The complicated research behind pedophilia

Pedophilia is viewed as among the most horrifying social ills. But scientists who study the sexual disorder say it is also among the most misunderstood. 

When most of the public thinks of pedophilia, they assume it’s synonymous with child sexual abuse, a pervasive social problem that has exploded to crisis levels online. Researchers who study pedophilia say the term describes an attraction, not an action, and using it interchangeably with “abuse” fuels misperceptions.

The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders said pedophilia is defined by “recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children.“ Scientists have in recent decades improved their understanding of pedophilia’s causes, prenatal and early childhood risk factors as well as how pedophiles can better control impulses. 

One of the most significant findings is that scientists who study the disorder say pedophilia is determined in the womb, though environmental factors may influence whether someone acts on an urge to abuse.

“The evidence suggests it is inborn. It’s neurological,” said James Cantor, a clinical psychologist, sex researcher and former editor-in-chief of, “Sexual Abuse: A Journal of Research and Treatment.” “Pedophilia is the attraction to children, regardless of whether the (person) ever … harms.”

Not all people who sexually abuse children are pedophiles. Some pedophiles never abuse children, experts say, and some people who sexually abuse children do not sexually prefer them, but use them as a surrogate for an adult partner. They may be disinhibited and anti-social, with impulse control problems.