{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:44:20Z","timestamp":1760489060245,"version":"build-2065373602"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Im DSM-5 und ICD-11 definiert sich der\n                    St\u00f6rungswert der p\u00e4dophilen und\/oder hebephilen St\u00f6rung durch einen Leidensdruck\n                    und\/oder das Ausleben der Sexualpr\u00e4ferenz auf Verhaltensebene (z. B. Nutzung von\n                    Missbrauchsabbildungen (MA)). Es ist davon auszugehen, dass die meisten MA-Nutzer\n                    nicht justizbekannt sind. Studien zu Dunkelfeld-Nutzern zeigen eine im Vergleich zu\n                    forensischen Stichproben hohe R\u00fcckfallrate. Dies stellt besondere Herausforderungen\n                    f\u00fcr die Behandlung dar, da neben der psychischen Entlastung auch eine vollst\u00e4ndige\n                    Verhaltenskontrolle angestrebt wird. Dieser Artikel beschreibt das multimodale\n                    Behandlungsangebot f\u00fcr MA-Nutzer im Pr\u00e4ventionsnetzwerk \u201eKein T\u00e4ter werden\u201c und\n                    beleuchtet psycho- und pharmakotherapeutische Interventionen. Zwischen 2018 und 2023\n                    stellten sich 570 Personen hilfesuchend am Berliner Standort des\n                    Pr\u00e4ventionsnetzwerkes vor. Die Einschlussstichprobe wird anhand soziodemografischer\n                    und diagnostischer Merkmale sowie der Inanspruchnahme medikament\u00f6ser Therapie zur\n                    Reduktion der sexuellen Befasstheit analysiert. Erste explorative Auswertungen\n                    ber\u00fccksichtigen zudem die R\u00fcckf\u00e4lligkeit im Therapieverlauf. Anhand von Fallskizzen\n                    wird das therapeutische Vorgehen veranschaulicht und ein Leitlinienvorschlag f\u00fcr die\n                    Indikationsstellung medikament\u00f6ser Therapieoptionen bei Menschen mit p\u00e4dophiler\n                    St\u00f6rung im Dunkelfeld diskutiert.<\/jats:p>","DOI":"10.1055\/a-2681-5204","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T22:52:10Z","timestamp":1760482330000},"source":"Crossref","is-referenced-by-count":0,"title":["P\u00e4dophile St\u00f6rung und die Nutzung von Missbrauchsabbildungen: Zur\n                    Notwendigkeit eines multimodalen Behandlungsangebotes"],"prefix":"10.1055","author":[{"given":"Dorit","family":"Grundmann","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Institut F\u00fcr Sexualwissenschaft\n                    und Sexualmedizin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Till","family":"Amelung","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Institut F\u00fcr Sexualwissenschaft\n                    und Sexualmedizin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus M.","family":"Beier","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Institut F\u00fcr Sexualwissenschaft\n                    und Sexualmedizin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura F.","family":"Kuhle","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Institut F\u00fcr Sexualwissenschaft\n                    und Sexualmedizin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"ref1","volume-title":"Polizeiliche Kriminalstatistik 2023","year":"2024"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s11757-023-00796-2","article-title":"Sekund\u00e4rpr\u00e4vention der Nutzung von Kindesmissbrauchsabbildungen im Internet: ein\n                    internationaler \u00dcberblicksversuch","volume":"17","author":"H L Merdian","year":"2023","journal-title":"Forensische Psychiatr Psychol Kriminol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1007\/s10508-011-9882-6","article-title":"Is pedophilia a sexual orientation?","volume":"41","author":"M C Seto","year":"2012","journal-title":"Arch Sex Behav"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1037\/lhb0000128","article-title":"Predicting recidivism among adult male child pornography offenders: Development\n                    of the Child Pornography Offender Risk Tool (CPORT)","volume":"39","author":"M C Seto","year":"2015","journal-title":"Law Hum Behav"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1055\/s-0032-1330539","article-title":"Hebephilie als sexuelle St\u00f6rung","volume":"81","author":"K M Beier","year":"2013","journal-title":"Fortschritte Neurol \u00b7 Psychiatr"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1007\/s10508-016-0729-z","article-title":"Stability of Self-Reported Arousal to Sexual Fantasies Involving Children in a\n                    Clinical Sample of Pedophiles and Hebephiles","volume":"45","author":"D Grundmann","year":"2016","journal-title":"Arch Sex Behav"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1080\/13552600.2017.1351264","article-title":"Previous judicial detection and paedophilic sexual interest partially predict\n                    psychological distress in a non-forensic sample of help-seeking men feeling\n                    inclined to sexually offend against children","volume":"23","author":"A Konrad","year":"2017","journal-title":"J Sex Aggress"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s10508-014-0312-4","article-title":"Stigmatization