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Facing the Challenge of Paedophilia: Diagnosis and Treatment Options

1h 47m

Tillmann Krueger

Professor of Psychiatry & Sexologist
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Content and Aim: The paedophilic disorder is a devastating condition, being often accompanied by intensive personal stress and high comorbidity on the one hand and being a major risk factor for child sexual abuse on the other hand. However, there is still little known about this paraphilic disorder and it often is falsely equated with sexual offending, especially by public media. Consequently, affected persons hardly seek professional help because of the fear of being socially rejected. Moreover, pedophilia is a neglected subject in healthcare curricula and thus leads to great insecurities among mental health professionals when faced with this issue. However, in recent years more scientific effort was made to better understand the paedophilic disorder, and prevention and treatment programs have been developed to treat affected people and address associated social problem adequately and therefore reduce the risk of child sexual abuse.
The aim of this webinar is to share our yearlong experience of treating persons with paedophilic disorders in the German Prevention Project Dunkelfeld (PPD) and give an insight in 1) how to diagnose the disorder and distinguish it from other disorders related to sexual offending against children; 2) identifying individual resources as well as risk factors of the patients; 3) providing well founded information for affected persons and 4) medical and therapeutical treatment options.
Produced in 2020

Claas de Boer


Since 2009 Claas de Boer is an employee in the Department of Clinical Psychology and Sexual Medicine of the Hannover Medical School (MHH).

He received a diploma in psychology in 2011, followed by the official license to practise as a psychological psychotherapist in 2014. Since then he has been working as a psychotherapist in the German Prevention Project Dunkelfeld, providing single therapy and group therapy for patients with paedophilic disorders. Also, since 2015 Claas de Boer works as a couple therapist and sexual therapist in the Hannover Competence Centre for Sexual Medicine (SMK). In 2018 he became an EFS and ESSM certified Psycho-Sexologist (ECPS). Currently, he is a member of the Lower Saxony Commission for Preventing Sexual Offending against Children and Adolescents.

Tillmann Krueger

Professor of Psychiatry & Sexologist
Lecturer and Supervisor

Tillmann Krueger, MD, FECSM, is Medical Doctor and Associate Professor at the Department of Psychiatry, Social Psychiatry and Psychotherapy at the Hannover Medical School (MHH) where he received his M.D. degree in 1999.

He works as a consultant and is Head of the Section Clinical Psychology and Sexual Medicine as well as Deputy Head of the Department of Psychiatry. He is a board-certified psychiatrist and psychotherapist as well as neurologist. Training locations include the Hannover Medical School, the University Clinics of Essen, both in Germany, and the University Hospital and Swiss Federal Institute of Technology in Zurich, Switzerland. He has published numerous papers on the neurobiology of human and deviant sexual behaviour and related neurobehavioral topics and has continuously been supported by national and international grants. Tillmann Krueger coordinates a research consortium dedicated to basic and clinical understanding of child sexual abuse and pedophilia (NeMUP) which is funded by the Federal Ministry of Research and Education (BMBF). In 2018 he has been elected as an ordinary member of the Center for Systems Neuroscience, Hannover. At MHH he is medical head of two clinical prevention programmes against child sexual offending (“Don’t offend”) and sexual violence towards women (“I CAN CHANGE”). Apart from this his clinical and scientific expertise includes clinical neuroscience of affective and personality disorders. Main topics are the modulation and treatment of mood states and affective/personality disorders by novel neuropsychiatric interventions such as treatment with botulinum toxin. Tillmann Krueger is Fellow of the European Committee of Sexual Medicine (FECSM) since 2012 and EFS-ESSM certified Psycho-Sexologist (ECPS) (European Federation of Sexology, European Society of Sexual Medicine) since 2018. He has a special authorization for consultation hours in sexual medicine and sex therapy by the Association of Statutory Health Insurance Physicians in Lower Saxony, Germany since 2012. In his consultation hours he meets people with all kind of sexual disorders and problems with a special emphasis on the interface of psychiatry, neurology and sexual medicine. Special expertise covers diagnostic and treatment of paraphilias (e.g. pedophilia), hypersexuality, sexual violence, Persistent Genital Arousal Disorder (PGAD) and psychopharmacology. 




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