APA Guidelines Ignored in Development of Diagnostic Criteria for Pedohebephilia
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This Letter describes how the proposed DSM-5 criteria for pedohebephilia have been developed without following four key guidelines specified by the American Psychiatric Association (APA) and to point out significant flaws that have resulted. It also proposes solutions.
First, the paraphilias subworkgroup apparently ignored the DSM research agenda development process, which addressed developmental issues, questions of disability and impairment, potential contributions from neuroscience, and cross-cultural and gender considerations (American Psychiatric Association, 2010e). Developmental issues are crucial for determining the ages at which pedohebephilic disorder can be diagnosed and the bases for diagnosis at various ages, since attraction to children develops during childhood (Farella, 2002; Freund & Kuban, 1993). The other considerations would inform ongoing debates over impairment and distress in diagnosing pedophilia (e.g., Green, 2002; O’Donohue, Reger, & Hagstrom, 2000) and over...
KeywordsAmerican Psychiatric Association Diverse Perspective Pedophilia Developmental Issue Paraphilic Disorder
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