Sexual offenses and the brain

Handb Clin Neurol. 2023:197:161-179. doi: 10.1016/B978-0-12-821375-9.00017-7.

Abstract

Sexual offenses are a great concern worldwide due to the devastating physical and psychological consequences the victims of such crimes often experience. It is an important task to investigate potential mechanisms that may underlie sexual offending and predispose an individual for such antisocial behavior. Advanced techniques in neuroscience are increasingly used to uncover biomarkers in psychiatric disorders and organic brain disease. As this type of research is flourishing, preliminary studies with the aim to explore the neural basis of sex offenders have started to appear. To this purpose, researchers began to study the brain's structural and functional changes and the neurocognitive profiles of sex offenders, in comparison to nonoffenders and nonsex offenders, or among different subtypes of sex offenders. Most of the research to date has focused on pedophilia, with some inconsistent findings, which hampers the translation of the results into the forensic and clinical context. Any attempt to increase convergent evidence may profit from the harmonization of data analysis and avoidance of methodological inconsistencies, which can account for the different results across studies. Today, uncovering the neural basis of sex offences has to become a priority, not only for clinical interventions, but might also be important knowledge for crime prevention.

Keywords: Acquired pedophilia; Biomarkers; Neural basis; Neurophenomenological model; Pedophilia; Sexual arousal; Sexual deviance; Sexual offenders.

Publication types

  • Review

MeSH terms

  • Brain
  • Brain Diseases*
  • Humans
  • Knowledge
  • Mental Disorders*
  • Neurosciences*