Psychological and Legal Aspects of Treating Sexual Offenders with Pedophilic Disorder: A Clinical Case Report
DOI:
https://doi.org/10.12775/JEHS.2026.87.66789Keywords
pedophile, homosexuality, sexual preference disorderAbstract
Sexual offenses are among the most strongly condemned prohibited acts, and those whose victims are minors evoke particularly strong social outrage. Such crimes violate fundamental human rights, such as freedom and dignity, and cause serious physical and emotional consequences for the victims. Pedophilia is a psychosexual disorder classified as a paraphilia, characterized by persistent and intense sexual preferences toward children who have not yet reached puberty. From the perspective of psychology and law, pedophilia poses a serious threat to the safety and well-being of children; therefore, taking effective therapeutic and rehabilitative actions toward individuals with such tendencies is crucial.
This article presents the case of a homosexual pedophile who underwent a comprehensive therapeutic and rehabilitative process in a closed institution. The process included cognitive-behavioral therapy, interventions aimed at changing cognitive schemas, and impulse control techniques. After completing therapy at the residential center, the patient continues outpatient treatment, which is an essential element of prevention and monitoring of risky behaviors. The case study allows for an analysis of the effectiveness of the applied therapeutic methods, their impact on controlling deviant behaviors, and potential challenges related to social reintegration of individuals after therapy. The article also discusses legal and ethical aspects of therapy and the dilemmas associated with the rehabilitation of perpetrators of sexual offenses against minors.
References
Aggrawal, A. (2008). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. https://doi.org/10.1201/9781420043099
Ames, M. A., & Houston, D. A. (1990). Legal, social, and biological definitions of pedophilia. Archives of Sexual Behavior, 19(4), 333–342. https://doi.org/10.1007/BF01541928
Beech, A. R., Miner, M. H., & Thornton, D. (2016). Paraphilias in the DSM-5. Annual Review of Clinical Psychology, 12, 383–406. https://doi.org/10.1146/annurev-clinpsy-021815-093330
Beisert, M., & Izdebska, A. (2012). Wykorzystywanie seksualne dzieci. Dziecko Krzywdzone. Teoria, badania, praktyka, 11(2), 48–66.
Briere, J. N., & Elliott, D. M. (1994). Immediate and long-term impacts of child sexual abuse. The Future of Children, 4(2), 54–69.
Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., Elamin, M. B., Seime, R. J., Shinozaki, G., Prokop, L. J., & Zirakzadeh, A. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629. https://doi.org/10.4065/mcp.2009.0583
Child Sexual Abuse: Finkelhor’s Precondition Model Revisited | Office of Justice Programs. (b.d.). Pobrano 21 listopada 2025, z https://www.ojp.gov/ncjrs/virtual-library/abstracts/child-sexual-abuse-finkelhors-prec ondition-model-revisited
Dayal, R., Kalokhe, A. S., Choudhry, V., Pillai, D., Beier, K., & Patel, V. (2018). Ethical and definitional considerations in research on child sexual violence in India. BMC Public Health, 18(1), 1144. https://doi.org/10.1186/s12889-018-6036-y
Diagnostic and statistical manual of mental disorders: DSM-5TM, 5th ed (s. xliv, 947). (2013). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596
Encyklopedia Erotyki. (b.d.). Pobrano 17 listopada 2025, z https://www.empik.com/encyklopedia-erotyki-lew-starowicz-zbigniew,49120,ksiazka- p
Finkelhor, D. (1984). Child sexual abuse: New theory and research. Sociology. https://scholars.unh.edu/soc_facpub/339
Finkelhor, D., & Araji, S. (1986). Explanations of pedophilia: A four factor model. The Journal of Sex Research, 22(2), 145–161. https://doi.org/10.1080/00224498609551297
Groth, A. N., & Birnbaum, H. J. (1978). Adult sexual orientation and attraction to underage persons. Archives of Sexual Behavior, 7(3), 175–181. https://doi.org/10.1007/BF01542377
Groth, A. N., & Birnbaum, H. J. (with Internet Archive). (1979). Men who rape: The psychology of the offender. New York : Plenum Press. http://archive.org/details/menwhorape00anic_85x
Hailes, H. P., Yu, R., Danese, A., & Fazel, S. (2019). Long-term outcomes of childhood sexual abuse: An umbrella review. The Lancet. Psychiatry, 6(10), 830–839. https://doi.org/10.1016/S2215-0366(19)30286-X
Hall, R. C. W., & Hall, R. C. W. (2007). A profile of pedophilia: Definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues. Mayo Clinic Proceedings, 82(4), 457–471. https://doi.org/10.4065/82.4.457
Harrison, J. L., O’Toole, S. K., Ammen, S., Ahlmeyer, S., Harrell, S. N., & Hernandez, J. L. (2020). Sexual Offender Treatment Effectiveness Within Cognitive-Behavioral
Programs: A Meta-Analytic Investigation of General, Sexual, and Violent Recidivism.
