Abstract
The descriptions of mental disorders provided by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association [APA], 1994) are those currently most widely used in the scientific literature. Development of the DSM beginning with the third version was strongly influenced by the criticism of previous diagnostic procedures which allowed clinicians considerable latitude in determining the features on which they based their diagnoses. As a result the diagnoses made on the same patients by different clinicians could vary considerably, that is, they lacked reliability. Matarazzo (1983) emphasized that these levels could be as low as 49–63% for specific psychiatric diagnoses. To minimize this cause of reduced diagnostic reliability, criteria were defined in recent versions of the DSM for most mental disorders. The aim was that the definitions would be sufficiently precise that different interviewers would experience no uncertainty as to whether the criteria were present or absent in a particular patient. Ideally the definitions were those termed operational, in that each operation involved in reaching the diagnosis was defined so completely that no subjective judgment was necessary by the interviewer. Though succeeding editions of the DSM have attempted to provide such operationally defined criteria for mental disorders, many of the attempts still remain unsuccessful, perhaps more for sexual dysfunctions and deviations than other conditions. Criticisms of the DSM-IV diagnostic criteria, terminologies, and omissions for the sexual dysfunctions and deviations continue to be made in the clinical and research literature.
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References
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised, pp. 467–481 ). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed. ). Washington, DC: Author.
Andersen, B. L., & Broffitt, B. (1988). Is there a reliable and valid self-report measure of sexual behavior? Archives of Sexual Behavior, 17, 509–525.
Andrews, G., & Peters, L. (1998). The psychometric properties of the composite international diagnostic interview. Social Psychiatry and Psychiatric Epidemiology, 33, 80–88.
Andrews, G., Peters, L., Guzman, A.-M., & Bird, K. (1995). A comparison of two structured diagnostic interviews: CIDI and SCAN. Australian and New Zealand of Psychiatry, 29, 124–132.
Arndt, B. ( 1994, May 28–29). An abuse of trust. The Weekend Australian, 23.
AuBuchon, P. G., & Calhoun, K. S. (1985). Menstrual cycle symptomatology: The role of social expectancy and experimental demand characteristics. Psychosomatic Medicine, 47, 35–45.
Bates, J. E., Bentler, P. M., & Thompson, S. K. (1973). Measurement of deviant gender development in boys. Child Development, 44, 591–598.
Bender, L., & Paster, S. (1941). Homosexual trends in children. American Journal of Orthopsychiatry, 11, 730–743.
Berlin, F. S., Malin, H. M., & Dean, S. (1991). Effect of statutes requiring psychiatrists to report suspected sexual abuse of children. American Journal of Psychiatry, 148, 449–453.
Blanchard, R. (1997). Birth order and sibling sex ratio in homosexual versus heterosexual males and females. Annual Review of Sex Research, 8, 27–67.
Boyce, E. G., & Umland, E. M. (2001). Sildenafil citrate: A therapeutic update. Clinical Therapeutics, 23, 2–23.
Brecher, E. M. (1984). Love, sex and aging. Boston: Little, Brown and Co.
Bullough, B., & Bullough, V. (1997). Are transvestites necessarily heterosexual? Archives of Sexual Behavior, 26, 1–12.
Byers, E. S., Sr Heinlein, L. (1989). Predicting initiations and refusals of sexual activity in married and cohabitating heterosexual couples. Journal of Sex Research, 26, 210–231.
Catania, J. A., Gibson, D. R., Chitwood, D. D., Sr Coates, T. J. (1990a). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339–362.
Catania, J. A., Gibson, D. R., Marin, B., Coates, T. J., & Greenblatt, R. M. (1990b). Response bias in assessing sexual behaviors relevant to HIV transmission. Evaluation and Program Planning, 13, 19–29.
Cooper, B., & Singh, B. (2000). Population research and mental health policy (Editorial). British Journal of Psychiatry, 176, 407–411.
Cooper, L., Peters, L., & Andrews, G. (1998). Validity of the Composite Diagnostic Interview (CIDI) psychosis module in a psychiatric setting. Journal of Psychiatric Research, 32, 361–368.
Crepault, C., & Couture, M. (1980). Men’s erotic fantasies. Archives of Sexual Behavior, 9, 565–581.
Davis, C. M., Yarber, W. L., Bauserman, R., Schreer, G., & Davis, S. L. (1998). Handbook of sexuality-related measures. Thousand Oaks, CA: Sage.
De Amicis, L. A., Goldberg, D. C., LoPiccolo, J., Friedman, J., & Davies, L. (1985). Clinical follow-up of couples treated for sexual dysfunction. Archives of Sexual Behavior, 14, 467–489.
