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Pedophilic disorder is characterized by recurring, intense sexually arousing fantasies, urges, or behavior involving children usually 13 years old or younger. Pedophiles may be attracted to young boys, young girls, or both, and they may be attracted only to children or to children and adults.
Doctors diagnose pedophilia when people feel greatly distressed or become less able to function well because of their attraction to children or when they have acted on their urges. Treatment involves long-term psychotherapy and medications that alter the sex drive and reduce testosterone levels. See also Overview of Child Neglect and Abuse. Pedophilia is a form of paraphilia.
Because it causes harm to others, it is considered a disorder. Whether sexual interest or involvement between two people is considered pedophilic disorder depends on the age of the people involved. In Western societies, a diagnosis of a pedophilic disorder requires that the person be 16 years old or older and at least 5 years older than the child who is the object of the sexual fantasies or activity. However, sexual involvement of an older adolescent aged 17 to 18 with a or year-old may not be considered a disorder.
The age criteria used to identify when such activity is considered a crime may differ across cultures. Although state laws vary in the United States, the law generally considers a person older than 18 to be committing statutory rape if the victim is 16 or younger. Statutory rape cases often do not meet the definition of pedophilia, highlighting the somewhat arbitrary nature of selecting a specific age cutoff point in a medical or legal definition. In many places including in some states in the United States , children as young as 12 to 14 can legally marry, further complicating the definition of pedophilia and statutory rape.
Pedophilia is much more common among men than among women. Pedophiles may be attracted to young boys, young girls, or both. Whether girls or boys are more likely to be the victims of pedophiles is unclear, although girls seem much more likely to be the victims of sexual abuse in general. Usually, the adult is known to the child and may be a family member, stepparent, or a person with authority such as a teacher or coach. Some are attracted only to children within their own family incest. Some pedophiles are attracted only to children, often of a specific age range or developmental stage.
