Journal List > Korean J Leg Med > v.38(1) > 1004732

Lim, Lee, Shim, Yang, Kim, and Kim: Evaluation of Pedophilia Patients of the National Forensic Hospital by Types of Offense according to the Federal Bureau of Investigation (FBI) Typologies of Child Molesters

Abstract

This study aimed to classify individuals who had perpetrated child sexual abuse according to the Federal Bureau of Investigation (FBI) typologies of child molesters and to assess the correlations between sociodemographic and criminal variables. We examined a total of 26 patients diagnosed with pedophilia (DSM-Ⅳ-TR criteria) who had been hospitalized in the National Forensic Hospital for Cure Custody. Data were obtained through self-administered questionnaires and reviews of patient records. Patients were classified into preferential offenders or situational offenders based on FBI typologies. Current and first offense ages of preferential offenders were younger than those of situational offenders. Preferential offenders were more likely to have been exposed to sexual abuse during childhood, and were more likely to watch child pornography than situational offenders (p < 0.05). Additionally, recidivists had lower IQs (intelligence quotient), lower levels of education, and longer illness durations than first-time offenders (p < 0.05). A multiple logistic regression analysis revealed that IQ and duration of illness might be risk factors of recidivism, although results were not statistically significant (p < 0.1). We found that classification of individuals who had sexually abused children into preferential or situational types, based on FBI typologies, provided on pedophile characteristics and probability of recidivism. We highly recommended that low IQ patients receive intensive treatment and education in order to reduce the possibility of future offenses.

REFERENCES

1. The statistics of National Policy Agency, Seoul (2011). Available at. http://www.police.go.kr/portal/main/con-tents.do?menuNo=200284.
2. Act on the protection of children and juveniles from sexual abuse. Ministry of legislation, Seoul (2013). Available at. http://www.law.go.kr/main.html.
3. Hall RC, Hall RC. A profile of pedophilia: definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues. Mayo Clin Proc. 2007; 82:457–71.
crossref
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition Revised (DSM-Ⅳ). Washington, DC: American Psychiatric Association;1994.
5. Robertiello G, Terry KJ. Can we profile sex offenders? A review of sex offender typologies. Aggress Violent Behav. 2007; 12:508–18.
crossref
6. Groth AN. Men who rape: the psychology of the offender. New York: Plenum Press;1979. .p.p. 148–9.
7. Terry KJ, Tallon J. Child sexual abuse: a review of the literature. The Nature and Scope of the Problem of Sexual Abuse of Minors by Priests and Deacons, 1950-2002 Washington, D.C.: United States Conference of Catholic Bishops. 2004. 26–7.
8. Henn FA, Herjanic M, Vanderpearl RH. Forensic psychiatry: profiles of two types of sex offenders. Am J Psychiatry. 1976; 133:694–6.
9. Lee SJ, Ko RJ. Comparison between pedophiliac sex offenders, incest sex offenders and rapists: focusing on demographic and criminogenic variables. J Korean Psychology. 2008; 27:161–78.
10. Lee JH, Kim HS, Lee JW, et al. Psychiatric diagnosis and hypersexual behavior inventory, sexual addiction screening test, and Beck depression inventory/Beck anxiety inventory of the sexual offenders. Korean J Leg Med. 2013; 37:27–33.
crossref
11. Shin KB, Lee Y, Kim KR, et al. Psychiatric and psychological characteristics of sexual offenders in Korea. J Korean Neuropsychiatr Assoc. 2012; 51:170–7.
crossref
12. Abel GG, Harlow N. The Abel and Harlow child molestation prevention study. Excerpted from The Stop Child Molestation Book. Philadelphia, Pa: Xlibris;2001. Available at:. www.childmolestationprevention.org/pdfs/study.pdf. Accessed February 19, 2007.
13. Murray JB. Psychological profile of pedophiles and child molesters. J Psychol. 2000; 134:211–24.
crossref
14. Cohen LJ, Galynker II. Clinical features of pedophilia and implications for treatment. J Psychiatr Pract. 2002; 8:276–89.
crossref
15. Blanchard R, Watson MS, Choy A, et al. Pedophiles: mental retardation, maternal age, and sexual orientation. Arch Sex Behav. 1999; 28:111–27.
16. Fuller AK. Child molestation and pedophilia: an overview for the physician. JAMA. 1989; 261:602–6.
crossref
17. Beier KM. Differential typology and prognosis for dissexu-al behavior-a followup study of previously expert-appraised child molesters. Int J Legal Med. 1998; 111:133–41.
18. Blanchard R, Kolla NJ, Cantor JM, et al. IQ, handedness, and pedophilia in adult male patients stratified by referral source. Sex Abuse. 2007; 19:285–309.
crossref
19. Cohen LJ, Nikiforov K, Gans S, et al. Heterosexual male perpetrators of childhood sexual abuse: a preliminary neuropsychiatric model. Psychiatr Q. 2002; 73:313–36.
20. Glasser M, Kolvij kn I, Campbell D, et al. Cycle of child sexual abuse: links between being a victim and becoming a perpetrator. Br J Psychiatry. 2001; 179:482–94.
21. Bass BA, Levant MD. Family perception of rapists and pedophiles. Psychol Rep. 1992; 71:211–4.
crossref
22. McKibben A, Proulx J, Lusignan R. Relationships between conflict, affect and deviant sexual behaviors in rapists and pedophiles. Behav Res Ther. 1994; 32:571–5.
crossref

