Pedophilic Disorder Controversy
- Select a specific personality or paraphilic disorder from the DSM-5-TR to use for this Assignment.
- Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations.
In 2–3 pages:
- Explain the controversy that surrounds your selected disorder.
- Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
- Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
- Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.
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Pedophilic Disorder Controversy
Controversy Surrounding Pedophilic Disorder
Pedophilic disorder is among the most controversial diagnoses in psychiatry. Critics argue that labeling a sexual attraction as a disorder may blur the line between thoughts and criminal actions. Others believe the diagnosis pathologizes individuals who do not act on their urges. There is debate about whether such individuals need therapy, incarceration, or both. The disorder also faces criticism for its association with legal prosecution, which may deter individuals from seeking help.
Professional Beliefs and Scholarly Support
Professionally, I believe that pedophilic disorder should remain in the DSM due to its potential for early intervention. Supporting literature like Seto (2012), discusses the difference between having urges and acting on them. Berlin and Krueger (2013) argue that therapy reduces recidivism. Levenson et al. (2017) emphasize that treatment can reduce harm. These studies suggest that treatment should be evidence-based and non-judgmental, offering a path toward responsible self-management.
Maintaining Therapeutic Relationship
Maintaining trust is key when treating individuals with pedophilic disorder. Therapists must demonstrate empathy without condoning harmful behavior. Creating a safe, confidential environment encourages honest discussion. It is crucial to use non-stigmatizing language. Psychoeducation and motivational interviewing help build rapport. Boundaries should be clear. Open dialogue about risk management ensures safety while preserving therapeutic connection.
Ethical and Legal Considerations
Treating this disorder requires careful legal and ethical awareness. Mandatory reporting laws must be followed if there is risk to children. Confidentiality must be balanced with public safety. Clinicians must avoid dual relationships and ensure informed consent. Ethical codes emphasize respect, dignity, and harm prevention. These standards help therapists protect vulnerable individuals while upholding their professional responsibilities.
