People with pedophilia are a highly stigmatised group. This stigma
contributes to suffering among people with pedophilia, the effects of which can be understood in regard to the literature of concealable stigma. The literature also provides insight into how disclosure to specific others can help with the psychological burdens of having a stigmatised identity.
The Origin of Stigma
A stigma is an attribute that gives the bearer a discredited or discreditable status and considered different to others in their social category (Goffman, 1963). Stigma are considered negative in orientation and cast doubts about a person’s “full humanity” (Crocker & Quinn, 2000). Stigmatised persons may ordinarily be
considered part of the in-group however the potency of the negative attribute is so strong that it demotes them to the status of “other” (Goffman, 1963).
The stigmatisation of persons can be understood in regard to a strong human tendency to form social groupings on the basis of culturally valued characteristics (Hogg & Abrams, 1988; Turner, 1975). Social groups provide a sense of order and predictability to social life (Hogg and Abrams, 1988). In the process of defining groups, comparison and competition are inherent as a group can only be defined insofar as it compares to another group (Hogg and Abrams, 1988; Turner, 1975). When comparing their social group, individuals typically exaggerate the positive attributes of their in-group and minimise those attributes in the out-group (Hogg & Abrams, 1988). This is because people derive their self-concept form the group to
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which they belong and therefore their view of the social group has important consequences for their own identity (Hogg & Abrams, 1988; Turner, 1975).
Perceiving ones in-group favourably and the out-group unfavourably enhances self- image, self-esteem, and wellbeing (Hogg & Abrams, 1988). Not only do negative generalisations about out-groups act to enhance self-esteem, they simplify the social world, are used to explain upsetting events, and also to justify mistreatment of the out-group (Hogg & Abrams, 1988). People apply out-group discrimination even when differences between groups are arbitrary (Turner, 1975), thus in the case where a person possesses a stigma, such as pedophilia, this discrimination is likely to be particularly pronounced. Stigmatised persons are negatively stereotyped and encounter other’s disgust and anger among other negative emotions (Crocker & Quinn, 2004).
The Nature of Stigma Towards People with Pedophilia
Research on stigma in relation to pedophilia is a relatively new area of study. This limited research is thought to be due to a discomfort with acknowledging people with pedophilia as stigmatised as it attributes them a victim status (Jahnke & Hoyer, 2013). In studying the challenges faced by people with pedophilia,
researchers may also suffer from a “courtesy stigma”; that is they may be disproved of for associating with the group (Cantor & McPhail, 2016).
A range of stereotypical beliefs about people with pedophilia are found in the literature. A review of 11 studies looking at lay-theories about and behaviour
towards people with pedophilia found laypersons had “very negative and
judgemental” attitudes towards those with pedophilia (Jahnke & Hoyer, 2013). This included the belief that they were evil, engaged in sexual activities with children and
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had high offence rates. Attitudes towards the treatability of pedophilia were
generally pessimistic and evidence also found that people with pedophilia were seen as “a threat that must be avoided” (Jahnke & Hoyer, 2013).
Negative attitudes towards those who suffer from mental illness is not uncommon, however the strength of stigma towards those with pedophilia is found to be greater than that held towards other mental conditions with similar social costs such as alcohol abuse (Jahnke, Imhoff, & Hoyer, 2015). Strong affective reactions, punitive beliefs, and desire for social distance from people with a sexual interest in children was found in a sample of nearly a thousand German students whose ages ranged from 18-86 and most believed people with pedophilia posed a danger to children (Jahnke, Imhoff, et al., 2015). Similar findings were elicited in a replication of this study using a crowdsourced English-speaking sample (Jahnke, Imhoff, et al., 2015). Punitive responses are most pronounced when the term pedophile is used as opposed to more descriptive nouns like “a sexual interest in children” (Imhoff, 2015). This suggests the stigma towards minor-attraction is linked, in part, to the word pedophile.
Strong stigmatising reactions to minor-attracted adults have also been found in psychotherapists in training (Jahnke, Imhoff, et al., 2015). Nearly 50% believed a person with a dominant sexual interest in children who had never offended against a child was still dangerous and 40% reported anger when thinking of a minor-attracted person. Despite this, approximately 80% of this sample said they would work with a minor-attracted person who had never offended, and a similar percentage would like more vocational training about such persons. Delivering an intervention aimed at challenging myths about pedophilia and humanising this condition showed a
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significant change in affective response to people with pedophilia however there was no significant change in participants’ openness to working with such clients.
