Taking Pedophilia Seriously Margo Kaplan Rutgers School of Law - Camden

Total Page:16

File Type:pdf, Size:1020Kb

Taking Pedophilia Seriously Margo Kaplan Rutgers School of Law - Camden Washington and Lee Law Review Volume 72 | Issue 1 Article 4 Winter 1-1-2015 Taking Pedophilia Seriously Margo Kaplan Rutgers School of Law - Camden Follow this and additional works at: https://scholarlycommons.law.wlu.edu/wlulr Part of the Criminal Law Commons, and the Health Law and Policy Commons Recommended Citation Margo Kaplan, Taking Pedophilia Seriously, 72 Wash. & Lee L. Rev. 75 (2015), https://scholarlycommons.law.wlu.edu/wlulr/vol72/iss1/4 This Article is brought to you for free and open access by the Washington and Lee Law Review at Washington & Lee University School of Law Scholarly Commons. It has been accepted for inclusion in Washington and Lee Law Review by an authorized editor of Washington & Lee University School of Law Scholarly Commons. For more information, please contact [email protected]. Taking Pedophilia Seriously Margo Kaplan* Abstract This Article pushes lawmakers, courts, and scholars to reexamine the concept of pedophilia in favor of a more thoughtful and coherent approach. Legal scholarship lacks a thorough and reasoned analysis of pedophilia. Its failure to carefully consider how the law should conceptualize sexual attraction to children undermines efforts to address the myriad of criminal, public health, and other legal concerns pedophilia raises. The result is an inconsistent mix of laws and policies based on dubious presumptions. These laws also increase risk of sexual abuse by isolating people living with pedophilia from treatment. The Article makes two central arguments: (1) although pedophilia does not fit neatly into any existing legal rubric, the concept of mental disorder best addresses the issues pedophilia raises; and (2) if the law conceptualizes pedophilia as a mental disorder, we must carefully reconsider how several areas of law address it. Specifically, it argues that sexually violent predator statutes expand state power to civilly commit individuals by distorting the concept of pedophilia as a mental disorder. At the same time, anti-discrimination law is dismissive of pedophilia as a mental disorder, excluding it from civil rights protections ordinarily associated with mental illness. Closer examination of * Assistant Professor of Law, Rutgers School of Law–Camden. I am indebted to several individuals for their thoughtful comments and advice, including the organizers and attendees of the New Voices in Criminal Law Theory Workshop—in particular Michael Moore, Antony Duff, Doug Husak, Mitchell Berman, Heidi Hurd, Sandra Marshall, and Gideon Yaffe—the participants in the Pace Law School faculty colloquium, the participants in the Rutgers School of Law—Newark faculty colloquium, and to Elizabeth Emens, Katie R. Eyer, Kimberly Kessler Ferzan, Andrew M. Koppelman, Kathryn Kovacs, Margaret Lewis, Kimberly Mutcherson, Michael Seto, Gerardo Vildostegui, and Alec Walen. I would also like to thank Lauren Martinez and Alexi Velez for their tireless and enthusiastic research assistance with a difficult topic. 75 76 72 WASH. & LEE L. REV. 75 (2015) these distinctions reveals them to be based on questionable premises. The law should take pedophilia seriously as a mental disorder. Many individuals living with pedophilia pose a danger to others. Yet we should not categorically deny pedophilia the civil rights protections afforded to other mental disorders without a convincing normative justification supported by cogent scientific evidence. Strengthening civil rights protections for those with pedophilia also increases access to treatment and support that helps prevent child abuse. Table of Contents I. Introduction ...................................................................... 77 II. What Is Pedophilia? .......................................................... 86 A. Behavior vs. Status ..................................................... 86 B. Characteristics, Causes, and Treatment ................... 87 C. Living with Pedophilia ............................................... 95 III. Reconceptualizing Pedophilia in the Law ........................ 98 A. Pedophilia as Mental Disorder or Sexual Orientation ................................................................. 99 1. Pedophilic Disorder ............................................... 