"
Dr. Mogul Was Wrong!
Massachusetts News
November 1--Dr. Mogul
informed us at the rally what the American Psychiatric Association says
about pedophilia, but she was wrong.
It was impossible to know what the panelists meant
when they kept saying, "We all hate pedophilia." It’s very reassuring to
hear that; but in order to have an intelligent discussion, they would have
to define the term.
Dr. Mogul’s primary reason to be at the rally was
to protect the American Psychiatric Association of which she is a Trustee.
Under their definition of pedophilia, only children
who are 13 years and younger are protected. Any teenager who is 14 years
or older is not protected.
Therefore, if a 50-year-old man has sexual relations
with a 14-year-old boy, that is not pedophilia under the rules of the psychiatrists
as to what is a mental disorder. However, the psychiatrists do not write
the law. They only decide if a person is mentally ill.
Dr. Mogul took great pride in the fact that the law
is very strict about pedophilia, but the psychiatrists cannot take credit
for that because they have nothing to do with it. It is the role of the
legislature to define sexual molestation. (In Massachusetts, any sexual
relations with a child under 16 years is statutory rape, regardless of
whether or not it is consensual.)
Psychiatrists are also Normalizing Pedophilia
The doctor was upset because in addition to reporting
the news about the psychologists, we reported that the American Psychiatric
Association may also be normalizing pedophilia.
No one disputes that they have said for years that
sexual relations with a 14-year-old is not pedophilia. Therefore, it would
be difficult for them to mount any strenuous objection to lowering the
age of consent to that age or lower.
How about below that age? We reported in our mailing
that the psychiatrists have also changed the rules about pedophilia for
children who are 13 years or younger. That is what upset Dr. Mogul. She
had to defend her organization. We had written in the mailing:
"Their association, the American Psychiatric Association,
very quietly changed its diagnostic manual a few years back so that a person
no longer has a ‘disorder’ simply because he molests children (who are
13 years or younger).
"To be diagnosed as ‘disordered,’ the psychiatrists
will look to the psyche of the adult. If the adult does not
feel anxious about the relationship with the child or if he is not impaired
in his work or social relationships, then he has no ‘disorder.’" We then
continued:
"The psychiatrists have attempted to backtrack and
to confuse journalists. They have prepared a ‘Fact Sheet’ for journalists
which presents an entirely different picture from the official manual.
They tell journalists that any adult who has sex with children is ‘by definition’
considered to be a pedophile. But that is not what the official manual
says. In order for any journalist to understand the truth behind this ‘Fact
Sheet,’ he will have to be very sophisticated. It is a very professional
attempt at obfuscation."
We are still unable to determine what they mean when
they say that such a person is a pedophile "by definition." If Dr.
Mogul will advise where that "definition" can be found, we would like to
refer to it. The truth is that there is no such "definition" anywhere except
in their imagination. They’re trying to "cover" themselves. The purpose
of the manual of disorders is to provide the official ‘definition.’
It is apparent that Dr. Mogul was not happy with
us, and she sent a letter to the editor of the Newton Tab in which she
said our mailing was "outrageous" and "scurrilous." She said, "Most adults
who have sexual encounters with children meet all three criteria for the
diagnosis of pedophilia." That is clearly not true because most of them
do not feel remorse nor they are hampered in their functions.
This is all spelled out very clearly in their Diagnostic
and Statistical Manual of Mental Disorders, Fourth Edition on page
527.
At the rally, Dr. Mogul attempted to explain the
change in their manual by saying that all of the sexual disorders in the
entire manual had been changed to require that the person have remorse
or be dysfunctional. But what does that prove? Nobody made them change
all or any of them. It was entirely their decision to do so.
Dr. Mogul Was Wrong On Almost Everything
Dr. Mogul was the only one on the panel who talked
at all about pedophilia, and she was incorrect on almost everything she
said.
The highlight of the evening was her assurance that
homosexuals are not involved in pedophilia. She stated:
"There is no evidence as far as I know that pedophilia
is at all more common among men who have homosexual sexual preference than
it is among heterosexual men.
And she reiterated later:
"There have been some studies of that, and none of
them have shown a greater prevalence among homosexuals than among heterosexuals,
so misinformation is a good way to stir up fear… they’re certainly at no
greater risk from gays as from heterosexuals."
