This chapter examines key cognitive frameworks that support sexually harmful behavior by adolescents critically. It focuses on cognitive distortions, methods of moral disengagement, emotional dysregulation, and the interaction with sociocultural influences. Cognitive distortions have been defined as systematic error in thinking that enables offenders to neutralize moral prohibitions about sexual harm by functioning through implicit theories about women, sexuality, and control. Moral disengagement mechanisms allow adolescents to selectively turn on or off moral standards using such strategies as euphemistic labeling, advantageous comparison, and displacement of responsibility. Emotional dysregulation combined with the experience of trauma interacts with thinking patterns to heighten impulsivity and diminish the ability to take an empathetic perspective. Social influences—including peer reinforcement, exposure to pornography, and cultural narratives that uphold entitlement and misogyny—reinforce and solidify these cognitive distortions. The chapter highlights the interactive way in which cognitive and emotional factors work together rather than independently, emphasizing the need for integrated and developmental cultural assessment and intervention strategies.