99 2. Erotic Age Orientation: Pedophilia as a Sexual Orientation ...............................................107 B. Pedophilia as a Legal Concept ..................................113 IV. Rethinking the Law’s Approach to Pedophilic Disorder............................................................................122 A. Pedophilia and Anti-Discrimination Law .................122 1. Disability Discrimination and the Pedophilia Exception ...........................................122 2. Rethinking the Pedophilia Exception ..................126 B. Civil Commitment Law .............................................138 1. Civil Commitment: Justifications and Limitations ...........................................................138 2. The Content of Sexually Violent Predator Civil Commitment Laws ......................................143 3. Implications for Pedophilic Disorder ...................148 TAKING PEDOPHILIA SERIOUSLY 77 4. Rethinking Sexually Violent Predator Statutes ................................................................150 V. Conclusion ........................................................................157 A. Implications for Other Areas of Law and Policy ...................................................................157 1. Public Health .......................................................157 2. Criminal Law .......................................................159 3. Constitutional Law and Sexual Freedom ............164 4. Mandatory Reporting Laws .................................165 B. Implications for Other Paraphilias ...........................168 C. Final Thoughts ..........................................................169 I. Introduction Ethan Edwards is a pedophile.1 He has also never touched a child in a sexual manner and vows he never will.2 Edwards is one of the two founders of “Virtuous Pedophiles,” a website dedicated to supporting individuals with pedophilia who are morally opposed to sexual contact with children.3 The site attempts to reduce the stigma of pedophilia by demonstrating that it is an unchosen sexual attraction and that many individuals with pedophilia live law-abiding lives.4 A section called “Who We Are” is full of testimonials from individuals living with pedophilia5 1. See Who We Are, VIRTUOUS PEDOPHILES (2012), http://www.virped.org/index.php/who-we-are (last visited Jan. 27, 2015) (introducing Ethan Edwards pseudonym for a man struggling with pedophilia) (on file with the Washington and Lee Law Review). The name “Ethan Edwards” is a pseudonym. 2. Id. 3. Id.; Tracy Clark-Flory, Meet Pedophiles Who Mean Well, SALON, (June 30, 2012, 9:00 PM), http://www.salon.com/2012/07/01/meet_pedophiles_ who_mean_well/ (last visited Jan. 27, 2015) (reporting on Virtuous Pedophiles) (on file with the Washington and Lee Law Review). 4. See Who We Are, supra note 1 (presenting testimonials from Virtuous Pedophiles members); Clark-Flory, supra note 3 (reporting on Virtuous Pedophiles); Jennifer Bleyer, How Can We Stop Pedophiles, SLATE (Sept. 23, 2012, 2:32 PM), http://www.slate.com/articles/health_and_science/medical_ examiner/2012/09/stop_childhood_sexual_abuse_how_to_treat_pedophilia_.html (last visited Jan. 27, 2015) (relating the stories of several pedophiles and examining the debate surrounding the treatment of pedophiles) (on file with the Washington and Lee Law Review). 5. Where possible, this Article uses the “people first” language preferred 78 72 WASH. & LEE L. REV. 75 (2015) who oppose any sexual contact with children but have nowhere else to turn for support.6 They live in fear of discovery, which would result in loss of their jobs, friends, and community.7 Many contemplate suicide.8 Pedophilia presents something of a paradox for the law. Those who are sexually attracted to children are perhaps the most reviled group in our society, regardless of whether they have acted on their desires.9 Yet it is commonly presumed that such in mental illness and disability law. See H.R. REP. NO. 101-485, pt. 2, at 74 (1990) (endorsing individualized determinations of what handicapped individuals are capable of doing rather than broad generalizations and fears); S. REP. NO. 101-116, at 51 (1989) (stating preference for term “individual with handicaps”); JOHN PARRY, REGULATION, LITIGATION AND DISPUTE RESOLUTION UNDER THE AMERICANS WITH DISABILITIES ACT: A PRACTITIONER'S GUIDE TO IMPLEMENTATION, app. A (2d ed. 1996) (outlining key definitions and terms in the field). This language refers to individuals first rather than their mental illness or disability; for example, as “people living with schizophrenia” as opposed to “schizophrenics.” See H.R. REP. NO. 101-485, pt. 2, at 74 (1990); S. REP. NO. 101-116, at 51 (1989); JOHN PARRY, MENTAL DISABILITY LAW: A PRIMER 1 (5th ed. 1995) (stressing the importance of language in disability law). Because this Article discusses pedophilia as a mental disorder, it therefore uses the term “people with pedophilia” or “people living with pedophilia” as opposed to “pedophiles,” unless, as with Ethan Edwards, an individual chooses to identify himself as “a pedophile.” Who We Are, supra note 1. 