She was totally stunned when a citizen asked her
to explain that if homosexuals are only 3% of the population and commit
30% of the molestation, doesn’t that mean that a homosexual is ten times
more likely to be a pedophile?
She was stunned into total silence for about eight
seconds until Rev. Malmberg finally broke in and started talking about
something else.
She never did answer the question.
Nothing Wrong with Mailing
When answering a resident’s question, "Is the truth
hate mail?" she replied that she couldn’t point to anything in the mailing
that was incorrect, but if you looked at it as a whole it was wrong.
"My main objection to it was that it strung together
some things that each in itself may not be wrong, but if you string it
together the way it’s strung together in this, it’s totally wrong."
She also said that the majority of pedophilia is
father-daughter incest, which was inaccurate. The experts say that 80%
of pedophilia is adult males on boys inasmuch as pedophiles who are homosexuals
interact with many more children than do heterosexual pedophiles."
The American Psychological Association has sent a strong
message that it will soon approve the practice of adults having
sex with children, now known as "pedophilia" or "child
molestation."
It has published a study indicating that pedophilia can have a
positive influence on a child. This conclusion was based upon
a compilation of fifty-nine studies about how college students
have coped with childhood sexual "abuse."
We must eliminate the use of "judgmental terms" such as
"child abuse," "molestation," and "victims," according to the
study. We should use neutral, value-free terms like
"adult-child sex." We should not talk about "the severity of
the abuse," but instead refer to "the level of sexual intimacy."
APA Attempts to Distance Itself
The APA is attempting to distance itself from the article by
saying that the publication of such a study does not imply an
endorsement.
"We are a scientific organization, and we publish a lot of
scientific literature and we try to create a lot of dialogue,"
stated APA spokeswoman Rhea Farberman.
She said that any attempt to build a bridge "between this
study and so-called attempt to normalize pedophilia is
ridiculous. The APA is on the record time and time again to
protect children and to protect the integrity of families. It is
clear to us that child sexual abuse is harmful."
However, the article, which was printed in the
Psychological
Bulletin [1], was clear.
It stated that the "negative potential" of sexual abuse has
"been overstated." Forty-two percent of the male college
students viewed their sexual involvement as positive when
looking back on it. Between 24-37% of the men saw it as a
positive influence on their current sex lives.
The authors of the study believe that pedophilia is not a
moral problem: "Classifying a behavior as abuse simply
because it is generally viewed as immoral or defined as illegal
is problematic."
Psychiatrists Agree
Meanwhile, the psychiatrists of the country have already sent
a signal that they too will support the "normalization" of sex
with children.
Their association, the American Psychiatric Association, very
quietly changed its diagnostic manual a few years back so that
a person no longer has a "disorder" simply because he
"molests" children. To be diagnosed as "disordered," the
psychiatrists will look to the psyche of the adult. If the adult
does not feel anxious about the relationship with the child or if
he is not impaired in his work or social relationships, then he
has no "disorder."
Because of an outcry by the professional organization,
National Association on Research and Therapy of
Homosexuality (known as NARTH) and others, the
psychiatrists have attempted to backtrack and to confuse
journalists. They have prepared a "Fact Sheet" for journalists
which presents an entirely different picture from the official
manual. They tell journalists that any adult who has sex with
children is "by definition" considered to be a pedophile. But
that is not what the official manual says. In order for any
journalist to understand the truth behind this "Fact Sheet," he
will have to be very sophisticated. It is a very professional
attempt at obfuscation.
Boston Phoenix Leads the Charge
The Boston Phoenix is a leading advocate of pedophilia in
Massachusetts. A popular columnist for the Phoenix, Michael
Bronski, wrote in March 1999 that the concern about
protecting our children is only "gay-bashing." He said that the
concern about pedophilia is "simply the latest in a series of
ongoing attacks on gay people and gay rights that use the
protection of children as a cover for homophobia."
