South African Psychologists’ experiences treating paedophilic disorder: an exploratory study

Abstract

Paedophilic disorder remains a profoundly stigmatised mental health condition, posing significant challenges to effective treatment, both internationally and in South Africa. Ethical and pragmatic considerations necessitate providing stigma-free support and treatment for individuals with this disorder. Despite the critical need, there is a notable scarcity of local and international research on effective management and treatment strategies for those diagnosed with paedophilic disorder. The study explored South African psychologists’ experience of psychotherapeutic approaches and models to counsel and treat individuals diagnosed with paedophilic disorder. Data were collected through semi-structured interviews with six Health Professions Council of South Africa-registered psychologists who responded to a targeted recruitment advert on social media platforms. Thematic analysis was systematically applied to the interview data, revealing participants’ use and experiences of psychotherapeutic approaches and models, further distinguished by their clinical experiences, perceptions of training adequacy, and reliance on the international Risk-Need-Responsivity Model and Good Lives approach, in the absence of local guidance. Findings highlight the urgent need for specialised professional training, locally relevant treatment protocols, and public education to reduce stigma and enhance access to care. The study contributes a foundational understanding of the therapeutic landscape of paedophilic disorder in South Africa and offers directions for future research and training.