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Sexual Interest and Arousal in Males Who Are Civilly Committed: Exploring Overlap and Distinctions
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Sexual Interest and Arousal in Males Who Are Civilly Committed: Exploring Overlap and Distinctions

Archives of Sexual Behavior·September 19Open Access
Psychology, ClinicalConfirms priorPedophilic DisorderSexual DevianceCross-Sectional StudyPenile PlethysmographyViewing Time AssessmentAdultAffinity 2.5Monarch 21

Summary

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What was studied

This study examined whether viewing time (VT), a cognitive measure of sexual interest, aligns with penile plethysmography (PPG)-derived deviance differential (DD) classifications (child arousal, undifferentiated, or adult arousal) in 146 civilly committed adult males at the Minnesota Sex Offender Program, assessed between 2017 and 2023.

Key findings

Significant group differences in VT emerged for female stimuli only: the child arousal group spent longer viewing small child and pre-juvenile female images, while the adult arousal group spent longer viewing adult female images (small child female: ηp²=0.14, d=0.93; adult female: ηp²=0.11, d=0.82; both p<0.001). No significant differences were found for male stimuli.

Study limitations

The sample is limited to civilly committed adult males, restricting generalizability to lower-risk offenders or community populations. Social desirability and deliberate manipulation of both PPG and VT responses are plausible concerns, especially given participants' incentive to appear lower-risk for release. Lack of standardization in VT stimuli, scoring procedures, and PPG protocols limits cross-study comparisons.

Clinical implications

VT measures (e.g., Affinity 2.5) appear to converge with PPG-based arousal classifications and may serve as a useful, less invasive adjunct—particularly when PPG is unavailable or refused—but should always be used as part of a multi-method assessment rather than in isolation.

Caveats

  • All participants were civilly committed males in a secure Minnesota treatment facility; findings may not generalize to other sex offender populations or community samples
  • The majority of participants (69%) were heterosexual, which likely explains why group differences emerged only for female stimuli—results may differ in samples with different sexual orientation distributions
  • The undifferentiated arousal group (intermediate DD scores) has limited prior research context; findings for this group are preliminary and exploratory only
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  • VT tasks can be deliberately manipulated, and participants in civil commitment have strong incentives to present favorably; both PPG and VT findings should be interpreted cautiously in adversarial forensic contexts

Related Questions

Explore related topics

How does viewing time compare to penile plethysmography for assessing sexual interest in men who have offended against children?What is the predictive validity of viewing time measures for sexual recidivism risk?What are best practices for multi-method assessment of sexual deviance in forensic settings?

Publication Details

Year
2026
Journal
Archives of Sexual Behavior
Sample Size
n=146
Source
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