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The use of sex robots for patients with deviant sexual behavior was discussed by all therapists. Sex robots could have the potential to reduce the sex drive of certain sexually active persons within the framework of therapy. “Whenever sexuality becomes dangerous, the use of sex robots is worth considering if it can protect a real human life.” Therapists mention the use of sex robots in the context of sexual violence or rape and in the context of pedophile patients, with the strongest contrast of opinions being seen here. What seems important here is that pedophile patients must be treated differently. For some, an impulse control disorder is predominant, whereas others may be traumatized. Therapists point out that the benefits of sex robots must be decided individually for each specific case: “Pedophile patients are not all the same and it has to be decided here quite individually which patient could benefit from it.” For some patients, it could be an opportunity to live out their sexuality with a sex robot. Then, they could discuss in therapy which fantasies were behind it (eg, not being able to cope with an adult). For some patients, the use of sex robots could be a kind of substitute. For others, the stimuli for the abuse of children might intensify. A therapist pointed out the following: “It should be considered that the neuronal connection could be intensified by living out the fantasies with child sex robots in the patients’ brain.” Another therapist assumed that the abuse would be intensified by the use of child sex robots and underlined “that the production of child sex robots is generally immoral.” In contrast to this, another therapist argued that the patient’s thoughts, for example during masturbation, could also lower the barrier to committing a crime and that prohibitions—important as they may be—do not necessarily reduce the number of criminal offences, but rather provide an additional attraction for many patients. The therapist argued as follows: “If a child can be protected, then it makes sense to torture a doll instead.” Another therapist addressed one’s own fear of triggering something in the patient by recommending sex robots to pedophile patients. The responsibility of the therapist was also addressed. Does a therapist want to take responsibility for recommending sex robots, even if the therapy with a sex robot turns out to be dangerous and the patient becomes violent? Finally, several therapists addressed the need for further research in this field: “It would need more applied research in this particular area to actually generate therapeutic benefits for pedophile patients.”

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