But Bronski let the-cat-out-of-the-bag in the last paragraph of
his article when he repeated the canard that children are
"empowered" and have "autonomy" when they have the
ability to have sex with adults. He wrote, "Gay-bashing under
the guise of child protection will never go away until we as a
culture can discuss the lives and needs of children openly and
honestly — and include recognition of their sexuality,
freedom, and autonomy." [emphasis added] In his world, a
child who is twelve years, or even younger, will be allowed to
decide when or where he will have sex. This is exactly what
the pedophiles wish because it will totally empower them.
1. "A Meta-Analytic Examination of Assumed Properties of Child Sexual
Abuse Using College Samples," PsychologicalBulletin, 1998 (July), vol.
124(1), 22-53.
Before getting to that, I want my readers to know that I meticulously research subjects I write about. Prior to writing the "pedophilia" column, I talked at length with a number of practicing psychiatrists; I reviewed the literature in depth; I delved into the Internet databanks of the Family Research Council (www.frc.org), the American Psychiatric Association (www.psych.org) and the National Association for Research and Therapy of Homosexuality (www.narth.com), among others. I am also very close to another great resource, my husband-hero, who is a Phi Beta Kappa and just happens to be a clinical psychologist.
The good news is that the American Psychological Association -- which was the real focus of my column -- has backtracked from a very controversial study they published suggesting that sexual relations between an adult and a "willing" child might be beneficial to the child. In its June 13 Sunday edition, the New York Times headlined a report detailing the "political storm" caused by the study.
After the publication of my column, American Psychological Association Chief Executive Officer Raymond D. Fowler sent a letter to Majority Whip Tom Delay, R-Texas, promising to be more careful in evaluating future publications and offering to create legal briefs to attack any use of this particular study to defend or justify pedophiles in courts of law.
My opinion perfectly reflects that of radio talk-show host Dr. Laura Schlessinger, who said, "Without everyone's focused attention on this issue, children victimized by child molesters would have been even more vulnerable."
Now for the bad news. I have received a threatening letter from the Washington D.C law firm Crowell & Moring LLP, which represents the American Psychiatric Association (not to be confused with the American Psychological Association). The main points I made in my column are refuted with this claim: "DSM-IV, the current version of the APA's Diagnostic and Statistical Manual, makes no change in the status of pedophilia as a psychiatric disorder, nor does it require shame or remorse for diagnosis."
Here is the change from DSM-III to DSM-IV. Judge for yourself:
"DSM-III: Diagnostic Criteria of 302.2 Pedophilia:
A. Over a period of at least six months, recurrent, intense sexual urges and sexually arousing fantasies involving sexual activity with a prepubescent child or children (generally age 13 or younger).
B. The person has acted on these urges, or is markedly distressed by them.
C. The person is at least 16 years old and at least five years older than the child or children in A."
A. Over a period of at least six months, recurrent, intensive sexually arousing fantasies, sexual urges or behaviors involving sexual activity with a prepubescent child or children (generally age 13 or younger).
B. The fantasies, sexual urges or behaviors cause clinically significant distress or impairment in social, occupational or other important areas of functioning.
C. The person is at least age 16 years and at least five years older than the child or children."
Dr. Charles W. Socarides said, when I talked to him, that the diagnostic changes set forth in DSM-IV are "significant and absurd! These changes are flawed and should be corrected immediately!" he continued. "They are causing turmoil and confusion for clinicians, the public and the pedophiles themselves."
Dr. Socarides' credentials entitle him to an opinion. He is currently the president of NARTH and a life fellow of the American Psychiatric Association. He was a clinical professor of psychiatry at the Albert Einstein College of Medicine from 1979 until 1996.
Let's listen to Dr Joseph Nicolosi, director of The Thomas Aquinas Psychological Clinic, a scholar on the subject of sexual pathologies. In an article entitled "Pedophilia Not Always a Disorder?" he wrote, "With the release of ... DSM-IV, we see some alarming changes in the definition of pedophilia. According to the new DSM-IV, a person is no longer a pedophile simply because he molests children or fantasizes about molesting children. ... If he feels no guilt or anxiety and is otherwise functioning reasonably well, a child molester would be violating the law, but he would not be psychologically disordered."
Dr. Nicolosi went on to say that "these DSM changes are particularly dangerous because they are a re-enactment of the pattern which led to the de-pathologizing of homosexuality."