Overall, these findings indicate that the thought of people with pedophilia can elicit strong negative affective reactions in others, little pity and intent to discriminate. These reactions are more “devastating” than those with other
conditions associated with high social costs and may also be found in those aiming to enter the therapeutic field.
Living with Stigma
Given the level of stigma towards people with pedophilia, researchers have begun to acknowledge how this stigma is experienced (Beier et al., 2009; Cacciatori, 2017; Cash, 2016; Freimond, 2013; Schaefer et al., 2010). High levels of distress are reported among minor-attracted people as well as depression, anger, fear, loneliness, shame, and low self-esteem (Beier et al., 2009; Cash, 2016; Freimond, 2013;
Houtepen et al., 2016; Schaefer et al., 2010). In a survey of 193 minor-attracted men, 45% reported having seriously thought about ending their life because of their attraction to minors, 32% had planned it, and 13% attempted suicide (B4U-ACT, 2011b). In another sample of 97 people with pedophilia and hebephilia who were non-offending, 32% of participants had been previously admitted to a psychiatric hospital at least once, 52.6% had previously received psychotherapy in an outpatient capacity, and 6.2% had received drug and alcohol rehabilitation (Schaefer et al., 2010). While this research does not specify the degree to which stigma is a source of distress as opposed to other aspects of having a sexual attraction to children, some qualitative research concludes it is a considerable contributor (Cacciatori, 2017).
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Concealable stigma and wellbeing. There are unique psychological burdens associated with having a stigmatised identity which, like pedophilia, is not easily identifiable to others and can be hidden (Smart & Wegner, 2000). The impact on wellbeing of having a concealable stigmatised identity is documented in a number of models, (Pachankis, 2007; Quinn & Chaudoir, 2009; Quinn & Earnshaw, 2011). These may offer insight into the mechanisms responsible for the distress experienced by minor-attracted people. These models have been developed using samples with a range of different stigmas including gay and lesbian sexual identities, HIV and AIDS, and mental illness. Pedophilia is not included in these theories, however given the level of fear and anger elicited towards those with pedophilia, it likely constitutes one of the most challenging of concealable stigmas and therefore these models have clear relevance.
When entering a social situation, those with a hidden stigma are alert to the possibility that it could be discovered. They suffer from “anticipated stigma”; the imagined response if others were to discover their “tainted” identity (Quinn & Chaudoir, 2009). Anticipated stigma generates preoccupation and hypervigilance to threat as well a tendency towards interpreting social cues with a paranoid cognitive bias (Pachankis, 2007). Living with this threat is linked to heightened affective states (Pachankis, 2007). To avoid discovery, individuals often enact certain behavioural strategies including impression management, avoidance of social situations, and maladaptive patterns in close relationships (Pachankis, 2007). Anticipated stigma can present even when persons have not previously been subject to an incident of prejudice, so long as they have an awareness of how society perceives the stigma (Quinn & Earnshaw, 2011).
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Being a member of a stigmatised group also has consequences for identity. On the basis of belonging to a discredited group, stigmatised persons are “reduced in [others’] minds from a whole and usual person to a tainted, discounted one”
(Goffman, 1963, p. 3). A person’s self-concept is influenced by the social groups to which they belong (Turner, 1975) and how they imagine others perceive and judge them (Cooley, 1983).Thus a stigmatised person also comes to share an image of themselves as discredited. This is a process of “internalised stigma”; the individual “buys into” the negative stereotypes held by others towards their group (Quinn & Earnshaw, 2011). The source through which individuals often acquire these negative beliefs is the media (Quinn & Earnshaw, 2011).
Additionally, the act of concealing a stigma can itself exacerbate negative self-perceptions. When people assume roles that are discrepant from their authentic selves a sense of fraudulence, shame, and guilt can result (Pachankis, 2007) and the true self can become a “feared and distrusted stranger” (Jourard, 1971a).
The experience of having a concealable stigma is situationally bound (Pachankis, 2007). Different situations present different levels of threat and
ambiguity for stigmatised people (Pachankis, 2007). The most difficult situations for someone who is concealing a discreditable identity are those in which there is a higher chance of discovery or, if discovered, there are more pronounced negative consequences (Pachankis, 2007). Additionally, the magnitude of the stigma in regard to the individual’s overall identity also impacts their experience (Chaudoir & Quinn, 2010; Quinn & Earnshaw, 2011). The more a central the concealed stigma is to the person’s overall sense of self, the greater the impact it will have on their wellbeing (Quinn & Earnshaw, 2011). A concealed stigma is also more likely to have a greater
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effect on an individual when it has greater cognitive salience, i.e. the person thinks about their identity frequently (Chaudoir & Quinn, 2010; Quinn & Earnshaw, 2011).
