A Brief History of Field Trials of the DSM Diagnostic Criteria for Paraphilias
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A great deal of lively criticism, much of it published in the pages of this journal, has been directed at the various proposals of the DSM-5 subworkgroup charged with revising the diagnostic criteria for the paraphilic disorders.1 Some of these critiques have argued, implicitly or explicitly, that the proposed criteria would represent a disimprovement over the current ones (e.g., First, 2010). The casual reader would suppose that such comparisons must be based on a solid foundation of knowledge about the performance of the current criteria. It is therefore instructive to review one of the most important sources of information about the reliability and validity of DSM diagnoses—the field trials conducted as “[a]n important step” (American Psychiatric Association, 1980, p. 467) in each major revision. The purpose of the DSM field trials has been summarized by Kraemer, Kupfer, Narrow, Clarke, and Regier (2010) in lay terms: “A field trial is an evaluation of a product in the context in...
KeywordsField Trial American Psychiatric Association Sexual Interest Child Molestation Fetishism
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