How Anomalous Are Paraphilic Interests?
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The latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (American Psychiatric Association, 2013) addressed important issues related to the definition and diagnostic criteria of paraphilic disorders. Among them is the distinction between paraphilic interests and paraphilic disorders, which clearly acknowledge that paraphilias are not necessarily pathological. However, many problems remain with the category of Paraphilic Disorders in the DSM-5. Issues related to the diagnoses of paraphilic disorders were previously stressed by others (e.g., vagueness of terms, lack of validity, unoperationalized terminology, mixed medical and criminal criteria) (e.g., Balon, 2013; Fedoroff, 2011; Hinderliter, 2011; Moser, 2011; Singy, 2010). This commentary will raise more basic, yet rarely addressed, questions concerning the category of paraphilic disorders: the fundamental definition of paraphilia (Criterion A).
According to the DSM-5, paraphilia are anomaloussexual...
KeywordsSexual Interest Sexual Fantasy Fetishism Internet Pornography Paraphilic Disorder
This commentary represents the sole opinion of the author, which is not necessarily endorsed by the Group of Research in Sexual Aggression (GRAS) or the International Center of Comparative Criminology (CICC), to which the author belongs.
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