Royal Ottawa Mental Health Centre

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Royal Ottawa Mental Health Centre
Royal Ottawa Health Care Group
Royal Ottawa.JPG
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Location in Ontario
Geography
LocationOttawa, Ontario, Canada
Organization
Care system Public Medicare (Canada) (OHIP)
Type Teaching
Affiliated university University of Ottawa
Services
Beds207
SpecialityPsychiatric facility
History
Opened1961
Links
Website www.theroyal.ca
Lists Hospitals in Canada

The Royal Ottawa Mental Health Centre, also known as "ROMHC" or "The Royal" (formerly the Royal Ottawa Hospital) is a 284-bed, 400,000 square-foot psychiatric hospital located in Ottawa, Ontario, Canada. It is a major branch of the Royal Ottawa Health Care Group (ROHCG), which also encompasses the Brockville Mental Health Centre, the University of Ottawa Institute of Mental Health Research and the Royal Ottawa Foundation for Mental Health.

Contents

History

The hospital was established as the Lady Grey Hospital in February 1910 and known in the early days as “the San.” Over the first 60 years, the hospital admitted 11,000 tuberculosis patients from all over Eastern Ontario. The last tuberculosis ward in the facility closed in 1970. [1] It was renamed the Royal Ottawa Hospital at around that time. [2] Andrew Leyshon-Hughes, a killer who stabbed Canadian heiress Nancy Eaton twenty-one times, was confined to the hospital in the 1980s. [3]

The aging hospital was completely replaced by a new facility designed by Parkin Architects and built in the form of an eight-storey tower by a joint venture of Carillion and EllisDon at a cost of $143 million. [4] The new hospital was the first P3 hospital procured in Canada [5] and was officially opened by Premier Dalton McGuinty in October 2006. [6]

Pedophilia controversy

Psychiatrist Paul Fedoroff and the ROMHC have come under criticism for claims they could cure pedophilia, despite the medical consensus of the opposite. In 2014, Fedoroff claimed his program can treat pedophilia and other disorders "so successfully that people who were aroused by children, exhibitionism or rape can eventually lead healthy, consensual sex lives." [7] This contrasted with other experts who said, "There is absolutely, positively no evidence that we can cure 'a paraphilic disorder'". [7]

Fedoroff based his claim on his study of 43 men showed pedophilia on a phallometric test (where the men's erection responses were measured). When these men were tested again, 21 of them showed less response to children and more response to adults. [8] [9] The study was strongly criticized, with experts noting that Fedoroff's measurement technique was unreliable and could be manipulated by the test-takers trying to look normal, and that the finding was actually a statistical illusion caused by a phenomenon called regression to the mean. [10] [11] [12] According to sex researcher J. Michael Bailey, "I think his data were not appreciably different than random coin tossing...Extraordinary claims require extraordinary evidence, and yet Paul's paper is extraordinarily weak." [9]

In 2016, Andreas Mokros and Elmar Habermeyer, sex researchers at the University Hospital of Zurich used Fedoroff's original data and applied statistical modelling of Fedoroff's method to test its validity. Their results verified the previous criticisms, showing directly that Fedoroff's method was invalid and that his reported finding was actually a statistical artefact, indistinguishable from random variation. [13] Fedoroff dismissed the analyses and criticisms, however, saying they "are concerns to be raised about any un-replicated study" and asking "Why all the fuss about this one, especially since the news appears to be good?" [14]

In 2017, Fedoroff and the ROMHC continued their claims of success (called a "boast" by the National Post). [9] According to Fedoroff, "We have evidence all day from people who say they’ve gotten better.....People always come back saying ‘This is much better, I enjoy this so much more than what I used to go through". [9] According to Professor Martin Lalumiere of the University of Ottawa, standard treatment focuses on strategies to avoid trouble (such as avoiding situations where the person is alone with children). [9] In the method Fedoroff describes, pedophiles are taught to find sexual stimulation from people their own age, in repeated sessions using adult pornography as practice. According to James Cantor, a sex researcher known for his MRI studies of pedophilia, what ROHMC clinic is doing is equivalent to the failed “conversion therapy” of homosexuality. [9] Fedoroff's response to the National Post was that there is no evidence that pedophilia cannot be altered and that he and his team are "working on" studies to prove their claims. [9]

Related Research Articles

<span class="mw-page-title-main">Paraphilia</span> Atypical sexual attraction

A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner. Paraphilias are contrasted with normophilic ("normal") sexual interests, although the definition of what makes a sexual interest normal or atypical remains controversial.