6. See Who We Are, supra note 1 (including introductory statements from over seventy individuals and in-depth testimonials by others). 7. See Alice Dreger, What Can Be Done About Pedophilia?,
Recommended publications
  • 1557-Final-Rule.Pdf
    *This HHS‐approved document is being submitted to the Office of the Federal Register (OFR) for publication and has not yet been placed on public display at or published in the Federal Register. This document may vary slightly from the published document if minor editorial changes are made during the OFR review process. The document published in the Federal Register is the official HHS-approved document. *Individuals using assistive technology may not be able to fully access information in this document. For assistance, please contact the Office for Civil Rights at (800) 368-1019 or (800) 537-7697 (TDD). 4153-01-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare and Medicaid Services 42 CFR Parts 438, 440, and 460 Office of the Secretary 45 CFR Parts 86, 92, 147, 155, and 156 RIN 0945-AA11 Nondiscrimination in Health and Health Education Programs or Activities, Delegation of Authority AGENCY: Centers for Medicare & Medicaid Services (CMS); Office for Civil Rights (OCR), Office of the Secretary, HHS. ACTION: Final rule. SUMMARY: The Department of Health and Human Services (“the Department” or “HHS”) is committed to ensuring the civil rights of all individuals who access or seek to access health programs or activities of covered entities under Section 1557 of the Patient Protection and Affordable Care Act (“ACA”). After considering public comments, in this final rule, the Department revises its Section 1557 regulations, Title IX regulations, and specific regulations of the Centers for Medicare & Medicaid Services (“CMS”) as proposed, with minor and primarily technical corrections. This will better comply with the mandates of Congress, address legal concerns, relieve billions of dollars in undue regulatory burdens, further substantive compliance, *This HHS‐approved document is being submitted to the Office of the Federal Register (OFR) for publication and has not yet been placed on public display at or published in the Federal Register.
    [Show full text]
  • Evaluating Stigmatizing Attitudes Among Clinicians Toward People with ABDL and Pedophilic Interests
    Minnesota State University, Mankato Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato All Graduate Theses, Dissertations, and Other Graduate Theses, Dissertations, and Other Capstone Projects Capstone Projects 2018 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests Katlyn Hanson Minnesota State University, Mankato Follow this and additional works at: https://cornerstone.lib.mnsu.edu/etds Part of the Clinical Psychology Commons, and the Social Control, Law, Crime, and Deviance Commons Recommended Citation Hanson, K. (2018). Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests [Master’s thesis, Minnesota State University, Mankato]. Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. https://cornerstone.lib.mnsu.edu/ etds/807/ This Thesis is brought to you for free and open access by the Graduate Theses, Dissertations, and Other Capstone Projects at Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. It has been accepted for inclusion in All Graduate Theses, Dissertations, and Other Capstone Projects by an authorized administrator of Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. Running head: STIGMA, CLINICIANS, ABDL, PEDOPHILIA 1 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests By: Katlyn M. Hanson A Thesis Submitted in Partial Fulfillment of the Requirements for Degree of Masters of Arts In Clinical Psychology Minnesota State University – Mankato Mankato, Minnesota May 2018 STIGMA, CLINICIANS, ABDL, PEDOPHILIA 2 April 10, 2018 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests Katlyn M.
