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Archives of Sexual Behavior

, Volume 38, Issue 3, pp 323–325 | Cite as

When Is an Unusual Sexual Interest a Mental Disorder?

  • Charles Moser
Letter to the Editor

Blanchard et al.’s (2008) excellent article distinguishing Hebephilia (erotic arousal to pubescent children) from Pedophilia (erotic arousal to prepubescent children) raises an important issue. In the article, Blanchard et al. specifically advocate incorporating Hebephilia into the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association (APA). I am not challenging their conclusion that sexual interests in pubescent and prepubescent minors are distinct entities (albeit with some overlap) or that the distinction may have utility for research purposes, but it is not clear that a sexual interest in pubescent minors implies that the individual suffers from a mental disorder, specifically a Paraphilia. Blanchard et al. may assume that Hebephilia will meet the other criteria required for a Paraphilia diagnosis and a mental disorder, but that is neither obvious nor necessarily true.

To be crystal clear, the...

Keywords

American Psychiatric Association Sexual Interest Pedophilia Impulse Control Disorder Fetishism 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.CrossRefGoogle Scholar
  2. Blanchard, R. (2008). Reply to letters regarding Pedophilia, Hebephilia, and the DSM-V [Letter-to-the-Editor]. Archives of Sexual Behavior. doi: 10.1007/s10508-008-9427-9.
  3. Blanchard, R., Lykins, A. D., Wherrett, D., Kuban, M. E., Cantor, J. M., Blak, T., et al. (2008). Pedophilia, hebephilia, and the DSM-V. Archives of Sexual Behavior. doi: 10.1007/s10508-008-9399-9.
  4. Harris, H. W., Felder, D., & Clark, M. O. (2004). A psychiatric residency curriculum on the care of African American patients. Academic Psychiatry, 28, 226–239.CrossRefPubMedGoogle Scholar
  5. Kafka, M. P., & Hennen, J. (1999). The paraphilia-related disorders: An empirical investigation of nonparaphilic hypersexuality disorders in outpatient males. Journal of Sex and Marital Therapy, 25, 305–319.PubMedGoogle Scholar
  6. Klein, M., & Moser, C. (2006). SM (sadomasochistic) interests as an issue in child custody proceedings. Journal of Homosexuality, 50(2/3), 233–242.CrossRefPubMedGoogle Scholar
  7. Kleinplatz, P. J., & Moser, C. (2004). Towards clinical guidelines for working with BDSM clients. Contemporary Sexuality, 38(6), 1, 4.Google Scholar
  8. Kleinplatz, P. J., & Moser, C. (2005). Is S/M pathological? Lesbian & Gay Psychology Review, 6, 255–260.Google Scholar
  9. Kolmes, K., Stock, W., & Moser, C. (2006). Investigating bias in psychotherapy with BDSM clients. Journal of Homosexuality, 50(2/3), 301–324.CrossRefPubMedGoogle Scholar
  10. Moser, C. (2001). Paraphilia: Another confused sexological concept. In P. J. Kleinplatz (Ed.), New directions in sex therapy: Innovations and alternatives (pp. 91–108). Philadelphia: Brunner-Routledge.Google Scholar
  11. Moser, C. (2002). Are any of the paraphilias in the DSM mental disorders? Archives of Sexual Behavior, 31, 490–491.Google Scholar
  12. Moser, C., & Kleinplatz, P. J. (2002). Transvestitic fetishism: Psychopathology or iatrogenic artifact? New Jersey Psychologist, 52(2), 16–17.Google Scholar
  13. Moser, C., & Kleinplatz, P. J. (2005a). DSM-IV-TR and the paraphilias: An argument for removal. Journal of Psychology and Human Sexuality, 17(3/4), 91–109.CrossRefGoogle Scholar
  14. Moser, C., & Kleinplatz, P. J. (2005b). Does heterosexuality belong in the DSM? Lesbian & Gay Psychology Review, 6, 261–267.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Department of Sexual MedicineInstitute for Advanced Study of Human SexualitySan FranciscoUSA

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