Disregarding Science, Clinical Utility, and the DSM’s Definition of Mental Disorder: The Case of Exhibitionism, Voyeurism, and Frotteurism
- 1.1k Downloads
Here is what DSM-III’s (American Psychiatric Association, 1980) diagnostic criteria for Exhibitionism said: “Repetitive acts of...
In the DSM-III-R (American Psychiatric Association, 1987), the core criterion (A) for Exhibitionism (Over a period of at least 6 months, recurrent, intense sexual urges and sexually arousing fantasies involving intense sexual arousal from exposing one’s genitals to an unsuspecting stranger) remained the same as in DSM-III (American Psychiatric Association, 1980). However, a qualifying diagnostic B criterion was added, as were [sic] true for all paraphilia diagnoses. This criterion was added to emphasize that psychiatric disorders or diagnoses had to include acting out against others or substantial distress. (p. 317)
KeywordsAmerican Psychiatric Association Specific Phobia Sexual Fantasy Gender Identity Disorder Sexual Disorder
- American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.Google Scholar
- Frances, A. (2009, June 26). A warning sign on the road to DSM-V: Beware of unintended consequences. Psychiatric Times. http://www.psychiatrictimes.com/dsm-5/content/article/10168/1425378.
- Frances, A. (2010, March 17). DSM5 and sexual disorders—just say no. Psychiatric Times. http://www.psychiatrictimes.com/dsm-5/content/article/10168/1539921.
- Långström, N. (2010). The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism. Archives of Sexual Behavior, 39, 349–356.Google Scholar
- Pincus, H. A., & McQueen, L. (2002). The limits of an evidence-based classification of mental disorders. In J. Z. Sadler (Ed.), Descriptions and prescriptions: Values, mental disorders, and the DSMs (pp. 9–24). Baltimore: The John Hopkins University Press.Google Scholar
- Sadler, J. Z. (2005). Values and psychiatric diagnosis. Oxford: Oxford University Press.Google Scholar
- Sedgwick, P. (1982). Psycho politics. New York: Harper & Row.Google Scholar
- Spitzer, R. L., & Williams, J. B. W. (1982). The definition and diagnosis of mental disorder. In W. R. Gove (Ed.), Deviance and mental illness (pp. 15–31). Beverly Hills, CA: Sage.Google Scholar
- Stern, P. (2010). Paraphilic coercive disorder in the DSM: The right diagnosis for the right reasons. Archives of Sexual Behavior. doi: 10.1007/s10508-010-9645-9.