Is he mentally ill?


Most cases—know victim Boys are more likely to be abused in public and by strangers



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Most cases—know victim

  • Boys are more likely to be abused in public and by strangers



  • Brother-sister is most common and not always harmful

    • Brother-sister is most common and not always harmful

    • Father-daughter is second most common-

    • Younger daughters—more socially inept, dependent fathers

    • Older daughters—more authoritarian, angry fathers

    • Fathers who are actively involved in child care are less likely to abuse

    • General family disruption—conflict, abuse, alcoholism



    Recurrent intense sexually arousing fantasies, urges, and behaviors involving sexual activity with a prepubertal child

    • Recurrent intense sexually arousing fantasies, urges, and behaviors involving sexual activity with a prepubertal child

    • Nearly all pedophiles are male; 2/3 of victims are girls

    • Pedophiles are more likely to believe that children benefit from sexual contact

    • Begins in adolescence and persists over a person’s life

    • Tend to be shy, introverted, yet still desire to have mastery or control over someone



    How common?

    • How common?

    • Definitions vary and way info is gathered varies, leaving wide estimates in how common this is.

    • Somewhere between 14% and 25% of women in US are raped in their lifetimes. Reported rapes are 20x greater than Japan, 13x greater than GB

    • Types of rape—

      • Stranger—4%
      • Spouse—9% (often a part of other violence in the home, rarely reported, marital rape exemption laws have all been repealed in this country)
      • Acquaintance—19%
      • Know well—22%
      • In love with—46%
    • Some studies have found rates of 80% by acquaintance or known person—these #s are hard to call because they may not perceive themselves as victims.

      • Perhaps 5-16% of acquaintance rapes are reported.


    1) Might not fit her idea of what a real rape is, even though she still feels the trauma

    • 1) Might not fit her idea of what a real rape is, even though she still feels the trauma

    • 2) Might blame herself or be aware that others will

    • 3) Might not recall incident well because of alcohol or drug use

    • 4) Mistrust of police or legal system

    • 5) Fear reprisals from rapist, his friends or his family

    • 6) Fear publicity



    Both.

    • Both.

    • 1970s—big thing about power, but sex seems to be a part of it

      • Victims tend to be in teens/early 20s
      • Rapists cite sexual motives
      • Rapists share similarities with some of the paraphilias


    60% are under 25

    • 60% are under 25

    • Hypersexual peer group

    • Sexually active, but actually know little about sex

    • Low SES

    • Prior criminal record

    • Accepting of rape myths

    • Date rapists—tend to be more middle to upper middle class

    • Poor cognitive appraisal of women (believe women lie)

    • Poor social and communication skills

    • Impulsive

    • Sexually aroused by depictions of rape

    • May have hx of sexual abuse

    • Use strength to get what they want



    Difficult to treat successfully

    • Difficult to treat successfully

    • Meta-analyses show modest effects

    • Cognitive-behavioral techniques are most effective

    • Nonpedophile child molesters and exhibitionists respond better than pedophiles and rapists



    Repetitive, planned activity rather than a single event

    • Repetitive, planned activity rather than a single event

    • Immediately after—trouble sleeping, crying, fear of being alone, fear of sex, eating problems, headaches, irritability, withdrawn

    • Distress peaks about 3 wks after, stays high for a month, then begins to decline

    • Physical trauma combines with psychological factors (rape trauma syndrome)

    • PTSD

    • Negative impact on victim’s intimate relationships

    • STDs



    Human sexual response

    • Human sexual response

    • Masters and Johnson

    • Vasocongestion

    • Myotonia

    • 4 stages—Excitement, Plateau, Orgasm, Resolution

      • Model was missing a cognitive piece—most sex researchers now consider a desire phase
      • Disorders can occur in desire, excitement, or orgasm or pain
    • Laumann, Paik, and Rosen (1999)

      • 43% of women and 31% of men (18-59) experience sexual problems for women, problems decrease with age, except problems with lubrication
      • for men, problems with decreased desire and erection increase with age
      • pre and post marital (divorced, separated, widowed) increased risk for problems
      • higher educational attainment is negatively corr. with sex problems for men and women


    Lack of desire or interest/aversion to sex, increasing in frequency over past generation

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