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Archives of Sexual Behavior

, Volume 48, Issue 3, pp 681–689 | Cite as

DSM-5, Paraphilias, and the Paraphilic Disorders: Confusion Reigns

  • Charles MoserEmail author
Letter to the Editor

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 Presumably, the feedback to the PSWG (both published and unpublished) was considered, and a final PSWG...

Notes

References

  1. 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
  2. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
  3. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  4. 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
  5. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Fourth ed., text rev.) Washington, DC: Author.Google Scholar
  6. American Psychiatric Association. (2013a). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Press.CrossRefGoogle Scholar
  7. 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.
  8. 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.
  9. Balon, R. (2014). Politics of diagnostic criteria: Specifiers of pedophilic disorder in DSM-5 [Commentary]. Archives of Sexual Behavior, 43, 1235–1236.CrossRefGoogle Scholar
  10. 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.
  11. Blanchard, R. (2010). The DSM diagnostic criteria for transvestic fetishism. Archives of Sexual Behavior, 39, 363–372.  https://doi.org/10.1007/s10508-009-9541-3.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Blanchard, R. (2013). A dissenting opinion on DSM-5 pedophilic disorder [Letter to the Editor]. Archives of Sexual Behavior, 42(5), 675–678.CrossRefGoogle Scholar
  13. 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
  14. Diamond, L. M. (2009). Sexual fluidity: Understanding women’s love and desire. Cambridge, MA: Harvard University Press.Google Scholar
  15. 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.
  16. Fedoroff, J. P., Di Gioacchino, L., & Murphy, L. (2013). Problems with paraphilias in the DSM-5. Current Psychiatry Reports, 15(8), 363.  https://doi.org/10.1007/s11920-013-0363-6.CrossRefPubMedPubMedCentralGoogle Scholar
  17. First, M. B. (2014). DSM-5 and paraphilic disorders. Journal of the American Academy of Psychiatry and the Law, 42, 191–201.PubMedPubMedCentralGoogle Scholar
  18. 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.
  19. 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
  20. Joyal, C. C., Cossette, A., & Lapierre, V. J. (2015). What exactly is an unusual sexual fantasy? Journal of Sexual Medicine, 12, 328–340.  https://doi.org/10.1111/jsm.12734.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400.CrossRefGoogle Scholar
  22. Khan, U. (2014). Vicarious kinks: S/M in the socio-legal imaginary. Toronto: University of Toronto Press.CrossRefGoogle Scholar
  23. Kleinplatz, P. J., & Moser, C. (2005). Is S/M pathological? Lesbian & Gay Psychology Review, 6(3), 255–260.Google Scholar
  24. Krueger, R. (2010). The DSM diagnostic criteria for sexual sadism. Archives of Sexual Behavior, 39, 325–345.  https://doi.org/10.1007/s10508-009-9586-3.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Langevin, R., Lang, R. A., & Curnoe, S. (1998). The prevalence of sex offenders with deviant fantasies. Journal of Interpersonal Violence, 13(3), 315–327.CrossRefGoogle Scholar
  26. Långström, N. (2010). The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism. Archives of Sexual Behavior, 39(2), 317–324.CrossRefGoogle Scholar
  27. 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
  28. Moser, C. (2002). Are any of the paraphilia in the DSM mental disorders? Archives of Sexual Behavior, 31(6), 490–491.Google Scholar
  29. Moser, C. (2009). When is an unusual sexual interest a mental disorder? Archives of Sexual Behavior, 38(3), 323–325.CrossRefGoogle Scholar
  30. Moser, C. (2010). Problems with ascertainment [Letter to the Editor]. Archives of Sexual Behavior, 39(6), 1225–1227.CrossRefGoogle Scholar
  31. Moser, C. (2011). Yet another paraphilia definition fails [Letter to the Editor]. Archives of Sexual Behavior, 40(3), 483–485.CrossRefGoogle Scholar
  32. Moser, C. (2013). Hypersexual disorder: Searching for clarity. Sexual Addiction & Compulsivity, 20, 48–58.Google Scholar
  33. Moser, C. (2016). Defining sexual orientation [Commentary]. Archives of Sexual Behavior, 43(3), 505–508.  https://doi.org/10.1007/s10508-015-0625-y.CrossRefGoogle Scholar
  34. Moser, C., & Kleinplatz, P. J. (2002). Transvestic fetishism: Psychopathology or iatrogenic artifact? New Jersey Psychologist, 52(2), 16–17.Google Scholar
  35. 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
  36. Moser, C., & Kleinplatz, P. J. (2005b). Does heterosexuality belong in the DSM? Lesbian & Gay Psychology Review, 6(3), 261–267.Google Scholar
  37. 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
  38. Quinsey, V. L. (2010). Coercive paraphilic disorder. Archives of Sexual Behavior, 39, 405–410.  https://doi.org/10.1007/s10508-009-9547-x.CrossRefPubMedPubMedCentralGoogle Scholar
  39. Shindel, A. W., & Moser, C. (2011). Why are the paraphilias mental disorders? Journal of Sexual Medicine, 8(3), 927–929.CrossRefGoogle Scholar
  40. Singy, P. (2015). Hebephilia: A postmortem dissection. Archives of Sexual Behavior, 44(5), 1109–1116.CrossRefGoogle Scholar
  41. 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
  42. Wakefield, J. C. (2011). DSM-5 proposed diagnostic criteria for sexual paraphilias: Tensions between diagnostic validity and forensic utility. International Journal of Law and Psychiatry, 34(3), 195–209.CrossRefGoogle Scholar
  43. Wright, S. (2014). Kinky parents and child custody: The effect of the DSM-5 differentiation between the paraphilias and paraphilic disorders [Commentary]. Archives of Sexual Behavior, 43(7), 1257–1258.  https://doi.org/10.1007/s10508-013-0250-6.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Diverse Sexualities Research and Education InstituteSan FranciscoUSA

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