Hebephilia is the strong, persistent sexual interest by adults in pubescent children who are in early adolescence, typically ages 11–14 and showing Tanner stages 2 to 3 of physical development. It differs from pedophilia, and from ephebophilia. While individuals with a sexual preference for adults may have some sexual interest in pubescent-aged individuals, researchers and clinical diagnoses have proposed that hebephilia is characterized by a sexual preference for pubescent rather than adult partners.

<span class="mw-page-title-main">Kurt Freund</span> Czech-Canadian physician and sexologist (1914–1996)

Kurt Freund was a Czech-Canadian physician and sexologist best known for developing the penile plethysmograph, research studies in pedophilia, and for the "courtship disorder" hypothesis as a taxonomy of certain paraphilias. After unsuccessful attempts to change men's sexual orientation, he advocated against conversion therapy and in favor of the decriminalization of homosexuality.

Penile plethysmography (PPG) or phallometry is a measurement of blood flow to the penis, typically used as a proxy for measurement of sexual arousal. The most commonly reported methods of conducting penile plethysmography involves the measurement of the circumference of the penis with a mercury-in-rubber or electromechanical strain gauge, or the volume of the penis with an airtight cylinder and inflatable cuff at the base of the penis. Corpora cavernosa nerve penile plethysmographs measure changes in response to inter-operative electric stimulation during surgery. The volumetric procedure was invented by Kurt Freund and is considered to be particularly sensitive at low arousal levels. The easier to use circumferential measures are more widely used, however, and more common in studies using erotic film stimuli. A corresponding device in women is the vaginal photoplethysmograph.

Chronophilia are forms of romantic preferences and/or sexual attractions limited to individuals of particular age ranges. Some such attractions, specifically those towards prepubescents and those towards the elderly, constitute types of paraphilia. The term was coined by John Money and has not been widely adopted by sexologists, who instead use terms that refer to the specific age range in question. An arguable historical precursor was Richard von Krafft-Ebing's concept of "age fetishism". Importantly, chronophilia are technically not determined by age itself, but by human sexual maturity stages, such as body type, secondary sexual characteristics and other visible features, particularly as measured by the stages of the Tanner scale.

<span class="mw-page-title-main">Fraternal birth order and male sexual orientation</span> Theory of sexual orientation

Fraternal birth order, also known as the older brother effect, has been correlated with male sexual orientation, with a significant volume of research finding that the more older brothers a male has from the same mother, the greater the probability he will have a homosexual orientation. Ray Blanchard and Anthony Bogaert first identified the association in the 1990s and named it the fraternal birth order effect. Scientists have attributed the effect to a prenatal biological mechanism, since the association is only present in men with older biological brothers, and not present among men with older step-brothers and adoptive brothers. The mechanism is thought to be a maternal immune response to male fetuses, whereby antibodies neutralize male Y-proteins thought to play a role in sexual differentiation during development. This would leave some regions of the brain associated with sexual orientation in the 'female typical' arrangement – or attracted to men. Biochemical evidence for this hypothesis was identified in 2017, finding mothers with a gay son, particularly those with older brothers, had heightened levels of antibodies to the NLGN4Y Y-protein than mothers with heterosexual sons.

<span class="mw-page-title-main">Ray Blanchard</span> American-Canadian sexologist (born 1945)

Ray Milton Blanchard III is an American-Canadian sexologist who researches pedophilia, sexual orientation and gender identity. He has found that men with more older brothers are more likely to be gay than men with fewer older brothers, a phenomenon he attributes to the reaction of the mother's immune system to male fetuses. Blanchard has also published research studies on phallometry and several paraphilias, including autoerotic asphyxia. Blanchard also proposed a typology of transsexualism.