    [Show full text]
  • Twentieth-Century Canadian Law, Psychiatry, and Social Activism in Relation to Pedophiles and Child Sex Offenders
    Twentieth-Century Canadian Law, Psychiatry, and Social Activism in Relation to Pedophiles and Child Sex Offenders By Justin F. Smith Thesis Submitted to the Faculty of Graduate and Postdoctoral Studies in partial fulfillment of the requirements of the MA degree in History University of Ottawa © Justin F. Smith, Ottawa, Canada, 2017 ABSTRACT Twentieth-Century Canadian Law, Psychiatry, and Social Activism in Relation to Pedophiles and Child Sex Offenders Justin Smith Supervisor: University of Ottawa Heather Murray The contemporary conflation of pedophiles and child sex offenders is a prevalent aspect of reporting in news and social media, as well as in government- sponsored efforts to prevent child sexual victimization. Throughout twentieth century Canada, however, legal experts, psychologists and psychiatrists, and social activists were recognizing the harmfulness of grouping individuals who may have a propensity to commit crime with those who have committed the most heinous of criminal acts. As early as 1938, Canadian legal experts suggested that criminal insanity was a myth, advocating for a divergence between legal punishment and psychiatric healthcare, but after World War 2 had enacted serious efforts targeting criminal sexual psychopathy. Successive Royal Commissions investigating sexual victimization and child abuse revealed that Canadian courts, jails, prisons, and remand services were unable to solely deal with the realities of child sexual victimization. Psychologists and psychiatrists of the American Psychological Association increasingly researched sex and sexuality, classifying pedophilia as a paraphilia using child sexual victimization as a diagnostic indicator and criterion. Gay liberation activists discussed inequalities posed between hetero- and homosexual ages of consent and, more rarely, thought about the total abolition of age of consent.
    [Show full text]
  • Using Research-Based Algorithms to Prioritize Law Enforcement Internet Investigations
    The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: Protecting Children Online: Using Research- Based Algorithms to Prioritize Law Enforcement Internet Investigations, Technical Report Author(s): R.Gregg Dwyer, M.D., Ed.D., Michael Seto, Ph.D., Dana DeHart, Ph.D., Elizabeth Letourneau, Ph.D., Tracy McKee, M.S., Robert Moran, Ph.D. Document No.: 250154 Date Received: August 2016 Award Number: 2011-MC-CX-0002 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this federally funded grant report available electronically. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Protecting Children Online: Using Research-Based Algorithms to Prioritize Law Enforcement Internet Investigations Technical Report Prepared By: R. Gregg Dwyer, M.D., Ed.D. Michael Seto, Ph.D. Dana DeHart, Ph.D. Elizabeth Letourneau, Ph.D. Contributors: Tracy McKee, M.S. Robert Moran, Ph.D. Submitted to the Office of Juvenile Justice and Delinquency Prevention May 2016 Community and Public Safety Psychiatry Division Department of Psychiatry and Behavioral Sciences College of Medicine Medical University of South Carolina 29-C Leinbach Drive Charleston, SC 29407 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S.
    [Show full text]
  • Curing Sexual Deviance : Medical Approaches to Sexual Offenders in England, 1919-1959
    ORBIT - Online Repository of Birkbeck Institutional Theses Enabling Open Access to Birkbecks Research Degree output Curing sexual deviance : medical approaches to sexual offenders in England, 1919-1959 http://bbktheses.da.ulcc.ac.uk/188/ Version: Full Version Citation: Weston, Janet (2016) Curing sexual deviance : medical approaches to sexual offenders in England, 1919-1959. PhD thesis, Birkbeck, University of Lon- don. c 2016 The Author(s) All material available through ORBIT is protected by intellectual property law, including copyright law. Any use made of the contents should comply with the relevant law. Deposit guide Contact: email Curing sexual deviance Medical approaches to sexual offenders in England, 1919-1959 Janet Weston Department of History, Classics, and Archaeology Birkbeck, University of London Submitted for the degree of Doctor of Philosophy September 2015 1 Declaration: I confirm that all material presented in this thesis is my own work, except where otherwise indicated. Signed ............................................... 2 Abstract This thesis examines medical approaches to sexual offenders in England between 1919 and 1959. It explores how doctors conceptualised sexual crimes and those who committed them, and how these ideas were implemented in medical and legal settings. It uses medical and criminological texts alongside information about specific court proceedings and offenders' lives to set out two overarching arguments. Firstly, it contends that sexual crime, and the sexual offender, are useful categories for analysis. Examining the medical theories that were put forward about the 'sexual offender', broadly defined, and the ways in which such theories were used, reveals important features of medico-legal thought and practice in relation to sexuality, crime, and 'normal' or healthy behaviour.
