Potential indicators of adolescents in sexual crisis

Males:

• 1. Genital size
• 2. Concerns about shape of erect penis
• 3. Hypospadia or other congenital conditions
• 4. Undescended testicles and surgical results
• 5. Gynomastica
• 6. Urination difficulties in public restrooms
  

Females:

• 1. Weight
• 2. Negative attitudes towards genitalia
• 3. Breast shape and size
  

Both males and females:

• 1. Any physical disability that effects the adolescent's ability to care for self. Identity who (including gender) cares for the adolescent, and nature of the care, and the quality of personal hygiene. A hearing disability would be an example of something that might have been overlooked.
• 2. Any congenital disability
• 3. Signs of self-mutilation, including cutting designs or letters on any part of the body (including hand or arm, and for females, on breasts).
• 4. Significant number of hickeys
• 5. Depression
• 6. Writing on clothing, destroyed clothing (note where it is destroyed), and the provocative nature of the writing or the destruction of clothing
• 7. Chemical misuses or abuse
• 8. Early or late pubertal development
• 9. Enuresis
• 10. Encopresis
• 11. A limb amputation
• 12. Eating disorders, including anorexia/blumia
• 13. Reaction to physical exam
• 14. Masturbation practices, including insertions in the urethra or anus
• 15. Nipple piercing
• 16. Genital irriation or mutilation
• 17. Poor hygiene
  

source: 'Potential Indicators of Adolescents in Sexual Crisis' by William Seabloom; Hand-out Workshop 'A Sexual Health Approach to the Treatment of the Adolescent with a Sexual Attraction to Children' by William Seabloom (clinical supervisor, Adolescent Sexuality Program); 1987