The American-Canadian sexologist Ray Blanchard proposed a psychological typology of gender dysphoria, transsexualism, and fetishistic transvestism in a series of academic papers through the 1980s and 1990s. Building on the work of earlier researchers, including his colleague Kurt Freund, Blanchard categorized trans women into two groups: homosexual transsexuals who are attracted exclusively to men and are feminine in both behavior and appearance; and autogynephilic transsexuals who experience sexual arousal at the idea of having a female body. Blanchard and his supporters argue that the typology explains differences between the two groups in childhood gender nonconformity, sexual orientation, history of sexual fetishism, and age of transition.

Pedophilia is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin the process of puberty at age 10 or 11, and boys at age 11 or 12, psychiatric diagnostic criteria for pedophilia extend the cut-off point for prepubescence to age 13. People with the disorder are often referred to as pedophiles.

<span class="mw-page-title-main">Anti-pedophile activism</span> Form of activism

Anti-pedophile activism encompasses social actions against pedophiles. It also includes acts of anti-pedophile citizen vigilantism conducted by vigilante groups, some of which have operated alongside government agencies in countries such as the United States, Canada and the United Kingdom.

<span class="mw-page-title-main">James Cantor</span> American-Canadian clinical psychologist and sexologist

James M. Cantor is an American-Canadian clinical psychologist and sexologist specializing in hypersexuality and paraphilias.

<span class="mw-page-title-main">Sexual arousal</span> Physiological and psychological changes in preparation for sexual intercourse

Sexual arousal describes the physiological and psychological responses in preparation for sexual intercourse or when exposed to sexual stimuli. A number of physiological responses occur in the body and mind as preparation for sexual intercourse, and continue during intercourse. Male arousal will lead to an erection, and in female arousal, the body's response is engorged sexual tissues such as nipples, clitoris, vaginal walls, and vaginal lubrication.

Erotic target location error (ETLE) is a hypothesized dimension for paraphilias, defined by having a sexual preference or strong sexual interest in features that are somewhere other than on one's sexual partners. When one's sexual arousal is based on imagining oneself in another physical form the erotic target is said to be one's self, or erotic target identity inversion (ETII).

<span class="mw-page-title-main">Michael C. Seto</span> Canadian forensic psychologist

Michael Chikong Seto is a Canadian forensic psychologist, sexologist, and author. He is director of Forensic Rehabilitation Research at the Royal Ottawa Health Care Group, where his research focuses on pedophilia, sexual offenses committed against children, child pornography, risk assessment, offenders with mental disorders, psychopathy, and program evaluation.

Sexual sadism disorder is the condition of experiencing great sexual arousal in response to the involuntary extreme pain, suffering or humiliation of other people. Several other terms have been used to describe the condition, and it may overlap with other conditions that involve inflicting pain. It is distinct from situations in which consenting individuals use mild or simulated pain or humiliation for sexual excitement. The words sadism and sadist are derived from the French writer and libertine Marquis de Sade, who wrote several novels depicting sexualized torture and violence.

Sexual concordance refers to the degree of correlation between subjective sexual arousal and physiological genital response. This phenomenon is often studied within the fields of sexology and psychology to understand the complex relationship between the mind and body during sexual activity.

Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM) beginning with the first edition, published in 1952 by the American Psychiatric Association (APA). This classification was challenged by gay rights activists during the gay liberation following the 1969 Stonewall riots, and in December 1973, the APA board of trustees voted to declassify homosexuality as a mental disorder. In 1974, the DSM was updated and homosexuality was replaced with a new diagnostic code for individuals distressed by their homosexuality, termed ego-dystonic sexual orientation. Distress over one's sexual orientation remained in the manual, under different names, until the DSM-5 in 2013.

