The Atlantic To accompany todays’s first-person essay from David Goldberg, "I, Pedophile," I
asked James Cantor, Ph.D., an international expert on pedophilia, to
answer some common questions. Dr. Cantor is Associate Professor of
Psychiatry at the University of Toronto and the editor-in-chief of Sexual Abuse: A Journal of Research and Treatment. (We have known each other for about 7 years through our common academic interests.)
How is pedophilia usually defined?
Pedophilia is the sexual preference for or a strong sexual interest
in children. The term usually refers only to sexual preference
for/interest in prepubescent or early pubescent children.
Sometimes people like David Goldberg, the author of the
essay, are seen or referred to as "gold star pedophiles" or "good
pedophiles." Can you explain what those seemingly incongruous terms
mean?
It is extremely important not to confuse pedophilia—meaning the
sexual interest in children—with actual child molestation. Not every
person who experiences sexual attractions to children acts on those
attractions. People who are pedophilic but who work to remain celibate
their entire lives are being increasingly recognized as needing and
deserving all the support society can give them.
What do you think David means when he refers to people being "too scared of the legal and social consequences" to seek help?
Many jurisdictions have passed mandatory reporting regulations for
psychologists and other health care providers. Consequently, when
someone who thinks he might be a pedophile comes in for counseling or
therapy, the psychologist may be compelled by law to report the person
to the authorities. That, of course, can lead to loss of the person’s
job, family, and everything else. So, these people have simply stopped
coming in at all, and instead of getting help to them, we now have
pedophiles circulating in society receiving no support at all. [...]
Is it reasonable to be afraid that, if we recognize
pedophilia as a sexual orientation, we will have to consider it socially
acceptable?
It is reasonable for questions of social acceptability to be directed
at behaviors. People are responsible for their behaviors, not their
thoughts or sexual attractions. For example, we very readily acknowledge
that a typical heterosexual man will, while just walking down the
street, find some women sexually attractive. We would not, however,
conclude it is socially acceptable for him to coerce any of those women
into sex. Thinking of pedophilia as an innate characteristic that a
person did not choose and cannot change can go a very long way in
helping society come to a rational response to the problem—one that can
help prevent molestation of children.
Can someone be cured of pedophilic desires? For example,
could a pedophile through treatment go on to have either no sexual
desire or a fundamentally different kind of sexual orientation?
The best treatments we have available for pedophiles help them
develop the skills they need to live a healthy, offense-free life and,
in some cases, to block their sex drives (if they feel it would help
them). We have not yet found a way to convert pedophiles into
non-pedophiles that are any more effective than the many failed attempts
to convert gay men and lesbians into heterosexuals. [...]
My greatest hope is less about treatment, however, and more about
prevention. Despite the fact that many people imagine sex offenders to
be insatiable predators or ticking time bombs, only 10−15 percent of sex
offenders commit new offenses. I believe we can prevent a much greater
number of victims if we put greater energies into early detection and
provide support before the first offense occurs, rather than relying
only on stronger and stronger punishments after the fact.