Durant, L. E., & Carey, M. P. (2000). Self-administered questionnaires versus face-to-face interviews in assessing sexual behavior in young women. Archives of Sexual Behavior, 29, 309–322.
Figueira, M. D., Possidente, E., Marques, C., & Hayes, K. (2001). Sexual dysfunction: A neglected complication of panic disorder and social phobia. Archives of Sexual Behavior, 26, 369–377.
Finkelhor, D. (1984). Child sexual abuse new theory and research. New York: The Free Press.
Firestone, P., Bradford, J. M., McCoy, M., Greenberg, D., Curry, S., & Larose, M. R. (2000). Prediction of recidivism in extrafamilial child molesters based on court-related assessments. Sexual Abuse: A Journal of Research and Treatment, 12, 203–221.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV axis I disorders-patient edition. New York: New York State Psychiatric Institute.
Frank, E., Anderson, B., Sr Rubinstein, D. (1978). Frequency of sexual dysfunction in “normal” couples. New England Journal of Medicine, 299, 111–115.
Freund, K., McKnight, C. K., Langevin, R., Sr Cibiri, S. (1972). The female child as a surrogate object. Archives of Sexual Behavior, 2, 119–133.
Goldberg, D. (1997). The Maudsley handbook of practical psychiatry. Oxford: Oxford University Press.
Goldstein, I., & Berman, J. (1998). Vasculogenic female sexual dysfunction: Vaginal engorgement and clitoral erectile insufficiency syndrome. International Journal of Impotence Research, 10, S84 - S90.
Green, R., Sr Young, R. (2001). Hand preference, sexual preference, and transsexualism. Archives of Sexual Behavior, 30, 565–574.
Gutheil, T. G. (1989). Borderline personality disorder, boundary violations, and patient-therapist sex: Medicolegal pitfalls. American Journal of Psychiatry, 146, 597–602.
Guthrie, E. (2000). Psychotherapy for patients with complex disorders and chronic symptoms. British Journal of Psychiatry, 177, 131–137.
Hanson, R. K., & Bussiere, M. T. (1998). Predicting relapse: A meta-analysis of sexual offender recidivism studies. Journal of Consulting and Clinical Psychology, 66, 348–362.
Holland, L. A., Zolondek, S. C, Abel, G. G., Jordan, A. D., Sr Becker, J. V. (2000). Psychometric analysis of the sexual interest cardsort questionnaire. Sexual Abuse: A Journal of Research and Treatment, 12, 107–122.
Jacobson, N. S., Schmaling, K. B., & Holtzworth-Munroe, A. (1989). Research-structured vs. clinical flexible versions of social learning-based marital therapy. Behavior Research and Therapy, 27, 173–180.
Johnson, G. M., & Knight, R. A. (2000). Developmental antecedents of sexual coercion in juvenile sexual offenders. Sexual Abuse: A Journal of Research and Treatment, 12, 165–178.
Kagan, J., & Moss, H. A. (1962). Birth to maturity. New York: Wiley & Sons.
Karacan, I. (1978). Advances in the psychophysiological evaluation of male erectile impotence. In J. LoPiccolo & L. LoPiccolo (Eds.), Handbook of sex therapy (pp. 137–145 ). New York: Plenum Press.
Kelly, M. P., Strassberg, D. S., & Kircher, J. R. (1990). Attitudinal and experiential correlates of anorgasmia. Archives of Sexual Behavior, 19, 165–177.
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.
Lalumiere, M. L., & Quinsey, V. L. (1994). The discriminability of rapists from non-sex offenders using phallometric measures. A meta-analysis. Criminal Justice and Behavior, 21, 150–175.
Laumann, E. O., Gagnon, J. H., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality. Chicago: University of Chicago Press.
Lewontin, R. C. (1995, April 20). Sex, lies, and social science. The New York Review, 24–29.
Lipman, R. S., Cole, J. O., Park, L. C., & Rickels, K. (1965). Sensitivity of symptom and nonsymptomfocused criteria of outpatient drug efficacy. American Journal of Psychiatry, 122, 24–27.
Litwin, M. S. (1999). Urology. Journal of the American Medical Association, 281, 495–496.
LoPiccolo, J. (1990). Sexual dysfunction. In A. S. Bellack, M. Hersen, & A. E. Kazdin (Eds.), International handbook of behavior therapy and modification (2nd ed., pp. 547–564 ). New York: Plenum Press.
LoPiccolo, J. (1992). Postmodern sex therapy for erectile failure. In R. C. Rosen & S. R. Leiblum (Eds.), Erectile disorders assessment and treatment (pp. 171–197 ). New York: Guilford.
