Détermination de la peine en matière de pédophilie : aspects médico-légaux

Are sentences given for sexual interference appropriate ? It is the central question of this essay. To find the answer, we analyzed the medical and the legal discourses on pedophilia and child molestation. This review has enabled us to determined how the medical discourse affects the legal discourse in this matter. This essay presents an analysis of the factors used in sentencing for sexual interference against a person of less than 16 years old and of the sentences given to those who committed those type of offenses, from the perspective of both criminal law and medicine. It shows that, in the current legal framework, the sentences, although imperfect, can be, to a certain extent, appropriate in order to create some sort of follow-up of the individual. However, since those sentences do not alter the sexual deviance, the delinquants will remain at risk for recidivism in the long term. Criminal law would benefict from further incorporating the medical discourse in order to take into consideration the specificities of those delinquents and to give them more appropriate sentences to reduce their recidivism risk and to better protect society.

Psychosexual aspects of vulvovaginal pain.

Vulvovaginal pain problems are major health concerns in women of childbearing age. Controlled studies have shown that vulvovaginal pain can adversely affect women and their partners’ general psychological well-being, relationship adjustment and overall quality of life. These women have significantly lower levels of sexual desire, arousal, and satisfaction, as well as a lower intercourse frequency than normal controls. They also report more anxiety and depression, in addition to more distress about their body image and genital self-image. Empirical studies indicate that specific psychological and relationship factors may increase vulvovaginal pain intensity and its psychosexual sequelae. Randomized clinical trials have shown that psychosexual interventions, namely cognitive-behavioral therapy (CBT), are efficacious in reducing vulvovaginal pain and improving associated psychosexual outcomes. Women reporting significant psychological, sexual and/or relationship distress should be referred for psychosexual treatment. A multimodal approach to care integrating psychosexual and medical management is thought to be optimal.

Stabilité temporelle du Thermomètre de détresse et de l'Échelle d'évaluation des symptômes d'Edmonton-révisée chez des parents de survivants d'une tumeur pédiatrique

Essai doctoral présenté à la Faculté des arts et des sciences en vue de l’obtention du grade de Docteur en psychologie, option psychologie clinique (D.Psy.)