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Concerning sexual offending against children, two groups can be distinguished: first, those who show no sexual preference disorder, but whom, for various reasons, sexually abuse children. In the light of frightening and emotionally disturbing sexual offenses against children, experts have focused more on the level of sexual behavior, referred to subsequently as “offenses,” while not differentiating the causes for that behavior in an appropriate and adequate way.
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With this approach, we aim to not only provide an update and overview but also a framework for future research and to address one of the most significant questions of how pedophilia may be explained by neurobiological and developmental alterations. We focus on some of the recent theories on the etiology of pedophilia such as the concept of a general neurodevelopmental disorder and/or alterations of structure and function in frontal, temporal, and limbic brain areas. Having this in mind, this review highlights the most important studies investigating pedophilia, with a strong emphasis on (neuro-) biological studies, combined with a brief explanation of research into normal human sexuality. At the same time, we are faced with methodological challenges, such as group differences between studies, including age, intelligence, and comorbidities, together with a lack of careful assessment and control of child sexual abuse. However, with the increasing use of neuroimaging techniques, such as functional and structural magnetic resonance imaging (sMRI, fMRI), together with neuropsychological studies, we are increasing our knowledge of predisposing and accompanying factors contributing to pedophilia development. Pedophilia is often considered a side issue and research into the nature of pedophilia is delayed in comparison to research into other psychiatric disorders.
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A pedophilic disorder is recognized for its impairment to the individual and for the harm it may cause to others.