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Can a pedophile be treated
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The ethical practice of mental health must include not only the wellbeing of the patient in question, but also the physical and mental safety of the community. Although the role of a mental health practitioner must ultimately concentrate on helping the distressed individual, if this individual somehow poses a threat to those around him or her, ethical precautions must be taken. The paraphillic diagnosis of pedophilia must be handled with utmost care, as the psychiatric health of the patient is in question, as well as the mental and physical safety of possible victims around the patient.
An exploitative case study involving a Catholic priest presents a well rounded example of all the factors that must be considered in making an ethical assessment of the patient. Father X, the Catholic priest, is seeking psychiatric help in order to aid him with his powerful attraction to young men and boys. The psychiatric counseling was initially set up by the Roman Catholic archdiocese of N., who encouraged that priests use it. Having voluntarily appealed for help, Father X has never admitted his sexual deviance to any of the archdiocesan officials. He does claim that he had previously engineered opportunities to have sex with altar serves in previous postings, and that he is now struggling with an attraction to early adolescents in his current parish. He does not seem to be a predator by nature. This case is particularly interesting to ethical practitioners as it involves a variety of layers of responsibility, including responsibility to the patient, the community, and the law.
Addressing the issue of pedophilia in an ethical manner towards the patient which can often times prove to problematic, as no conclusive remedy can be offered. Acco...
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...in Howells. Adult Sexual Interest in Children. London: Academic, 1981. Print.
Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: American Psychiatric Association, 1994. Print.
"DSM-IV-TR." PsychiatryOnline - Home. American Psychiatric Association, 2011. Web. 04 Apr. 2011. .
Fast, Elizabeth D. "Pedophilia and Sexual Offending against Children: Theory, Assessment and Intervention by Michael C. Seto, PhD, 2007, ISBN: 1-4338-0114-0." Children and Youth Services Review (2009). Print.
Mills, Sonia Marie Perry. Psychosocial Antecedents of Sex Offender Criminality and Violence. Louisville: University of Louisville Libraries, 2004. Print.
Radden, Jennifer, and John Z. Sadler. The Virtuous Psychiatrist: Character Ethics in Psychiatric Practice. Oxford: Oxford UP, 2010. Print.
Worling, J .(2012). The assessment and treatment of deviant sexual arousal with adolescents who have offended sexually. Journal of Sexual Aggression, 18(1), 36-63. doi: 10.1080/13552600.2011.630152
When a late adolescent or adult is primarily or exclusively attracted to a minor child sexually they become diagnosed with the psychiatric disorder pedophilia. Mostly a person is not diagnosed with this disorder unless they have had this attraction for six months or longer. This attraction can be in the form of fantasies which are sexually arousing to the perpetrator, or the urge to engage in sexual activities with a minor child. In addition, in order to be diagnosed the molester will have to have acted on these urges or suffered from some type of distress, which will be result from having these feelings. Also the molester should be at least sixteen years old with the victim being younger than them by a minimum of five years.
In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical circumstance. For example, if you were practicing mental health professional and had a friend who’s a licensed psychologist, who is invited to attend the wedding of a patient that she has been seeing in court-ordered therapy for a year; what advice would you give your friend?
Child sexual abuse is an umbrella term describing offenses in which an adult engages in sexual activity with a minor or exploits a minor for the purpose of sexual gratification (NSPCC, 2016). The American Psychiatric Association states that "children cannot consent to sexual activity with adults," and condemns any such action by an adult as "a criminal and immoral act which never can be considered normal or socially acceptable behaviour" (American Psychological Association, 2016). Only at the beginning of the 1900s did Western society begin to value children as persons who’s "creative and intellectual potential require fostering" rather than "cheap labour" (Heller, 2012).
Perkins, D., Hammond, S., Coles, D., & Bishopp, D. (1998). Review of sex offender treatment programs. 01-16. Retrieved from http://www.ramas.co.uk/report4.pdf
Have you ever asked the question, how we know if a pedophile or sex offender can ever be cured or rehabilitated. Would I be comfortable with them living in my neighborhood? If you have you are just like the rest of the world. Pedophilia is a true illness, and not just in my opinion it also in the DSMIV 302.2. We may never truly be comfortable with the thought that researchers say Pedophiles can not be cured, but they can be rehabilitated in time with and they have test to prove it,
An example of sexual boundaries is being crossed can be seen from Dr Myles Bradbury who is now in jail due to 25 offences against underage boys whom he sexually assaulted. He took an advantage of his patients by fondling the boys’ genitals and encouraging them to masturbate and obtain erections for his own satisfaction (Tran, 2014).This action of his is clearly against the code of ethics of Pharmacy in which it does not allow doctors to disrespect the patients by watching patients naked and practicing unnecessary intimate examination (Pharmaceutical Society of Northern Ireland,
... G. (2007). Overview of psychiatric ethics V: Utilitarianism and the ethics of duty. Australasian Psychiatry, 15950, 402-410. Doi:10.1080/10398560701439640. Retrieved from the EBSCOhost database.
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
There are several issues at play as this scandal continues. In this paper I hope to look at the actual scandals involving retired priest Paul Shanley and defrocked priest John Geoghan. These two men served as priests in the Boston community for over 20 years under the leadership of three different Cardinals. Throughout their years of service they had sexual relationships with males ranging from the age of 4 to 26. Only within the past year were legal steps taken against them. John Geoghan was tried and convicted and Paul Shanley’s case is still under investigation.
Towards Understanding, (1999). Towards Understanding: A study of factors specific to the Catholic Church which might lead to sexual abuse by priests and religious (National Committee for Professional Standards, Sydney).
Undergoing the process of surgical castration is in most cases done willingly. The medical interventions are accompanied by some psychological teachings as well as guidance and counseling. The approach usually constitutes therapists trying to convince the offender that they are obliged and are responsible for their actions while at the same time they give out medical assistance to the offender. The approach is done closely with the offender; the specialist tries to let them identify the wrongfulness of the activities. Additionally, the specialist documents and advises the court on the level of risk that the offender in question may impose to the society. This approach is mainly done to non-incest child molesters. They clinch the highest probability of re-offending in their entire lives. The long-term risk of re-offending for the non-incest child molesters is grounded on the detail that 10% of them are reconvicted in an interval of 10 to 30 years after their release (Lombardo,
Ethics in the counselling and psychotherapy protects the client and the therapist involved in the therapeutic relationship and the therapeutic process as a whole; with the concepts that act as a guide for the therapists in provision of good practice and care for the client. The framework is built on values of counselling and psychotherapy; principles of trustworthiness, autonomy, fidelity, justice, beneficence, non-maleficence and self-respect, and provides standards of good practice and care for the practitioner (BACP, 2010). Ethical framework contributes to the development of the therapeutic relationship and process by assisting therapist’s decisions, and guides their behaviour and proceedings within their legal rights and duties. The ethical frame is structured on the boundaries of the therapeutic relationship and the therapists should be aware of their categories and be responsible for their forms. Monitoring and being aware of what goes on in and out of the room physically, emotionally and psychologically is primarily the duty of the therapist.
Sexual relationships between counselors and clients should never ben permitted due to the power associated with the counselor’s role with clients. While ethical guidelines vary between different counseling associations as to whether it is acceptable for counselors to have sexual relationships with clients after the professional relationship has ended, in many cases these relationships continue to be prohibited. This standard is held because some believe that the powe...
Koocher, G.P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions. New York, NY: Oxford University Press.