DSM-5, Paraphilias, and the Paraphilic Disorders: Confusion Reigns
Six years ago, the American Psychiatric Association (APA) published a new edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-5; APA, 2013a), which is considered by some to be a definitive reference for the diagnosis of psychiatric disorders. The revision process involved the appointment of Workgroups (and SubWorkGroups) for each section (see APA, 2013b). The Paraphilias SubWorkGroup (PSWG) reviewed the latest research and considered changes to the diagnostic criteria and text of the newly renamed Paraphilic Disorders section. The members of the PSWG published their initial reviews and recommendations in the Archives of Sexual Behavior and solicited comments on their proposals from both the public and professionals. Those comments were published in the Archives of Sexual Behavior, other professional publications, or were communicated directly to the PSWG. Presumably, the feedback to the PSWG (both published and unpublished) was considered, and a final PSWG...
- Ahlers, C. J., Schaefer, G. A., Mundt, I. A., Roll, S., Englert, H., Willich, S. N., & Beier, K. M. (2011). How unusual are the contents of paraphilias? Paraphilia-associated sexual arousal patterns in a community-based sample of men. Journal of Sexual Medicine, 8(5), 1362–1370. https://doi.org/10.1111/j.1743-6109.2009.01597.x.CrossRefPubMedPubMedCentralGoogle Scholar
- American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1996). Amicus Curiae brief of the APA in support of Leroy Hendricks, Kansas v. Hendricks. Hendricks, 95–1649, 95–9075.Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Fourth ed., text rev.) Washington, DC: Author.Google Scholar
- American Psychiatric Association. (2013b). From planning to publication: Developing DSM-5. Downloaded September 6, 2016, from https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM-Development-of-DSM-5.pdf.
- American Psychiatric Association. (2013c). Paraphilic disorders. Downloaded October 6, 2013, from www.dsm5.org/Documents/Paraphilic%20Disorders%20Fact%20Sheet.pdf. https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets.
- American Psychiatric Association. (2013d). APA statement on DSM-5 text error. Downloaded August 7, 2016, from http://www.dsm5.org/Documents/13-67-DSM-Correction-103113.pdf. https://www.psychcongress.com/article/apa-correct-error-dsm-5-terminology-regarding-pedophilic-disorder.
- Blanchard, R. (2009). Paraphilias and the DSM-V: General diagnostic issues and options exemplified with pedohebephilic disorder. Paper presented at the 19th WAS world congress for sexual health, June 25, 2009, Göteborg, Sweden. Retrieved February 17, 2014, from http://individual.utoronto.ca/ray_blanchard/index_files/WAS_DSM.html.
- Chivers, M. L., Roy, C., Grimbos, T., Cantor, J. M., & Seto, M. C. (2014). Specificity of sexual arousal for sexual activities in men and women with conventional and masochistic sexual interests. Archives of Sexual Behavior, 43, 931–940. https://doi.org/10.1007/s10508-013-0174-1.CrossRefPubMedPubMedCentralGoogle Scholar
- Diamond, L. M. (2009). Sexual fluidity: Understanding women’s love and desire. Cambridge, MA: Harvard University Press.Google Scholar
- Diamond, L. M. (2013). Just how different are female and male sexual orientation? Retrieved July 31, 2016, from Cornell University, Human Development Outreach and Extension Program. http://www.cornell.edu/video/lisa-diamond-on-sexual-fluidity-of-men-and-women.
- Francis, A. (2011). DSM-5 rejects coercive paraphilia: Once again confirming that rape is not a mental disorder. Psychiatric Times. Downloaded September 7, 2016, from http://www.psychiatrictimes.com/blogs/dsm-5-rejects-coercive-paraphilia-once-again-confirming-rape-not-mental-disorder.
- James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., et al. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Journal of the American Medical Association, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427.CrossRefPubMedPubMedCentralGoogle Scholar
- Kleinplatz, P. J., & Moser, C. (2005). Is S/M pathological? Lesbian & Gay Psychology Review, 6(3), 255–260.Google Scholar
- Moser, C. (2001). Paraphilia: A critique of a confused concept. In P. J. Kleinplatz (Ed.), New directions in sex therapy: Innovations and alternatives (pp. 91–108). Philadelphia: Brunner-Routledge.Google Scholar
- Moser, C. (2002). Are any of the paraphilia in the DSM mental disorders? Archives of Sexual Behavior, 31(6), 490–491.Google Scholar
- Moser, C. (2013). Hypersexual disorder: Searching for clarity. Sexual Addiction & Compulsivity, 20, 48–58.Google Scholar
- Moser, C., & Kleinplatz, P. J. (2002). Transvestic fetishism: Psychopathology or iatrogenic artifact? New Jersey Psychologist, 52(2), 16–17.Google Scholar
- Moser, C., & Kleinplatz, P. J. (2005a). DSM-IV-TR and the paraphilias: An argument for removal. Journal of Psychology and Human Sexuality, 17(3/4), 91–109.Google Scholar
- Moser, C., & Kleinplatz, P. J. (2005b). Does heterosexuality belong in the DSM? Lesbian & Gay Psychology Review, 6(3), 261–267.Google Scholar
- Müller, K., Curry, S., Ranger, R., Briken, P., Bradford, J., & Fedoroff, J. P. (2014). Changes in sexual arousal as measured by penile plethysmography in men with pedophilic sexual interest. Journal of Sexual Medicine, 11(5), 1221–1229. https://doi.org/10.1111/jsm.12488.CrossRefPubMedPubMedCentralGoogle Scholar
- Spitzer, R. L. (2005). Sexual and gender identity disorders: Discussion of questions for DSM-V. Journal of Psychology & Human Sexuality, 17(3/4), 111–116.Google Scholar