    [Show full text]
  • Drawing the Line on Virtual Child Pornography: Bringing the Law in Line with the Research Evidence*
    DRAWING THE LINE ON VIRTUAL CHILD PORNOGRAPHY: BRINGING THE LAW IN LINE WITH THE RESEARCH EVIDENCE* NEIL MALAMUTH, PH.D.,*" & MARK HUPP[N, J.D., PH.D.** OUTLINE I. INTRODUCTION II. THE LEGAL LANDSCAPE SURROUNDING ASHCROFT V. FREE SPEECH COALITION A. Congress responds: the Prosecutorial Remedies and Other Tools to End the Exploitation of Children Today Act (PROTECT) B. Conventional treatment of propensity evidence and the exception to the rule in child sex-offense cases: the example of character evidence C. Imposing preemptive penalties against child molesters D. A wide berth E. Toward a constitutionally sound approach Il. RESEARCH ON CHILD PORNOGRAPHY A. Overview B. Arousal to child pornography C. Child pornography use as an indicator of pedophilia D. Were sexual offenders exposed to more pornography? E. Are child pornography offenses associated with molestation? F. What factors distinguish those most at risk for re-offending? G. Integrating the data IV. RESEARCH ON LEGAL, NONCONSENTING, AND OTHER ADULT PORNOGRAPHY A. Overview B. Effects of exposure to pornography 1. Research framework 2. Methodological considerations 3. Hypothesized effects and research findings * Both authors contributed equally to this paper. Order of authorship was determined by the flip of a coin. The authors express their deep appreciation to the Review's editors and to Prof. James Weinstein for very valuable suggestions on earlier drafts of this paper. ** Professor of Psychology, Communication Studies, and Women's Studies, University of California, Los Angeles. *** Lecturer, Communication Studies and Psychology, University of California, Los Angeles. 773 Reprinted with the Permission of New York University School of Law N. Y U.
    [Show full text]
  • Use of DSM Paraphilia Diagnoses in Sexually Violent Predator Commitment Cases
    SPECIAL ARTICLE Use of DSM Paraphilia Diagnoses in Sexually Violent Predator Commitment Cases Michael B. First, MD, and Robert L. Halon, PhD There is legitimate concern in the psychiatric community about the constitutionality of sexually violent predator (SVP) commitment statutes. Such constitutionality depends on the requirement that a sexual offender have a mental abnormality that makes him commit violent predatory sex offenses and reflects almost exclusively a concern for public safety, with little regard for notions of clinical sensibility or diagnostic accuracy. However, given that mental health experts’ diagnostic opinions are, and will continue to be, important to the triers of fact in regard to the application of the SVP statutes, we describe valid means of making a DSM-IV-TR paraphilic diagnosis. We also provide a three-step approach for the judicious application of the diagnosis in the context of SVP commitment evaluations that emphasizes the importance of not making a paraphilia diagnosis based solely on the sexual offenses themselves. Finally, we discuss the appropriate use of a paraphilia NOS diagnosis in SVP cases. J Am Acad Psychiatry Law 36:443–54, 2008 In 1990, the state of Washington passed the first Despite several challenges to the constitutionality sexually violent predator (SVP) involuntary commit- of SVP statutes, the U.S. Supreme Court in two sep- ment statute, which was designed to allow for the arate rulings (Kansas v. Hendricks3 and Kansas v. civil commitment of sex offenders to mental hospi- Crane4) upheld the constitutionality of the Kansas tals after they complete mandatory prison sentences. State Sexually Violent Predator laws, essentially mak- According to the Washington SVP statute, the of- ing similar laws with analogous proof requirements fender must be found to be “a person who has been constitutional in all states.