Psychiatry, Psychology, and Law: An Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law, 27(1), 1–25. https://doi.org/10.1080/13218719.2018.1485526
Indicator Metadata Registry Details. (b.d.). Pobrano 21 listopada 2025, z https://www.who.int/data/gho/indicator-metadata-registry/imr-details/4468?utm_sourc e=chatgpt.com
Internetowa baza tekstów prawnych OpenLEX. (b.d.). OpenLEX. Pobrano 21 listopada 2025, z https://sip.lex.pl/komentarze-i-publikacje/czasopisma/undefined
Izdebska, A. (b.d.). Konsekwencje przemocy seksualnej wobec dzieci.
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on
children: A review and synthesis of recent empirical studies. Psychological Bulletin,
113(1), 164–180. https://doi.org/10.1037/0033-2909.113.1.164
Khan, O., Ferriter, M., Huband, N., Powney, M. J., Dennis, J. A., & Duggan, C. (2015).
Pharmacological interventions for those who have sexually offended or are at risk of offending. Cochrane Database of Systematic Reviews, 2. https://doi.org/10.1002/14651858.CD007989.pub2
Konrad, N., Welke, J., & Opitz-Welke, A. (2015). Paraphilias. Current Opinion in Psychiatry, 28(6), 440–444. https://doi.org/10.1097/YCO.0000000000000202
Kotlarska-Michalska, A. (2011). Dysfunkcje rodziny. Wydawnictwo Naukowe UAM. Krueger, R. B., Reed, G. M., First, M. B., Marais, A., Kismodi, E., & Briken, P. (2017). Proposals for Paraphilic Disorders in the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11). Archives of Sexual Behavior,
46(5), 1529–1545. https://doi.org/10.1007/s10508-017-0944-2
Łucka, I. (b.d.). Pedofilia – przegląd literatury, ilustracja kazuistyczna, dylematy.
Mathews, B., & Collin-Vézina, D. (2019). Child Sexual Abuse: Toward a Conceptual Model and Definition. Trauma, Violence & Abuse, 20(2), 131–148. https://doi.org/10.1177/1524838017738726
(PDF) The Effectiveness of Treatment for Sexual Offenders: A Comprehensive Meta-Analysis. (2025). ResearchGate. https://doi.org/10.1007/s11292-004-6466-7
Richer, M., & Crismon, M. L. (1993). Pharmacotherapy of sexual offenders. The Annals of Pharmacotherapy, 27(3), 316–320. https://doi.org/10.1177/106002809302700314
Saleh, F. M. (2004). Predators: Pedophiles, Rapists, and Other Sex Offenders: Who They Are, How They Operate, and How We Can Protect Ourselves and Our Children. Psychiatric Services. https://doi.org/10.1176/appi.ps.55.6.727
Stanowisko Polskiego Towarzystwa Seksuologicznego w sprawie leczenia przestępców seksualnych. (b.d.). Pobrano 17 listopada 2025, z https://pts-seksuologia.pl/sites/strona/65/stanowisko-pts-w-sprawie-leczenia-przestepc ow-seksualnych
Tenbergen, G., Wittfoth, M., Frieling, H., Ponseti, J., Walter, M., Walter, H., Beier, K. M., Schiffer, B., & Kruger, T. H. C. (2015). The Neurobiology and Psychology of Pedophilia: Recent Advances and Challenges. Frontiers in Human Neuroscience, 9, 344. https://doi.org/10.3389/fnhum.2015.00344
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Paulina Bałdyga, Oliwia Froń, Aleksandra Jurczuk, Konrad Bagiński, Aleksandra Wilczyńska, Piotr Depta, Justyna Sołowiej

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 0
Number of citations: 0