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Archives of Sexual Behavior

, Volume 39, Issue 6, pp 1225–1227 | Cite as

Problems with Ascertainment

  • Charles Moser
Letter to the Editor
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...

Keywords

Mental Disorder American Psychiatric Association Sexual Interest Adjustment Disorder Sexual Disorder 
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.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

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

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