    [Show full text]
  • List of Paraphilias
    List of paraphilias Paraphilias are sexual interests in objects, situations, or individuals that are atypical. The American Psychiatric Association, in its Paraphilia Diagnostic and Statistical Manual, Fifth Edition (DSM), draws a Specialty Psychiatry distinction between paraphilias (which it describes as atypical sexual interests) and paraphilic disorders (which additionally require the experience of distress or impairment in functioning).[1][2] Some paraphilias have more than one term to describe them, and some terms overlap with others. Paraphilias without DSM codes listed come under DSM 302.9, "Paraphilia NOS (Not Otherwise Specified)". In his 2008 book on sexual pathologies, Anil Aggrawal compiled a list of 547 terms describing paraphilic sexual interests. He cautioned, however, that "not all these paraphilias have necessarily been seen in clinical setups. This may not be because they do not exist, but because they are so innocuous they are never brought to the notice of clinicians or dismissed by them. Like allergies, sexual arousal may occur from anything under the sun, including the sun."[3] Most of the following names for paraphilias, constructed in the nineteenth and especially twentieth centuries from Greek and Latin roots (see List of medical roots, suffixes and prefixes), are used in medical contexts only. Contents A · B · C · D · E · F · G · H · I · J · K · L · M · N · O · P · Q · R · S · T · U · V · W · X · Y · Z Paraphilias A Paraphilia Focus of erotic interest Abasiophilia People with impaired mobility[4] Acrotomophilia
    [Show full text]
  • Prosecuting Child Sex Tourists at Home: Do Laws in Sweden, Australia, and the United States Safeguard the Rights of Children As Mandated by International Law?
    Fordham International Law Journal Volume 18, Issue 5 1994 Article 24 Prosecuting Child Sex Tourists at Home: Do Laws in Sweden, Australia, and the United States Safeguard the Rights of Children as Mandated by International Law? Margaret A. Healy∗ ∗Fordham University Copyright c 1994 by the authors. Fordham International Law Journal is produced by The Berke- ley Electronic Press (bepress). http://ir.lawnet.fordham.edu/ilj PROSECUTING CHILD SEX TOURISTS AT HOME: DO LAWS IN SWEDEN, AUSTRALIA, AND THE UNITED STATES SAFEGUARD THE RIGHTS OF CHILDREN AS MANDATED BY INTERNATIONAL LAW? MargaretA. Healy* INTRODUCTION Rosario Baluyot was twelve years old when she died in 1987 in her native Philippines.' She was a street child.' Dr. Heinrich Stefan Ritter is an Austrian medical doctor.3 He forcibly in- serted an electric vibrator into Rosario's vagina during a night of sex spent with her and a fourteen year-old boy.4 The device broke and lodged inside of her.5 She carried the fragments dur- * J.D. Candidate, 1996, Fordham University. This Note is dedicated to child advocacy organizations around the globe who have accomplished so much in so little time. I would like to particularly acknowledge Ellis Shenk, Coordinator of ECPAT-US; Lisa Rana, Esq.; Bernadette McMenamin, ECPAT Australia; Helena Karl~n, RAdda Barnen, Sweden; Deen Kaplan of the National Coalition for the Protection of Children and Families; Andrew Vachss, Esq.; Paul Bravender-Coyle, Anti-Slavery Society; and Professor Roger Levesque of the University of Nebraska for their invaluable assistance. 1. RON O'GRADY, ECPAT, THE CHILD AND THE TouiusT 24 (1992).
