Response to Halpern (2011)
- 157 Downloads
Halpern (2011) has noted an omission from the Rationale section of our proposal for Hypersexual Disorder (HD) as currently posted at the DSM-5 website (American Psychiatric Association, 2010a). We did not address the potential for “unintended negative effects” and we did not include arguments against including our proposed diagnosis for DSM-5. His Letter expressed his personal opinion and emphasizes a forensic perspective on both of these important issues.
Unfortunately, any psychiatric disorder associated with antisocial impulsivity could potentially be forensically misused and a DSM-5 precautionary statement about such potential misuse could be “totally disregarded” during the adjudication of either civil or criminal legal matters. We are aware that these inherent vulnerabilities threaten the integrity of science in the courtroom but resolution of such juridical matters lies beyond the scope of psychiatry per se (Prentky, Janus, Barbaree, Schwartz, & Kafka, 2006). Hypersexual...
KeywordsSexual Arousal Child Pornography Civil Commitment Sexual Disorder Hypersexual Disorder
- American Psychiatric Association. (2010a). Hypersexual disorder. http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=415
- American Psychiatric Association. (2010b). Pedohebephilia. http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=186
- Frances, A. (2010, July 6). Normality is an endangered species: Psychiatric fads and overdiagnosis. Psychiatric Times. http://www.psychiatrictimes.com/dsm-5/content/article/10168/1598676.
- Halpern, A. L. (2011). The proposed diagnosis of Hypersexual Disorder for inclusion in DSM-5: Unnecessary and harmful [Letter to the Editor]. Archives of Sexual Behavior. doi: 10.1007/s10508-011-9727-3.
- Hanson, R. K., & Morton-Bourgon, K. (2004). Predictors of sexual recidivism: An updated meta-analysis. Public Works and Government Services Canada. Available at http://nicic.org/Library/019553
- Krueger, R. K., Kaplan, M. S., & First, M. B. (2010). Sexual and other Axis I diagnoses of 60 males arrested for crimes against children involving the Internet. CNS Spectrums, 14, 623–631.Google Scholar
- Mears, B. (2010, January 12). Can sex offenders be held after serving criminal sentences? CNN Justice. http://www.cnn.com/2010/CRIME/01/12/scotus.sex.offender.law/index.html
- Walters, G. D., Knight, R. A., & Långström, N. (2011). Is hypersexuality dimensional? Evidence for the DSM-5 from general population and clinical samples. Archives of Sexual Behavior. doi: 10.1007/s10508-010-9719-8.
- Zander, T. K. (2008). Commentary: Inventing diagnosis for the civil commitment of rapists. Journal of the American Academy of Psychiatry and Law, 36, 459–469.Google Scholar