1. A 30-year-old man reports two years of recurrent, intense sexual fantasies involving prepubescent children. He has never acted on them and describes no distress or interpersonal difficulty related to them. Under DSM-5, how should this presentation be classified? *

2. Estimates of the prevalence of pedophilia in the general male population range from about 1% to 3-5%. What primarily accounts for this range? *

3. Pedophilia has been empirically shown to be a taxon. What does this categorical nature imply about its causes? *

4. True or false? Individuals with pedophilia tend to score higher on measures of aggression and psychopathy than individuals who have offended only against adults. *

5. Which pattern best describes the relative value of psychopathy and deviant sexual interest as predictors of recidivism? *

6. A clinician wants to know which PCL-R facet has been identified as the strongest predictor of violent recidivism. Which facet is it? *

7. Which ordering, from highest to lowest, describes psychopathy levels across subgroups of individuals who have sexually offended, based on victim age? *

8. Which finding is consistent with the evidence for neurological correlates of pedophilia? *

9. The “cross-wiring hypothesis” of pedophilia refers to which type of brain finding? *

10. Individuals with pedophilia who have offended against children show elevated rates of ASD (Autism Spectrum Disorder) and ADHD (Attention Deficit Hyperactivity Disorder). Why is this comorbidity considered meaningful? *

11. True or false? In the study of environmental influences on pedophilia, childhood neglect and childhood physical abuse were not significant predictors and were excluded from the final model. *

12. In the study of neurodevelopmental correlates of pedophilia, pregnancy and birth complications increased the odds of pedophilic classification only relative to non-pedophilic child-victim types. Which predictor increased those odds relative to both non-pedophilic child-victim types and adult-victim-only types? *

13. How do neurodevelopmental symptoms and a history of sexual abuse differ in what they predict about pedophilia? *

14. In the study comparing individuals who access CSEM (Child Sexual Exploitation Material) with three groups who have committed contact offenses, what was the one domain in which the CSEM group was more extreme than all other groups? *

15. Compared with individuals who have committed contact offenses against children, individuals who access CSEM tend to have *

16. A client who accesses CSEM shows intimacy deficits, heavy internet use, arousal to deviant material, and no expressed desire for in-person sexual contact with children. This profile is most consistent with which subgroup? *

17. True or false? Among individuals who reoffend after a CSEM offense, most re-offenses involve escalation to contact offenses. *

18. Individuals who access CSEM scored lower than the comparison groups on hypersexuality but showed no difference on sexual preoccupation. What accounts for this pattern? *

19. The conclusion that among individuals who access CSEM “the paraphilic drive is there but the disinhibiting factors are absent” reflects which pattern of findings? *

20. What do the taxonic nature of pedophilia and its neurodevelopmental correlates suggest about prevention? *