The Proposed Diagnosis of Hypersexual Disorder for Inclusion in DSM-5: Unnecessary and Harmful
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The intent of this Letter is to discuss one of the “Criteria for Change in the Current Diagnostic Classification” (as stipulated in the Guidelines for Making Changes to DSM-5) that is lacking in the Sexual and Gender Identity Disorders Work Group’s rationale for its proposed diagnostic category “Hypersexual Disorder” (with one of seven possible specifiers: Masturbation, Pornography, Sexual Behavior With Consenting Adults, Cybersex, Telephone Sex, Strip Clubs, or Other) (see Kafka, 2010). The criterion that is lacking in the rationale is: “A discussion of possible unintended negative effects of its proposed change, if it is made, and a consideration of arguments against making the change should also be included.”
Let me start by asserting that specifically medicalizing (psychiatrizing) an aberrant sexual activity when there already exists a number of DSM diagnoses that more than adequately cover the subject is inimical to the best interests of the persons who experience the “disorder”...