I would like to finish on a positive note. The lawyers demand that I acknowledge the "APA's clear opposition to pedophilia ..." I happily do so. In a recent press release, the American Psychiatric Association reaffirmed its position that "an adult who engages in sexual activity with a child is performing a criminal and immoral act which never can be considered normal or socially acceptable behavior."
I don't have a clue as how to reconcile their stated attitude toward pedophilia with their criteria for diagnosing it -- but I am nevertheless thrilled and delighted. I never ever dreamed that an association of over 40,000 psychiatrists would sit in stern moral judgment of sexual deviates, even saying their behavior is not normal. Hallelujah! I stand corrected.
I recommend to Rep. Tom DeLay that he arrange full and open hearings to clear up inconsistencies and confusion before giving any public money or other considerations to the American Psychological Association or the American Psychiatric Association. I have a long list of the most qualified experts in the country who are anxious to be heard.
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The paraphiliac focus of Pedophilia involves sexual activity with a
prepubescent child (generally age 13 years or younger). The individual
with pedophilia must be age 16 years of older and at least 5 years older
than the child. For individuals of late adolescence with pedophilia,
no precise age difference is specified, and clinical judgment must be used;
both sexual maturity of the child and the age difference must be taken
into account. Individuals with Pedophilia generally report an attraction
to children of a particular age range. Some individuals prefer males, other
females, and some are aroused by both males and females. Those attracted
to females generally prefer 8-to 10-year-olds whereas those attracted to
males usually prefer slightly older children. Pedophilia involving female
victims is reported more often than pedophilia involving male victims.
Some individuals with Pedophilia are sexually attracted only to children
(Exclusive Type), whereas others are sometimes attracted to adults (Nonexclusive
Type). Individuals with Pedophilia who act on their urges with children
may limit their activity to undressing the child and looking, exposing
themselves, masturbating in the presence of the child, or gentle touching
and fondling of the child. Others, however, perform fellatio of cunnilingus
on the child or penetrate the child's vagina, mouth, or anus with their
fingers, foreign objects, or penis, and use varying degrees of force to
do so. These activities are commonly explained with excuses or rationalizations
that they have "educational value" for the child, that the child derives
"sexual pleasure" from them or that the child was "sexually provocative"-themes
that are also common in pedophiliac pornography.
Individuals may limit their activities to their own children, step children,
or relatives or may victimize children outside of their families.
Some individuals with Pedophilia threaten the child to prevent disclosure.
Others, particularly those who frequently victimize children develop complicated
techniques for obtaining access to children, which may include winning
the trust of the child's mother, marrying a women with an attractive child,
trading children with other individuals with Pedophilia, or, in rare instances
taking foster children from nonindustrialized countries or abducting children
from strangers. Except in cases in which the disorder is associated with
Sexual Sadism, the person may be attentive to the child's needs in order
to gain the child's affection, interest and loyalty and to prevent the
child from reporting the sexual activity. The disorder usually begins
in adolescence, although some individuals with Pedophilia report that they
did not become aroused by children until middle age. The frequency
of pedophiliac behavior often fluctuates with psychological stress.
The course is usually chronic especially in those attracted to males.
The recidivism rate for individuals with Pedophilia involving a preference
for males is roughly twice that for those who prefer females.
Specify if:A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years of younger).
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
C. The person is at least age 16 years and at least 5 years older than the child or children in Criterion A.Note: Do not include an individual in late adolescence involved in an on going sexual relationship with a 12- or 13-year-old.
Over a period of at least 6 months, recurrent, intense sexually arousing
fantasies, sexual urges, or behavior involving sexual activity with prepubescent
child or children (generally age 13 or younger).
Has the person had repeated fantasies or urges about engaging in sexual
activity with a child generally 13 years or younger, or has he actually
had sexual encounters with a child? If a psychiatrist sees an individual
who has engaged in sexual contact with a child, the diagnosis of
Pedophilia should be strongly considered. (An individual who committed
a single act of molestation while under the influence of drugs, for example,
but who had not intentionally targeted a child and was unaware or the victim's
age, would not receive the diagnosis. However, this of course in
no way diminishes the seriousness of the act of molestation.) A person
need not have actual sexual contact with a child to be diagnosed with Pedophilia.
