilia Redefined

Why churches must understand the severe nature of a pedophile’s offenses.

The term pedophile is widely used but poorly understood. Often, it is used synonymously with child molester. The American Psychiatric Association’s current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) identifies the following “diagnostic criteria” for pedophilia:

  • Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).
  • The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
  • The person is at least age 16 years and at least 5 years older than the child or children in Criterion A.
  • Note: Do not include an individual in late adolescence involved in an ongoing sexual relationship with a 12- or 13-year-old.

    This definition implies that pedophiles are both promiscuous and predatory. These characteristics were noted in Child Molesters: A Behavioral Analysis (2010), by former FBI agent Kenneth Lanning. He notes:

    Although a variety of individuals sexually abuse children, preferential-type sex offenders, and especially pedophiles, are the primary acquaintance sexual exploiters of children. A preferential-acquaintance child molester might molest 10, 50, hundreds, or even thousands of children in a lifetime, depending on the offender and how broadly or narrowly child molestation is defined. Although pedophiles vary greatly, their sexual behavior is repetitive and highly predictable ….

    Those with a definite preference for children (i.e., pedophiles) have sexual fantasies and erotic imagery that focus on children. They have sex with children not because of some situational stress or insecurity but because they are sexually attracted to and prefer children. They have the potential to molest large numbers of child victims. For many of them their problem is not only the nature of the sex drive (attraction to children), but also the quantity (need for frequent and repeated sex with children). They usually have age and gender preferences for their victims.

    The Association for the Treatment of Sexual Abusers website states: “Offenders who seek out children to victimize by placing themselves in positions of trust, authority, and easy access to youngsters can have hundreds of victims over the course of their lifetimes. One study found that the average number of victims for non-incestuous pedophiles who molest girls is 20; for pedophiles who prefer boys, over 100.”

    Church leaders also should also be aware that pedophilia generally is considered to be incurable, and very difficult to control. In addition, pedophiles have a high recidivism rate, meaning that those who are convicted and sentenced to prison are likely to revert to such behavior upon their release. The Association for the Treatment of Sexual Abusers website states that “predatory pedophiles, especially those who molest boys, are the sex offenders who have the highest recidivism rates. Over long follow-up periods, more than half of convicted pedophiles are rearrested for a new offense.”

    In summary, it is important for church leaders to understand the definition of pedophilia, since this condition is associated with several characteristics, including (1) promiscuity; (2) predatory behavior; (3) incurability; and (4) high recidivism rates.

    The American Psychiatric Association has announced that a new edition of the DSM (“DSM-5”) will be implemented in May of 2013. The new edition includes several revisions, including the following revised “diagnostic criteria” for pedophilia:

  • Over a period of at least 6 months, an equal or greater sexual arousal from prepubescent or early pubescent children than from physically mature persons, as manifested by fantasies, urges, or behaviors.
  • The individual has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or impairment in social, occupational, or other important areas of functioning.
  • The individual must be at least 18 years of age and at least 5 years older than the children in Criterion A.
  • “The dry research figures only confirm what I have seen over and over in this field: there are a lot of sexual offenses out there and the people who commit them don’t get caught very often. When an offender is caught and has a thorough evaluation with a polygraph backup, he will reveal dozens, sometimes hundreds of offenses he was never apprehended for. In an unpublished study by Pamela Van Wyk, 26 offenders in her incarcerated treatment program entered the program admitting an average of 3 victims each. Faced with a polygraph and the necessity of passing it to stay in the treatment program, the next group of 23 men revealed an average of 175 victims each.” Anna Salter, Predators: Pedophiles, Rapists, and Other Sex Offenders: Who They Are, How They Operate, and How We Can Protect Ourselves and Our Children (2003).

    Need More Information?
    Read about best practices on background screenings for church employees and volunteers at ChurchLawAndTax.com/private/library/screening.php. Develop a child sexual abuse prevention program for your church with Reducing the Risk, 3rd Edition, available at ChurchLawAndTaxStore.com or by calling 1-800-222-1840.

    This article first appeared in Church Law & Tax Report, March/April 2013.

    Richard R. Hammar is an attorney, CPA and author specializing in legal and tax issues for churches and clergy.

    This content is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional person should be sought. "From a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations." Due to the nature of the U.S. legal system, laws and regulations constantly change. The editors encourage readers to carefully search the site for all content related to the topic of interest and consult qualified local counsel to verify the status of specific statutes, laws, regulations, and precedential court holdings.

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