    [Show full text]
  • Expert Affidavit of Dr. Stephen B. Levine, M.D. Case 1:20-Cv-00184-DCN Document 46-2 Filed 06/09/20 Page 2 of 45
    Case 1:20-cv-00184-DCN Document 46-2 Filed 06/09/20 Page 1 of 45 EXHIBIT B Expert Affidavit of Dr. Stephen B. Levine, M.D. Case 1:20-cv-00184-DCN Document 46-2 Filed 06/09/20 Page 2 of 45 ________________________________________ EXPERT AFFIDAVIT OF DR. STEPHEN B. LEVINE, M.D. ________________________________________ June 4, 2020 Case 1:20-cv-00184-DCN Document 46-2 Filed 06/09/20 Page 3 of 45 TABLE OF CONTENTS I. CREDENTIALS & SUMMARY ............................................................................................ 1 II. BACKGROUND ON THE FIELD ......................................................................................... 6 A. The biological baseline of sex .......................................................................................... 6 B. Definition and diagnosis of gender dysphoria .................................................................. 8 C. Impact of gender dysphoria on minority and vulnerable groups .................................... 10 D. Three competing conceptual models of gender dysphoria and transgender identity ............................................................................................................................ 11 E. Four competing models of therapy ................................................................................. 14 F. Patients Differ Widely and Must Be Considered Individually. ...................................... 19 G. Understanding the WPATH and its “Standards of Care” ............................................... 21 III. GENDER IDENTITY,
    [Show full text]
  • 2018 Juvenile Law Cover Pages.Pub
    2018 JUVENILE LAW SEMINAR Juvenile Psychological and Risk Assessments: Common Themes in Juvenile Psychology THURSDAY MARCH 8, 2018 PRESENTED BY: TIME: 10:20 ‐ 11:30 a.m. Dr. Ed Connor Connor and Associates 34 Erlanger Road Erlanger, KY 41018 Phone: 859-341-5782 Oppositional Defiant Disorder Attention Deficit Hyperactivity Disorder Conduct Disorder Substance Abuse Disorders Disruptive Impulse Control Disorder Mood Disorders Research has found that screen exposure increases the probability of ADHD Several peer reviewed studies have linked internet usage to increased anxiety and depression Some of the most shocking research is that some kids can get psychotic like symptoms from gaming wherein the game blurs reality for the player Teenage shooters? Mylenation- Not yet complete in the frontal cortex, which compromises executive functioning thus inhibiting impulse control and rational thought Technology may stagnate frontal cortex development Delayed versus Instant Gratification Frustration Tolerance Several brain imaging studies have shown gray matter shrinkage or loss of tissue Gray Matter is defined by volume for Merriam-Webster as: neural tissue especially of the Internet/gam brain and spinal cord that contains nerve-cell bodies as ing addicts. well as nerve fibers and has a brownish-gray color During his ten years of clinical research Dr. Kardaras discovered while working with teenagers that they had found a new form of escape…a new drug so to speak…in immersive screens. For these kids the seductive and addictive pull of the screen has a stronger gravitational pull than real life experiences. (Excerpt from Dr. Kadaras book titled Glow Kids published August 2016) The fight or flight response in nature is brief because when the dog starts to chase you your heart races and your adrenaline surges…but as soon as the threat is gone your adrenaline levels decrease and your heart slows down.
    [Show full text]
  • "Potential Offenders" : Understanding Adults Who Are Sexually Attracted To
    Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere without the permission of the Author. Running head: MORE THAN “POTENTIAL OFFENDERS” More than “Potential Offenders”: Understanding Adults who are Sexually Attracted to Children who have not Offended Thesis Submitted in Partial Completion of the Requirements for the Degree of Doctor of Clinical Psychology Massey University, Albany Sophie A. Muir 2018 MORE THAN “POTENTIAL OFFENDERS” MORE THAN “POTENTIAL OFFENDERS” Abstract There has been recent recognition that pedophilia has largely been studied and addressed in the context of child sex offending. Using a qualitative-dominant mixed method design, this study explores what it is like to live with an attraction to children for those who are non-offending, how such individuals manage their attraction, and what support needs they have. The experiences of nine minor- attracted men as captured in semi-structured interviews were analysed. Through an interpretive phenomenological analysis, five themes were identified: ‘A Sexual Attraction to Children’, ‘Stigma and Identity Distress’, ‘Disclosure’, ‘Strategies for Living Well’, and, ‘Vision for Change’. In addition to this, demographic and descriptive data collected in online surveys with 85 minor-attracted persons were computed. Overall, participants experienced their attraction to children as complex, with challenges that included making sense of their attraction as a sexual orientation, living with distress, and the public vilification of people with pedophilia. Drawing from individual strengths, behavioural strategies, and peer resources, participants described coping with distress and managing their sexual behaviour.
    [Show full text]