A man seeks treatment for urges involving sexual contact with children. He has not acted on these urges and is ashamed of them. Which of the following outcomes would indicate that the patient is making progress in his treatment?
a. He consistently drives far around school yards and shops only during school hours.
b. He reports that he no longer has fantasies about sexual contact with children.
c. The patient indicates that his sexual drive and enjoyment from sex have decreased.
d. He reports that he has an active and satisfying his sex life with his adult partner.
A
One strategy for avoiding acting on inappropriate urges is to avoid environments and circumstances that evoke those urges; for a pedophile this would include avoiding all situations that would likely result in contact with children. Pedophilia is a persistent disorder, and elimination of fantasies about children would be unrealistic; a patient reporting that the fantasies had ceased might not be fully self-aware or honest. A diminished sex drive or a healthy sex life with an appropriate partner does not necessarily reduce the desire for sexual contact with children.
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