Motives for the onset of a mental disorder are laid in the puberty period against the backdrop of a protracted process of forming sexual self-awareness and psychosexual orientations under close perverted intimate contacts that left an indelible impression.
A significant role in the process of developing sexual desire for adolescent children is due to difficulties in communicating with peers.
In many cases, ephebophilia actively progresses in individuals with sexual dysfunctions. During intimate relationships with inexperienced young men and women who do not know the techniques of sexual intercourse, such individuals feel superiority and are less likely to get convicted for their sexual activities.
In men with a perverse sexual orientation under juvenile hypersexuality, high sexual activity is manifested, in satisfaction of which the individual shows indifference how to realize the sexual desire. Many ephebophiles like the inexperience of teenage children, and they are happy to engage in "mentoring."
In the elderly, manifestations of ephebophilia are observed in sexual disorders against the background of extinction of the possibilities of satisfying attraction, then contacts with young men or girls serve as a stimulus to the weakening of old age sexuality.
The latent variant of an inclination at ephebophilic can be observed at display of infantilism in a way of dialogue or a manner to put on. Attraction is expressed compulsively, patients in rare cases turn to the doctor with complaints of sexual attraction to adolescents. This craving increases after taking a large dose of alcohol or drugs.