Malamuth, N. M. (1989). The attraction to sexual aggression scale: Part two. Journal of Sex Research, 26, 324–354.
Maletzky, B. M. (1980). Assisted covert sensitization. In D. J. Cox & R. J. Daitzman (Eds.), Exhibitionism: Description, assessment, and treatment (pp. 289–293 ). New York: Garland STPM Press.
Maletzky, B. M. (1996). Denial of treatment or treatment of denial? Sexual Abuse: A Journal of Research and Therapy, 8, 1–5.
Marshall, W. L. (1996). Assessment, treatment and theorizing about sex offenders. Criminal Justice and Behavior, 23, 162–199.
Marshall, W. L. (1999). Current status of North American assessment and treatment programs for sexual offenders. Journal of Interpersonal Violence, 14, 221–239.
Marshall, W. L., & Eccles, A. (1991). Issues in clinical practice with sex offenders. Journal of Interpersonal Violence, 6, 68–93.
Matarazzo, J. D. (1983). The reliability of psychiatric and psychological diagnosis. Clinical Psychology Review, 3, 103–145.
McCombie, S. L., & Arons, J. H. (1980). Counselling rape victims. In S. L. McCombie (Ed.), The rape crisis intervention handbook (pp. 145–171 ). New York: Plenum Press.
McConaghy, N. (1993). Sexual behavior, problems, and management. New York: Plenum Press.
McConaghy, N. (1998). Sexual dysfunction. In M. Hersen & V. B. Van Hasselt (Eds.), Handbook of clinical geropsychology (pp. 239–271 ). New York: Plenum Press.
McConaghy, N. (1999). Unresolved issues in scientific sexology. Archives of Sexual Behavior, 28, 285–318.
McConaghy, N., & Zamir, R. (1995). Heterosexual and homosexual coercion, sexual orientation and sexual roles in medical students. Archives of Sexual Behavior, 24, 489–502.
McConaghy, N., Blaszczynski, A., & Kidson, W. (1988). Treatment of sex offenders with imaginal desensitization and/or medroxyprogesterone. Acta Psychiatrica Scandinavica, 77, 199–206.
McConaghy, N., Zamir, R., & Manicavasagar, V. (1993). Non-sexist sexual experiences survey and scale of attraction to sexual aggression. Australian and New Zealand Journal of Psychiatry, 27, 686–693.
McConaghy, N., Hadzi-Pavlovic, D., Stevens, C., Manicavasagar, V., Buhrich, N., & Vollmer-Conna, U. (in press). Fraternal birth order and ratio of heterosexual/homosexual feelings in women and men.
Meisler, A. W., & Carey, M. P. (1990). A critical reevaluation of nocturnal penile tumescence monitoring in the diagnosis of erectile disorder. Journal of Nervous and Mental Disease, 178, 78–89.
National Advisory Mental Health Council. (1993). Health care reform for Americans with severe mental illnesses. American Journal of Psychiatry, 150, 1447–1465.
Nelson, R. O., & Hayes, S. C. (1981). Nature of behavioral assessment. In A. S. Bellack & M. Hersen (Eds.), Behavioral assessment (2nd ed., pp. 3–37 ). New York: Pergamon Press.
O’Donohue, W., Regev, L. G., & Hagstrom, A. (2000). Problems with the DSM-IV diagnosis of pedophilia. Sexual Abuse: A Journal of Research and Treatment, 12, 95–105.
Oncale, R. M., & King, B. M. (2001). Comparison of men’s and women’s attempts to dissuade sexual partners from the couple using condoms. Archives of Sexual Behavior, 30, 379–391.
Paredes, A., Baumgold, J., Pugh, L. A., & Ragland, R. (1966). Clinical judgment in the assessment of psychopharmacological effects. Journal of Nervous and Mental Disease, 142, 153–160.
Person, E. S., Terestman, N., Myers, W. A., Goldberg, E. L., & Salvadori, C. (1989). Gender differences in sexual behaviors and fantasies in a college population. Journal of Sex and Marital Therapy, 15, 187–198.
Peters, L., & Andrews, G. (1995). Procedural validity of the computerized version of the Composite International Diagnostic Interview (CIDI-Auto) in the anxiety disorders. Psychological Medicine, 25, 1269–1280.
Raymond, N. C., Coleman, E., Ohlerking, F., Christenson, G. A., & Miner, M. (1999). Psychiatric comorbidity in pedophilic sex offenders. American Journal of Psychiatry, 156, 786–788.
