Since the 1970s, and perhaps even earlier, America has been suffering the effects of an epidemic pathological phenomenon eating away at the very core of our society. Virtually everyone is alarmed; we make new laws, build more jails and spend billions of dollars a year, and yet the sex offender (paraphilia) epidemic continues to expand exponentially. In this article, we will explore why this epidemic has ocurred, and what to do about it. We will discard old-fashioned, 'good intention' type therapeutic approaches and arm chair speculations for a modern biomedical model for these devastating disorders. We will abandon the criminal model and move toward a biomedical model.

A neurobiological model of obsessive-compulsive paraphilia (OCP) is essential in the effective diagnosis and treatment of these disorders. The pathophysiological model is essential in medical practice as it provides an understanding of clinical symptomatology and a rational basis for therapeutic intervention, a model that is missing in the diagnosis and treatment of paraphilialogical disorders, which relies on a hodgepodge of good intentions rather than on a rational biomedical model. In fact, there is no established model or rationale for the diagnosis and treatment of these highly resistant and debilitating disorders. It is the author's primary intention to develop a biomedical diagnostic and treatment model in this article, to begin a rational seminal effort, which will hopefully be continued by others.