When Is an Unusual Sexual Interest a Mental Disorder?
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...
KeywordsAmerican Psychiatric Association Sexual Interest Pedophilia Impulse Control Disorder Fetishism
- 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.
- 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.
- Kleinplatz, P. J., & Moser, C. (2004). Towards clinical guidelines for working with BDSM clients. Contemporary Sexuality, 38(6), 1, 4.Google Scholar
- Kleinplatz, P. J., & Moser, C. (2005). Is S/M pathological? Lesbian & Gay Psychology Review, 6, 255–260.Google Scholar
- 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
- Moser, C. (2002). Are any of the paraphilias in the DSM mental disorders? Archives of Sexual Behavior, 31, 490–491.Google Scholar
- Moser, C., & Kleinplatz, P. J. (2002). Transvestitic fetishism: Psychopathology or iatrogenic artifact? New Jersey Psychologist, 52(2), 16–17.Google Scholar
- Moser, C., & Kleinplatz, P. J. (2005b). Does heterosexuality belong in the DSM? Lesbian & Gay Psychology Review, 6, 261–267.Google Scholar