Table 1.
Sociodemographic and Criminal Characteristics of Participants
Factors Variables N (%) Range
Sociodemographic Age (years, mean ± SD) 41.58 ± 13.08 25-81
Education (years, mean ± SD) 09.81 ± 3.95 00-16
IQ (mean ± SD) 98.88 ± 16.51 73-131
Martial status    
 Married 10 (38.4)  
 Unmarried 13 (50.0)  
 Divorced 03 (11.6)  
Employment status    
 Employed 22 (84.6)  
 Unemployed 04 (15.4)  
Criminal Age at 1st crime (years, mean ± SD) 31.62 ± 14.15 13-75
Duration of illness (years, mean ± SD) 08.23 ± 8.49 00-35
Total imprisoned number (mean ± SD) 01.85 ± 1.31 01-5
Severity of crime    
 Sexual molestation (not rape) 13 (50.0)  
 Rape 13 (50.0)  

SD: standard deviation;

IQ: Intelligent quotient

Table 2.
The FBI Typologies of Child Molesters
Preferential Offenders (n=15, %) Situational Offenders (n=11, %)
Seductive Fixated Sadistic Regressed Morally indiscriminate Sexually indiscriminate Inadequate
8 (30.8) 3 (11.5) 4 (15.4) 8 (30.8) 3 (11.5) 0 (0.0) 0 (0.0)
Table 3-1.
Difference by the FBI Typologies of Child Molesters
  Preferential (n=15, %) Situational (n=11, %) t-score p-value
Mean (SD) Mean (SD)
Age (years) 34.60 (9.44) 51.09 (11.42) -4.028 .000
Age at 1st crime (years) 24.80 (9.08) 40.91 (14.84) -3.430 .002
Duration of illness (years) 8.00 (5.85) 8.55 (11.50) -0.159 .875
Total imprisoned number 1.93 (1.28) 1.73 (1.42) 0.387 .702
IQ 94.73 (17.62) 104.55 (13.61) -1.537 .137
Education (years) 11.07 (3.78) 8.09 (3.64) 2.010 .056
Sexually abused history during childhood 6 (23.0) 0 (0.0)    
Seperated history from parents before age 1 16 3 (11.5) 4 (15.3)    
Watching the child pornography over once a week 10 (38.4) 1 (3.8)    

IQ: Intelligent quotient

Table 3-2.
Difference between First-time Offenders and Recidivists
  First-time offenders (n=16, %) Recidivists (n=10, %) t-score p-value
Mean (SD) Mean (SD)
Age (years) 39.94 (10.76) 44.20 (16.43) -0.803 .430
Age at 1st crime (years) 33.06 (11.98) 29.30 (17.53) 0.652 .521
Duration of illness (years) 5.25 (6.38) 13.00 (9.56) -2.486 .020
Total imprisoned number 1.00 (0.00) 3.20 (1.22) 0.000 .000
IQ 104.88 (16.72) 89.30 (11.17) 2.595 .016
Education (years) 11.25 (2.97) 7.50 (4.35) 2.616 .015
Sexually abused history during childhood 3 (11.5) 3 (11.5)    
Seperated history from parents before age 16 6 (23.0) 1 (3.8)    
Watching the child pornography over once a week 6 (23.0) 5 (19.2)    

IQ: Intelligent quotient

Table 4.
The Factors Related with Recidivism (Multiple Logistic Regression Analysis)
  Odds ratio 95% confidence interval p-value
lower limit upper limit
Duration of illness (years) 1.184 0.971 1.443 0.096
IQ 0.914 0.821 1.017 0.098
Education(years) 0.801 0.587 1.095 0.164

Dependent variable: First-time Offenders versus Recidivists;

IQ: Intelligent quotient

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