of People with Pedophilia: Two Comparative Surveys","volume":"44","author":"S Jahnke","year":"2015","journal-title":"Arch Sex Behav"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1080\/19317611.2013.795921","article-title":"Stigmatization of People With Pedophilia: A Blind Spot in Stigma Research","volume":"25","author":"S Jahnke","year":"2013","journal-title":"Int J Sex Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1016\/j.chiabu.2009.04.002","article-title":"Encouraging self-identified pedophiles and hebephiles to seek professional help:\n                    First results of the Prevention Project Dunkelfeld (PPD)","volume":"33","author":"K M Beier","year":"2009","journal-title":"Child Abuse Negl"},{"key":"ref14","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-56594-0","volume-title":"Hrsg. P\u00e4dophilie, Hebephilie und sexueller Kindesmissbrauch: Die Berliner\n                    Dissexualit\u00e4tstherapie","author":"K M Beier","year":"2018"},{"key":"ref15","first-page":"66","article-title":"Das neue \u201ePr\u00e4ventionsprojekt Kinderpornographie\u201c (PPK): Erweiterung des Berliner\n                    Ansatzes zur therapeutischen Prim\u00e4rpr\u00e4vention von sexuellem Kindesmissbrauch im\n                    Dunkelfeld","volume":"16","author":"K M Beier","year":"2009","journal-title":"Sexuologie"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1111\/jsm.12785","article-title":"The German Dunkelfeld Project: A Pilot Study to Prevent Child Sexual Abuse and\n                    the Use of Child Abusive Images","volume":"12","author":"K M Beier","year":"2015","journal-title":"J Sex Med"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1177\/1079063214521469","article-title":"Child Pornography Possessors and Child Contact Sex Offenders: A Multilevel\n                    Comparison of Demographic Characteristics and Rates of Recidivism","volume":"27","author":"E Faust","year":"2015","journal-title":"Sex Abuse J Res Treat"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1080\/13552600.2016.1201157","article-title":"The association of sexual preference and dynamic risk factors with undetected\n                    child pornography offending","volume":"23","author":"L F Kuhle","year":"2017","journal-title":"J Sex Aggress"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1177\/1079063218762434","article-title":"A Validation Study of the Child Pornography Offender Risk Tool (CPORT)","volume":"31","author":"A W Eke","year":"2019","journal-title":"Sex Abuse J Res Treat"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1277225","DOI":"10.3389\/fpsyt.2023.1277225","article-title":"Individuals under voluntary treatment with sexual interest in minors: what risk\n                    do they pose?","volume":"14","author":"F von Franqu\u00e9","year":"2023","journal-title":"Front Psychiatry"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1080\/15622975.2020.1744723","article-title":"The World Federation of Societies of Biological Psychiatry (WFSBP) 2020\n                    guidelines for the pharmacological treatment of paraphilic disorders","volume":"21","author":"F Thibaut","year":"2020","journal-title":"World J Biol Psychiatry Off J World Fed Soc Biol\n                    Psychiatry"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/19585969.2022.2134739","article-title":"The World Federation of Societies of Biological Psychiatry guidelines on the\n                    assessment and pharmacological treatment of compulsive sexual behaviour\n                    disorder","volume":"24","author":"D Turner","year":"2022","journal-title":"Dialogues Clin Neurosci"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"e01389","DOI":"10.1002\/brb3.1389","article-title":"Neuroanatomy and function of human sexual behavior: A neglected or unknown\n                    issue?","volume":"9","author":"R S Calabr\u00f2","year":"2019","journal-title":"Brain Behav"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1177\/0306624X17748067","article-title":"Development of a Case Formulation Model for Individuals Who Have Viewed,\n                    Distributed, and\/or Shared Child Sexual Exploitation Material","volume":"64","author":"H L Merdian","year":"2020","journal-title":"Int J Offender Ther Comp Criminol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1093\/jsxmed\/qdad016","article-title":"Changing or stopping testosterone-lowering medication in men convicted of sexual\n                    offenses: clinical evaluation of the COSTLow-R Scale","volume":"20","author":"J Wolba","year":"2023","journal-title":"J Sex Med"}],"container-title":["Fortschritte der Neurologie \u00b7 Psychiatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2681-5204.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T22:52:11Z","timestamp":1760482331000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2681-5204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,14]]},"references-count":22,"URL":"https:\/\/doi.org\/10.1055\/a-2681-5204","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0720-4299","1439-3522"],"issn-type":[{"value":"0720-4299","type":"print"},{"value":"1439-3522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,14]]}}}