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Personality and family (Room 5)<br />

Markus G. Feil<br />

Psychotherapeutic Clinic for Violent and Sexual Offenders<br />

Munich/Germany<br />

PERSONALITY ORGANIZATION AS MAJOR RESPONSIVITY FACTOR<br />

Men who sexually offend against children frequently meet the criteria of pedophiliaaccording<br />

to DSM-IV-TRresp. DSM-5. However, it remains unclear<br />

how many men with pedophilia actually commit an offence and reoffend.<br />

Also more research is needed to clarify the typological differences between<br />

hands on und hand off child offenders.<br />

This paper examines clinically relevant commonalities and differences of<br />

men with pedophilia with the help of the Structured Interview for Personality<br />

Organization(STIPO)according to the psychodynamicconceptualization<br />

of Kernberg. Variables of this study consisted of hands-on- vs. hands-off-offence,<br />

the sex of the victimsas well as violence in any offence.<br />

Results show that child sexual offenders function on different levels of personality<br />

organization.Although there was no statistical significance the personality<br />

of child sexual abusers wasmore often organized on a borderline level,<br />

while there was a greater variance in the levels of personality organization<br />

in consumers of child pornography.Violent offenders significantly more likely<br />

to function on a lower level of personality organization.<br />

Although there is little immediate prognostic relevance, the diagnostic and<br />

therapeutic value of personality organization should be considered as an important<br />

responsivity factor.Treatment of pedophilic offenders with a borderline<br />

structure can only be effective if the treatment is adjusted to the level of<br />

personality organization.<br />

PARALLEL SESSION / Family, Groups and Society<br />

63

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