In this article, we sought to build on existing stigmatization research by examining the extent to which internalized stigmatization (i.e., the personal adoption and incorporation of social views, operationalized as thought suppression-an avoidant coping strategy-and low psychological well-being) among minor-attracted persons (MAPs) may impact upon help-seeking behaviors and their avoidance of children. We adopted a cross-sectional anonymous survey design to recruit a sample of selfidentified MAPs (N = 183) from prominent online support fora. We found that increased levels of suppression and lower levels of psychological well-being were associated with lower levels of hope about the future, but higher levels of both shame and guilt about having a sexual interest in minors. Thought suppression was not significantly associated with outcomes related to help-seeking behaviors, but did significantly predict higher rates of actively avoiding children, even after controlling for psychological well-being and other emotional variables. Independently, lower levels of self-reported psychological wellbeing were associated with a desire for more support and higher rates of actively avoiding children. We explore the potential implications of our data in relation to treating and supporting MAPs within the community, increasing their well-being, and encouraging help-seeking behavior.

Purpose of Review The topic of sex doll ownership is becoming an increasingly discussed issue from both a social and legal perspective. This review aims to examine the veracity of the existing psychological, sexological, and legal literature in relation to doll ownership. Recent Findings Strong views exist across the spectrum of potential socio-legal positions on sex doll ownership. However, there is an almost total lack of empirical analyses of the psychological characteristics or behavioral implications of doll ownership. As such, existing arguments appear to represent the philosophical positions of those scholars expressing them, rather than being rooted in any objective evidence base. Summary Despite an absence of empirical data on the characteristics and subsequent effects of doll ownership, discussions about the ethical and legal status of doll ownership continue. This highlights a real and urgent need for a coherent research agenda to be advanced in this area of work.

Research estimates that as many as one in twenty children in the UK have been a victim of child sexual abuse. The scale of this problem motivates prevention efforts, however there is an apparent absence of preventative intervention for those individuals who are concerned about their sexual preference for children, including those who have not committed an offence. Due to the sensitive nature of child sexual abuse and stigma surrounding paedophilia, individuals who are concerned about their sexual interests in children are unlikely to willingly participate in research. By investigating the experiences of staff that are employed by an organisation offering an anonymous helpline for people who experience sexual thoughts and behaviours towards children, this research aims to develop understanding of the needs of those individuals, in order to establish how child sexual abuse might be prevented. Semi-structured interviews were conducted with five practitioners from a sexual abuse prevention organisation and thematic analysis revealed three main themes; Moving service users forward, Barriers to intervention and Prevention: Missing pieces. The first theme identifies ways in which practitioners may help service users to identify their problem, associated risk factors and how they might begin to move forward. The second theme addresses certain factors that prevent service users from accessing or engaging with primary interventions. Finally, the third theme discusses the ways in which primary prevention could be built upon, by considering participants experiences that are shaped by their work in the field of primary intervention, and their experience of service users. This is the first time the needs of those who may benefit from primary prevention in the UK have been explored in this way; therefore each theme is discussed in relation to primary prevention of child sexual abuse.

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The prevention of sexual abuse among people with sexual attractions to minors is a field of study that is growing in both size and importance. While there is an increasing amount of research into this topic, particularly in relation to the stigmatisation of minor-attracted persons (MAPs) and the barriers to them seeking help, there is currently no theoretical framework within which to consider this prevention landscape. In this paper, we suggest that an extension of Göbbels, Ward, and Willis' (2012) integrative theory of desistance from sexual offending could fill this gap in the literature. We explore what the aims of 'prevention' initiatives could, or perhaps should, be, before exploring how an extension and adaptation of the desistance framework could provide a framework for working with MAPs in their journey for sound mental health and, ultimately, the prevention of sexual offending.

There is a desire and need among minor-attracted persons (MAPs) to access support within the community, and this often begins with an approach to healthcare providers working in general medical/mental health settings. However, little is known about the experiences of these non-specialist professionals in relation to their beliefs, knowledge, and decision-making processes when working with patients who disclose sexual attractions to children. Using an online survey, this study explored the knowledge, comfort, competence, and treatment willingness of 220 non-specialist healthcare providers when faced with patients who disclose sexual attractions to children. We investigated how often such disclosures were made, clinician stigma, treatment priorities, and professionals’ willingness to report MAPs to external agencies because of their sexual attractions. Some key differences were found when comparing primary medical vs. mental health professionals, including increased likelihood to view MAPs as dangerous, unable to control behaviors and that sexual attractions are an avoidable choice, in the former group. Both groups prioritized mental health treatment targets above controlling attractions and living with stigmatized attractions, although controlling or changing attractions were still relatively high priorities. Results indicated a need for further training, focusing on increasing comfort around working with MAPs, as this was associated with a greater willingness to work with this group. We identify current gaps in service provision for MAPs seeking professional support and discuss recommendations for professional training.

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