, Volume 39, Issue 6, pp 1225-1227
Date: 23 Jul 2010

Problems with Ascertainment

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The Paraphilias subworkgroup (PSWG; see Zucker, 2010) has proposed a number of revisions for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), to be published by the American Psychiatric Association (APA). One supposedly new proposal is the recognition that the paraphilias are not ipso facto psychiatric disorders, but the existence of nonpathological unusual sexual interests was explicit and identical in both DSM-IV and DSM-IV-TR:

A Paraphilia must be distinguished from the nonpathological use of sexual fantasies, behaviors, or objects as a stimulus for sexual excitement in individuals without a Paraphilia. Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of nonconsenting individuals, lead to legal complications, interfere with social relationships). (APA, 1994, p. 525; APA, 2000, p. 568; boldfacing in both ori ...