A person who is preoccupied with sexual urges and fantasies that disturb
his functioning (that is, negatively affect his relations with others or
impair his ability to work effectively) could be diagnosed as having Pedophilia,
even without ever engaging in sex with a child.
The fantasies, sexual urges, or behaviors cause clinically significant
distress or impairment in social, occupational, or other important areas
of functioning.
Is the problem clinically significant? That is, has it caused
"significant distress or impairment in social occupational, or other important
areas of functioning? (Note: The same criterion is applied throughout the
DSM-IV to other mental illnesses.) Under this criterion, a sexual
encounter with a child constitutes "clinical significance."
To make a DSM-IV diagnosis, the psychiatrist assesses the individual
for either significant distress or clinically significant impairment.
Most individuals with psychiatric symptoms experience a subjective sense
of distress which many include feelings such as pain, anguish, dysphoria
(unpleasant mood), shame, embarrassment or guilt. However, there
are numerous situations in which the individual has symptoms or exhibits
behaviors that do not cause any subjective sense of distress, but nonetheless
would be judged "clinically significant" and warrant a diagnosis of mental
disorder if they come to the attention of a psychiatrist. In such
situations, this judgment is based on whether the presentation causes significant
impairment in one or more areas of functioning, including social, relational,
occupational, and academic functioning. For example, it is well-recognized
that many individuals who are experiencing serious problems related to
substance abuse (e.g., violent behavior, poor work, or poor school performance
due to alcohol or other drug use) deny that their substance abuse is causing
them any distress. Such individuals would be given a diagnosis of
Substance Dependence or Substance Abuse, in spite of their denial, if the
psychiatrist determines that these substance-induced problems are causing
significant impairment. Similarly, many individuals who act on their
pedophiliac urges claim that their behavior is non-problematic and may
even claim it is "beneficial" to the child. Nonetheless, DMV-IV would
consider such individuals to have Pedophilia because, by definition, acting
on pedophiliac urges is consider to be an impairment in functioning.
The person is at least 16 years and at least 5 years older than the
child on children in Criterion A. Note: Do not include an individual
in late adolescence involved in an ongoing sexual relationship with a 12-
or 13-year-old.
Is the person at least 16 years old and at least five years older than
the child who is the object of his fantasies or activities? Psychiatrists
must use judgment when evaluating a person in late adolescence who is engaged
in a single ongoing sexual relationship with a 12- or 13-year-old.
Although such a person might not be considered as having Pedophilia, such
relationships often lead to other psychological, medical (e.g., sexuality
transmitted disease, pregnancy), social, and family problems and should
be strongly discouraged.
This is the old DSM. Under
its Part B, any person who had sex with a child had a disorder. Under
the new DSM the adult does not have a disorder unless the sex with the
child causes the adult some stress or if it impairs his functioning.
Publisher’s Note: This is the Fact Sheet that is given
to the press by the American Psychiatric Association.
It is much different than what is in the psychiatrists’ offices.
When a journalist receives page three of this Fact Sheet, entitled “DSM-IV
Criteria for Pedophilia,” he will believe that this entire page is a part
of DSM-IV, even though that is not true.
Page three states that a pedophile who acts on his urges is a pedophile
"by definition,” but the source of this “definition” is not indicated.
Most adults who sexually molest children are considered to have pedophilia,
a mental disorder described in the APA’s Diagnostic and Statistical manual
of Mental Disorders, Fourth Edition (DSM-IV). An adult who engages in sexual
activity with a child is performing a criminal and immoral act which never
can be considered normal or socially acceptable behavior.
Pedophilia is categorized in the DSM-IV as one of several paraphiliac
mental disorders. The essential features of a paraphilia (“sexual
deviation”) are recurrent, intense sexually arousing fantasies, sexual
urges, or behaviors that generally involve nonhuman subjects, the suffering
or humiliation of oneself or one’s partner, or children or other nonconsenting
persons.
The Characteristics of Pedophilia
According to the DSM-IV definition, pedophilia involves sexual activity
by an adult with a prepubescent child. Some individuals prefer females,
usually 8- to 10-year-olds. Those attracted to males usually prefer
slightly older children. Some prefer both sexes. While some
are sexually attracted only to children, others also are sometimes attracted
to adults.
