Archives of Sexual Behavior

, Volume 39, Issue 6, pp 1443–1447 | Cite as

Paraphilic Coercive Disorder in the DSM: The Right Diagnosis for the Right Reasons

ORIGINAL PAPER

Abstract

The recommendation to include a Paraphilic Coercive Disorder (PCD) diagnosis in the DSM-5 represents an improvement over current options and would lead to the shrinking of the pool of individuals considered for detention as Sexually Violent Predators. A precise description of the diagnostic criteria for PCD would permit psychologists and psychiatrists to use more specific and narrow criteria for those who seek sexual gratification by coercing others to engage in unwanted sexual behavior. This might permit mental health professionals to abandon the Paraphilia NOS designation in favor of the more defined PCD in appropriate cases. Various critics have attacked the proposal on what appears to be misplaced ideological grounds. Not only should ideological concerns not play a part in a scientific debate, but the critics’ predictions of how the PCD diagnosis would play out in the legal arena are likely wrong. Paraphilic Coercive Disorder would give the judicial system the best opportunity to most accurately identify the small group of men who have previously committed, and are likely in the future to commit, this type of predatory sexual violence.

Keywords

DSM-5 Paraphilic Coercive Disorder Paraphilia NOS (rape) Paraphilia NOS (nonconsent) Civil commitment Sexually violent predator laws Sex offenders 

References

  1. Abel, G. G., Becker, J. V., Cunningham-Rathner, J., Mittelman, M., & Rouleau, J. (1988). Multiple paraphilic diagnosis among sex offenders. Bulletin of the American Academy of Psychiatry and the Law, 16, 153–168.PubMedGoogle Scholar
  2. American Psychiatric Association. (1996). Amicus Curiae Brief of the APA in support of Leroy Hendricks, Kansas v. Hendricks, 95-1649, 95-9075.Google Scholar
  3. American Psychiatric Association. (1999). Dangerous sex offenders. A Task Force Report of the American Psychiatric Association. Washington, DC: Author.Google Scholar
  4. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.Google Scholar
  5. American Psychiatric Association. (2001). Amicus Curiae Brief of the APA in support of Michael Crane, Kansas v. Crane, 00-957.Google Scholar
  6. Frances, A. (2010a, March 14). DSM5 sexual disorders make no sense. Psychology Today. http://www.psychologytoday.com/node/39514. Retrieved April 28, 2010.
  7. Frances, A. (2010b, February 11). Opening Pandora’s box: The 19 worst suggestions for DSM5. Psychiatric Times. http://www.psychiatrictimes.com/display/article/10168/1522341. Retrieved April 29, 2010.
  8. Freund, K., Scher, H., Racansky, I. G., Campbell, K., & Heasman, G. (1986). Males disposed to commit rape. Archives of Sexual Behavior, 15, 23–35.CrossRefPubMedGoogle Scholar
  9. Freund, K., Seeley, H. R., Marshall, W. E., & Glinfort, E. K. (1972). Sexual offenders needing special assessment and/or therapy. Canadian Journal of Criminology and Corrections, 14, 3–23.Google Scholar
  10. Kafka, M. (1991). Successful treatment of Paraphilic Coercive Disorder (a rapist) with fluoxetine hydrochloride. British Journal of Psychiatry, 158, 844–847.CrossRefPubMedGoogle Scholar
  11. Knight, R. A. (2010). Is a diagnostic category for Paraphilic Coercive Disorder defensible? Archives of Sexual Behavior, 39, 419–426.CrossRefPubMedGoogle Scholar
  12. Milloy, C. (2003). Six-year follow-up of released sex offenders recommended for commitment under Washington’s Sexually Violent Predator Law, where no petition was filed. Washington State Institute for Public Policy.Google Scholar
  13. Packard, R. L., & Levenson, J. S. (2006). Revisiting the reliability of diagnostic decisions in sex offender civil commitment. Sexual Offender Treatment, 1, 1–15.Google Scholar
  14. Quinsey, V. L. (2010). Coercive paraphilic disorder. Archives of Sexual Behavior, 39, 405–410.CrossRefPubMedGoogle Scholar
  15. Thornton, D. (2010). Evidence regarding the need for a diagnostic category for a coercive paraphilia. Archives of Sexual Behavior, 39, 411–418.CrossRefPubMedGoogle Scholar

Copyright information

© American Psychiatric Association 2010

Authors and Affiliations

  1. 1.Snohomish County Prosecutors OfficeEverett USA

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