There is a desire and need among minor-attracted persons (MAPs) to access support within the community, and this often begins with an approach to healthcare providers working in general medical/mental health settings. However, little is known about the experiences of these non-specialist professionals in relation to their beliefs, knowledge, and decision-making processes when working with patients who disclose sexual attractions to children. Using an online survey, this study explored the knowledge, comfort, competence, and treatment willingness of 220 non-specialist healthcare providers when faced with patients who disclose sexual attractions to children. We investigated how often such disclosures were made, clinician stigma, treatment priorities, and professionals’ willingness to report MAPs to external agencies because of their sexual attractions. Some key differences were found when comparing primary medical vs. mental health professionals, including increased likelihood to view MAPs as dangerous, unable to control behaviors and that sexual attractions are an avoidable choice, in the former group. Both groups prioritized mental health treatment targets above controlling attractions and living with stigmatized attractions, although controlling or changing attractions were still relatively high priorities. Results indicated a need for further training, focusing on increasing comfort around working with MAPs, as this was associated with a greater willingness to work with this group. We identify current gaps in service provision for MAPs seeking professional support and discuss recommendations for professional training.

No abstract

Purpose of Review With the Internet allowing consumers easy access to fantasy and fictional sexual materials (FSM), it is becoming increasingly important to understand the context of their use among specific populations. Of particular, social, clinical, and legal interest is FSM use by people who are attracted to children and whether this may have a risk-enhancing or protective impact on their likelihood of committing a contact or non-contact sexual offence. Recent Findings There is a lack of data currently available in relation to the use of FSM by those with sexual attractions to children. Evidence from allied areas appears to show no meaningful associations between FSM use and sexual aggression. Summary We propose a novel research program and some initial research questions that provide a theoretical framework for more evidence-based inquiry on FSM use by people who experience attractions to children.

Sex dolls are beginning to become more mainstream, both in the public’s consciousness and in academic research. However, there is no current systematic examination of public attitudes toward sex dolls within the peer-reviewed literature, which represents a barrier to the efficient study on this topic. In this paper we report the development and initial validation of such a measure. Using an international public sample (N = 377) we found that public attitudes toward sex doll owners were underpinned by three factors: ‘Acceptability of Doll Ownership’, ‘Doll Owners as Immoral’, and ‘Doll Owners as Dysfunctional’. Scores on each of these factors, which make up the Sex Doll Ownership Attitudes Scale (SDOAS), were predicted by participant sex, religiosity, permissive sexual attitudes, right-wing authoritarianism, and the endorsement of moral intuitions that favor personal liberty. We present a full form 66-item version of the SDOAS, as well as an 18-item short form which both possess strong psychometric properties. We highlight potential future uses of the SDOAS as this emerging field of study continues to rapidly grow.