Pedophiliac activity may involve: undressing and looking at the
child or more direct physical sex acts. All these activities are
psychologically harmful to the child, and some may be physically harmful.
In addition, individuals with pedophilia often go to great lengths to obtain
photos, films, or pornographic publications that focus on sex with children.
These individuals commonly explain their activities with excuses or
rationalizations that the activities have “educational value” for the child,
that the child feels “sexual pleasure” from the activities, or that the
child was “sexually provocative.” However, child psychiatrists and
other child development experts maintain that children are incapable of
offering informed consent to sex with an adult. Furthermore, since
pedophiliac acts harm the child, psychiatrists condemn publications or
organizations which seek to promote or normalize sex between adults and
children.
Individuals with pedophilia may limit their activities to their own
children, stepchildren, or relatives, or they may victimize children outside
their families. Some threaten the child to prevent the child from
telling others. Some develop complicated techniques for gaining access
to children. They may select a job, hobby, or volunteer work that
brings them into contact with children. Others may win the trust
of a child’s mother, marry a woman with an attractive child, or trade children
with other individuals. Except when pedophilia is also associated
with sexual sadism, the individual may be kind and attentive to the child’s
needs in order to gain his or her affection, interest, and loyalty, and
also to prevent the child from reporting the sexual activity. Pedophilia
usually begins in adolescence, although some individuals report that they
did not become aroused by children until middle age. Often the pedophiliac
behavior increases or decreases according to the psychological and social
stress level of the individual.
There is little information on the number of individuals in the general
population with pedophilia because individuals with the disorder rarely
seek help from a psychiatrist or other mental health professional.
However, the large commercial market in pedophiliac pornography suggests
that the number of individuals at large in the community with the disorder
is likely to be higher than the limited medical data indicate. Individuals
generally come to the attention of mental health professionals when their
child victims tell others and when they are arrested. Pedophilia
is almost always seen in males and is seldom diagnosed in females.
How Psychiatrists Diagnose Pedophilia
When evaluating who may have pedophilia, psychiatrists apply three
criteria spelled out in DSM-IV. All three must be present for the
diagnosis to be made. Whether or not all three criteria are present,
and individual who has had a sexual encounter with a child has committed
a crime. Psychiatrists nationwide support the federal and state statutes
that define the criminality of any sexual act or molestation involving
a child.
Treatment for Pedophilia
Pedophilia is generally treated with cognitive-behavioral therapy.
The therapy may be prescribed alone or in combination with medication.
Some examples of medications which have been used include anti-adrogens
and selective serotonin reuptake inhibitors (SSRIs). But unlike the
successful treatment outcomes for most other mental illnesses, the outlook
for successful treatment and rehabilitation of individuals with pedophilia
is guarded. Even after intensive treatment, the course of the disorder
usually is chronic and lifelong in most patients, according to DSM-IV,
which is the reason that most treatment programs emphasize a relapse-prevention
model. However, both the fantasies and the behaviors often lessen
with advancing age in adults.
Diagnostic and Statistical Manual of Mental Disorders
The purpose of the DSM-IV (and of the manuals which preceded it) is
to provide clear, objective descriptions of mental illnesses, based on
scientific data. Psychiatrists and research scientists use these
descriptions to diagnose and individual’s mental illness, to communicate
with each other in a common language about mental illnesses, to develop
new treatments tailored to specific illnesses, and to plant he most effective
treatments for their patients. The DSM-IV is not a diagnostic “cookbook,”
but is intended to guide the psychiatrist’s own informed clinical judgment.
DSM-IV and its predecessors are not legal documents. The cautionary
statement in the introduction to DSM-IV reads, in part: “The purpose
of DSM-IV is to provide clear descriptions of diagnostic categories in
order to enable clinicians and investigators to diagnose, communicate about,
study, and treat people with various mental disorders. It is to be
understood that inclusion here, for clinical and research purposes, of
a diagnostic category such at Pathological Gambling or Pedophilia does
not imply that the condition meets legal or other nonmedical criteria for
what constitutes mental disease, mental disorder, or mental disability.
The clinical and scientific considerations involved in categorization of
these conditions as mental disorders may not be wholly relevant to legal
judgments, for example, that take into account such issues as individual
responsibility, disability discrimination, and competency.