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Sent: 03 November 2012 09:55 Hi Charles, here's a reply I backchanneled to Dominic. You might be interested in reading it as well. << I'm interested in the welfare of people with paedophilia - including their ability to self manage their condition and avoid illegal or unethical modes of sexual expression. Your counterproposal, Sexual Shame Disorder, is restricted to normative sexual behaviours and interests that are noncoercive and cause no lasting physical harm, etc. Harmfulness is the key attribute that marginalizes paedophilic activity (in gradual deference to the dominance of consequentialist over moralistic constraints on sexual identity and behaviour) but in the case of paedophilia, the moralistic schema persists. Masturbating to paedophilic fantasies and using paedophilic fantasy material is pathologized and often criminalized, even where no harm occurs and no other person is involved. Concommitant to this is the shame and guilt which the paedophilic person is -expected- to experience and internalize when they have the feelings they have. It has become increasingly clear to me that this shame and guilt is very debilitating for many paedophilic individuals, and that it contributes to high rates of depression, substance abuse and suicidality in this group. In other words, it is a -direct- barrier to better self management and lower compulsivity and impulsivity. Therefore I suggest you revise your diagnostic criteria to problematize all shame and guilt when it acquires degrees of intensity or persistence. Chronic shame and guilt is not helpful at any time, not even in the rehabilitation of, say, a rapist or serial sexual abuser. That fact should be broadly recognized and asserted by clinicians. Although I'm not religious, I'm interested in and have studied Buddhist mindfulness practice. A monk who taught me meditation told me that shame is no less destructive an emotion than anger. At the time, this shocked me, because I was raised as a Catholic. For some reason, Christianity values shame, and that is why it is so difficult to problematize in our society. Regardless, it should be questioned and devalued, even when the shamed person represents a reviled and heavily stigmatized population like paedophiles or child molesters. Insight and compassion are the best tools to moderate harmful behaviour. If these are not avaliable (perhaps the subject is sociopathic) then neither is shame.>> Best wishes, Jono P. --- On Sat, 3/11/12, Hera Cook <h.cook@BHAM.AC.UK> wrote: > From: Hera Cook <h.cook@BHAM.AC.UK> > Subject: FW: Female Hypersexuality/Sex Addiction > To: H-HISTSEX@H-NET.MSU.EDU > Date: Saturday, 3, November, 2012, 9:25 PM > From: docx2 [mailto:docx2@ix.netcom.com] > > Sent: 02 November 2012 19:56 > > Hi Dominic, > I also suggested an alternative (Sexual Interest Disorder) in a book > chapter from 2001; see the section starting on page 102. The idea > which I still believe is sound, has been completely ignored by the APA > and DSM Taskforce. > Nevertheless, I hear that there is some discussion that the ICD people > are interested. Citation below and the chapter is on-line. > > Take care, > > > > Charles Moser, PhD, MD > > > > Moser, C. (2001). Paraphilia: A critique of a confused concept. In > P.J. > > Kleinplatz (Ed.) New directions in sex therapy: Innovations > and alternatives > > (pp. 91-108). Philadelphia: > Brunner-Routledge. > > [WWW document] URL > http://tempik.webzdarma.cz/literatura/parmoser/ >
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