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DSM-5 distinguishes individuals with “pedophilic sexual interests” (who have pedophilic impulses and fantasies that do not impair them and who have never acted on their impulses) from those having “pedophilic disorder” (who have acted on their impulses or are otherwise impaired). Investigators in Germany examined brain-imaging differences between these groups in a convenience sample recruited from e-mail lists and online advertising.
Participants were 58 sexually offending pedophiles (victims' mean age, 8 years), 60 pedophiles with no contact offenses, and 101 nonoffending men attracted only to mature adults. All completed structured clinical interviews and other assessments.
Analyses controlled for age, education, IQ, sexual orientation, dru…