Men Presenting With Sexual Thoughts of Children or Coercion: Flights of Fancy or Plans for Crime?

Child sexual thoughts are a risk factor for sexual offending and should be assessed by clinicians. In general, sexual thoughts with coercive themes are not a risk factor, although thought type could be important (ie, thoughts in which the other person expresses an enduring lack of consent). Exploring the dynamic risk factors associated with each type of child and coercive thought could lead to more targeted treatment.