An important maintainer of distress for individuals with a concealed stigma identity is the complete concealment of their stigma (Pachankis, 2007). The
concealment of their true self- stigma and all- prevents a person from receiving authentic self-affirming feedback from others (Pachankis, 2007). This means they never receive insights which could disconfirm their negative self-perceptions (Pachankis, 2007). This maintains the internalised and anticipated stigma; that if people truly knew who they were that they would reject them. It is therefore suggested that the disclosure of a person’s stigmatised identity to selective safe others can be one means through which to improve wellbeing (Pachankis, 2007). This provides opportunity to receive positive feedback and to achieve a sense of authenticity.
Disclosures of pedophilia. Minor-attracted persons report making disclosures about their sexuality to family, friends, partners, therapists, and other minor-attracted persons (Freimond, 2013; Goode, 2010; Schaefer et al., 2010). One study indicated that minor-attracted persons disclosed their attractions to someone in their personal life but also discussed maintaining different sexual identities in public and private, suggesting disclosure is a very selective process (Cash, 2016). A range of reasons for disclosure were cited however these tended to center around a desire to feel accepted and connected to important others and receive support (Freimond, 2013). The consequences of disclosure were mixed, ranging from positive responses and support to neutral responses and loss of relationships (Cash, 2016).
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People generally engage in careful decision making around stigma disclosures as there are important social and identity related consequences to the event (Greene, Derlega, & Mathews, 2006). Disclosure of a stigma is a considered process whereby individuals weigh up these subjective risks and rewards. These will be
contextualised within the disclosers own personal characteristics, such as a strong need for approval, as well as potential recipient characteristics and situational constraints (Omarzu, 2000). This decision-making process constitutes a stressor in itself.
Individuals are also methodical in how they manage disclosure events
(Omarzu, 2000). People are highly selective of their disclosure recipients, taking into account the person’s characteristics and anticipating their reaction (Dindia, 1998; Omarzu, 2000). People are also likely to factor in whether their target has a right to know, and whether they are likely to find out about the stigma anyway (Greene et al., 2006). In regard to the circumstances of disclosure, face-to-face conditions generally provide the discloser greater agency over the situation and enhance the likelihood of the disclosure unfolding in a predictable manner (Greene et al., 2006). Greater depth of disclosure and more emotional content are also associated with enhanced responses (Chaudoir & Fisher, 2010). This increases the likelihood that needs are communicated effectively, enabling the recipient to understand and meet them.
While the above describe a very intentional and controlled verbal process of disclosure, not all disclosures fit this description. Some disclosures can be of an indirect and symbolic nature, such as wearing an emblem of gay pride, or
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initiated beyond the control of the stigmatised person such as in the case of discovery or direct inquiry by another person (Dindia, 1998).
The above strategies are aimed at ensuring a positive response is elicited from the recipient. A positive reaction from a disclosure recipient is particularly critical in a first disclosure (Chaudoir & Fisher, 2010; Chaudoir & Quinn, 2010). This can “initiate and maintain upward spirals toward greater visibility… individuals feel increasingly comfortable disclosing their identity, view themselves more
positively, and possess a more unified sense of self” (Chaudoir & Fisher, 2010, p. 250).
At a societal level cumulative disclosures by stigmatised persons can begin to generate awareness about the identity (Chaudoir & Fisher, 2010). The public stigma may be reduced as increased social contact with stigmatised persons can challenge prejudiced beliefs (Corrigan & Matthews, 2009). This may encourage more openness by others living with the identity (Chaudoir & Fisher, 2010).
Overall, in consideration of the literature on stigma, living with an attraction to children may present a number of stigma-related psychological burdens. Not only do minor-attracted persons live with the threat of discovery from others but they may internalise negative beliefs held towards their group. While disclosure presents one means through which the burdens of concealable stigma can be managed, this is a risky undertaking and the decision to disclose can represent a stressor in itself. Further exploration of processes of stigma and disclosure in minor-attracted persons may enhance understandings of the psychological support needs of this group.
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