Ksenia
Фея
Одна из немногих статей про необычное сексуальное поведение детей.
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Our understanding of unusual sexual interests in children and adolescents is in its infancy. This manuscript attempts to position the topic in its overall context. Social and legal proscriptions may have a greater impact on how clinicians regard unusual sexual behavior than does knowledge. Defining unusual sexual behaviors themselves is complex. Determining individuals in whom the behavior will endure or become worrisome is a further challenge for issues of social safety as well as for clinical intervention. The literature on unusual sexual interests tends to focus on adolescent sex offenders - a selection bias of social safety. Yet this approach has not been beneficial for an understanding of the nature of unusual sexual interests themselves or of which behaviors require clinical—as opposed to legal—interventions. We do not know why or how some children become interested in unusual sexual expression. We do not know which individuals will “outgrow” these interests or in whom they will endure. We do not know when such behaviors need to be treated or the effects or the efficacy of such treatment interventions. Rational interventions are difficult to formulate before the recognition of relevant phenomenology. Additionally, interventions for unusual sexual behaviors in children and adolescents have potentially profound and lasting social and legal effects; however, parental and social approaches to children who have unusual sexual behaviors are neither rational nor consistent. Sex education programs in the United States suffer a similar design that is not rational.
We are in need of comprehensive studies of child psychosexual development and outcome. We would also benefit by educating our parents, educators, legislators, and health-care providers about child sexuality—and what we do not know about it. Therefore, current clinical approaches to unusual sexual behavior in children and adolescents are misguided. Future research must consider our paucity of outcome data and cultural factors (eg, gender, socioeconomic factors, and sexuality- biases) in investigating unusual sexual behavior. Mental health professionals need additional information to make more effective assessments and clinical interventions.
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