<span class="mw-page-title-main">J. Paul Fedoroff</span> Canadian forensic psychiatrist and sexologist

John Paul Fedoroff was a Canadian forensic psychiatrist, sexologist, and researcher who specialized in treating individuals with certain problematic paraphilias and/or individuals with developmental delay. He was the first director of the Sexual Behaviours Clinic (SBC) at the Institute of Mental Health Research at the Royal Ottawa Mental Health Centre located in Ottawa, Ontario. He was a full professor of forensic psychiatry, criminology, and law at the University of Ottawa.

<i>A Long, Dark Shadow</i> 2021 book by Allyn Walker

A Long, Dark Shadow: Minor-Attracted People and Their Pursuit of Dignity is a book by Allyn Walker, then Assistant Professor of Sociology and Criminal Justice at Old Dominion University. The book’s first edition was published by the University of California Press in June 2021 as Walker's doctoral research. In the book, Walker conducted interviews with a total of 42 pedophiles who claimed to have never physically acted upon their sexual urges toward minors, although some did admit to consuming child pornography. These participants were sourced from the online forums B4U-ACT and Virtuous Pedophiles. Walker's primary emphasis lies in policy development and distinguishing between individuals with pedophilic tendencies who have not engaged in harmful behaviors as opposed to those classified as sex offenders.

References

  1. "The UpBeat: A Royal Ottawa TB Sanatorium reunion". ottawacitizen. Retrieved 2022-01-31.
  2. "Our History". Royal Ottawa Mental Health Centre. Retrieved 2018-01-20.
  3. "Freedom weighed for killer of heiress". CBC . Canada. 13 February 2001. Retrieved 2014-11-02.
  4. "P3 hospital project on verge of construction". Daily Commercial News. November 25, 2004. Retrieved 4 July 2019.
  5. "Telfer Professors study lessons of Public-Private Partnerships". University of Ottawa. Retrieved July 4, 2019.
  6. "Ceremony opens new $132M Royal Ottawa hospital". CBC News. October 27, 2006. Retrieved July 4, 2019.
  7. 1 2 Mehler Paperny, Anna (November 7, 2014). "'I thought I'd be that way forever': How do you treat a violent sex disorder?". Global News. Canada. Retrieved August 23, 2017.
  8. Müller, K; Curry, S; Ranger, R; Briken, P; Bradford, J; Fedoroff, JP (2014). "Changes in Sexual Arousal as Measured by Penile Plethysmography in Men with Pedophilic Sexual Interest". J Sex Med. 11: 1221–9. doi:10.1111/jsm.12488. PMID   24636071.
  9. 1 2 3 4 5 6 7 Blackwell, Tom (August 16, 2017). "Man says he was cured of pedophilia at Ottawa clinic: 'It's like a weight that's been lifted' But skeptics worry about the impact of sending pedophiles into the world convinced their curse has been vanquished". National Post. Canada. Retrieved August 23, 2017.
  10. Bailey, J. Michael (2015). "A Failure to Demonstrate Changes in Sexual Interest in Pedophilic Men: Comment on Müller et al. (2014)". Archives of Sexual Behavior. 44: 249–252. doi:10.1007/s10508-014-0338-7.
  11. Cantor, James M. (2015). "Purported Changes in Pedophilia as Statistical Artefacts: Comment on Müller et al. (2014)". Archives of Sexual Behavior. 44: 253–254. doi:10.1007/s10508-014-0343-x.
  12. Lalumière, Martin L. (2015). "The Lability of Pedophilic Interests as Measured by Phallometry". Archives of Sexual Behavior. 44: 255–258. doi:10.1007/s10508-014-0340-0.
  13. Mokros, Andreas; Habermeyer, Elmar (2016). "Regression to the Mean Mimicking Changes in Sexual Arousal to Child Stimuli in Pedophiles". Archives of Sexual Behavior. 45: 1863–1867. doi:10.1007/s10508-015-0652-8.
  14. Fedoroff, J. Paul. (2016, July 29). Pedophilia: Interventions that work. Psychiatric Times.

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