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Isolated Minority Syndrom

This notion was introduced by Fog 1992 to explain the behaviour of "sexually deviant persons".

"The symptoms of this syndrome include a stereotypic and uncontrolled sexual behaviour and several unspecific social symptoms. The cause is a lack of appropriate identification model and non-acceptance of own sexual feelings. Group therapy in self-help groups is an effective treatment." (from the abstract).

This concept points to the real problems of many pedophiles - the sexual frustration, low self-esteem, social stigmatization and isolation may often lead to substance abuse, social deroute, non-sexual crimes, political extremism and suicide. The problems are common with other paraphilias. Often they are considered as a characteristic of the paraphilia per se, but in reality they are symptoms of the social suppression. A pedophile who accepts his own feelings does not show these symptoms. His sexual behaviour is more flexible and controlled by rational thinking.

Naerssen has a similar concept. He distinguishs "sexual identity conflict" and "identity management conflict".