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The terms hebephilia or ephebophilia may be more accurate in these cases. He states that pedophiles who are "reflective, sensitive to the feelings of others, averse to risk, abstain from alcohol or drug use, and endorse attitudes and beliefs supportive of norms and the laws" may be unlikely to abuse children. These crimes may include child sexual abuse , statutory rape , offenses involving child pornography , child grooming , stalking , and indecent exposure.
The authors caution that "there is a difficulty in untangling cause and effect. Acting on sexual urges is not limited to overt sex acts for purposes of this diagnosis, and can sometimes include indecent exposure , voyeuristic or frotteuristic behaviors,  or masturbating to child pornography. About half of committed offenders have a diagnosis of pedophilia.
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He also lists pseudopaedophilia as a related condition wherein "individuals who have lost libido for the adult through masturbation and subsequently turn to children for the gratification of their sexual appetite" and claimed this is much more common. The pedophilic molesters had neurological deficits suggestive of disruptions in inhibitory regions of the brain, while non-offending pedophiles had no such deficits.