Reading, A. E. (1983). A comparison of the accuracy and reactivity of methods of monitoring male sexual behavior. Journal of Behavioral Assessment, 5, 11–23.
Regier, D. A., Kaelber, C. T., Rae, D. S., Farmer, M. E., Knauper, B., Kessler, R. C., & Norquist, G. S. (1998). Limitations of diagnostic criteria and assessment instruments for mental disorders. Archives of General Psychiatry, 55, 109–115.
Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behavior in a male child. Journal of Applied Behavior Analysis, 7, 173–190.
Robins, L. N., & Regier, D. A. (1991). Psychiatric disorders in America. New York: Free Press.
Rowland, D. L., Cooper, S. E., & Schneider, M. (2001). Defining premature ejaculation for experimental and clinical investigations. Archives of Sexual Behavior, 30, 235–253.
Rust, J., & Golombok, S. (1986). The GRISS: A psychometric instrument for the assessment of sexual dysfunction. Archives of Sexual Behavior, 15, 157–165.
Schatzberg, A. F., Westfall, M. P., Blumetti, A. B., & Birk, C. L. (1975). Effeminacy 1: A quantitative rating scale. Archives of Sexual Behavior, 4, 31–41.
Schiavi, R. C., & Segraves, R. T. (1995). The biology of sexual function. Psychiatric Clinics of North America, 18, 7–23.
Schlank, A. M., & Shaw, T. (1996). Treating sexual offenders who deny their guilt: A pilot study. Sexual Abuse: A Journal of Research and Treatment, 8, 17–23.
Seidman, S. N., & Rieder, R. O. (1994). A review of sexual behavior in the United States. American Journal of Psychiatry, 151, 330–341.
Slade, T., & Andrews, G. (2002). Empirical impact of DSM-IV diagnostic criterion for clinical significance. Journal of Nervous and Mental Disease, 190, 334–337.
Snyder, D. K., & Berg, P. (1983). Determinants of sexual dissatisfaction in sexually distressed couples. Archives of Sexual Behavior, 12, 237–246.
Solstad, K., & Hertoft, P. (1993). Frequency of sexual problems and sexual dysfunction in middle-aged Danish males. Archives of Sexual Behavior, 22, 51–58.
Spitzer, R. L. (1983). Psychiatric diagnosis: Are clinicians still necessary? Comprehensive Psychiatry, 24, 399–411.
Spitzer, R. L., & Wakefield, J. C. (1999). DSM-IV diagnostic criterion for clinical significance: Does it help solve the false positives problem? American Journal of Psychiatry, 156, 1856–1864.
Suarez, T., & Miller, J. (2001). Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men-Where do we go from here? Archives of Sexual Behavior, 30, 287–300.
Taylor, C. B., Agras, W. S., Schneider, J. A., & Allen, R. A. (1983). Adherence to instructions to practice relaxation exercises. Journal of Consulting and Clinical Psychology, 51, 952–953.
Templeman, T. L., & Stinnett, R. D. (1991). Patterns of sexual arousal and history in a “normal” sample of young men. Archives of Sexual Behavior, 20, 137–150.
The Process of Care Consensus Panel. (1999). The process of care model for evaluation and treatment of erectile dysfunction. International Journal of Impotence Research, 11, 59–74.
van den Brink, W., Koeter, M. W. J., Ormel, J., Dijkstra, W., Giel, R., Slooff, C. J., & Wohlfarth, T. D. (1989). Psychiatric diagnosis in an outpatient population. Archives of General Psychiatry, 46, 369–372.
van Lankveld, J. J. D. M., & Grotjohann, Y. (2000). Psychiatric comorbidity in heterosexual couples with sexual dysfunction assessed with the Composite International Diagnostic Interview. Archives of Sexual Behavior, 29, 479–498.
Wincze, J. P., & Carey, M. P. (1991). Sexual dysfunction. New York: Guilford Press.
Wing, J. K., & Sturt, E. (1978). The PSE-ID-Catego system: Supplementary manual. London: MRC Social Psychiatry Unit.
World Health Organization. (1992). Composite international diagnostic interview. Version 1.1. Geneva: WHO, Division of Mental Health.
World Health Organization (1993). CIDI-Auto version 1: Administrator’s guide. Sydney: Training and Reference Centre for WHO CIDI.
Wyatt, G. E., & Peters, S. D. (1986). Issues in the definition of child sexual abuse in prevalence research. Child Abuse and Neglect, 10, 231–240.
Zucker, K. J. (1997). Letter to the Editor. Archives of Sexual Behavior, 26, 671–672.
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McConaghy, N. (2003). Sexual Dysfunctions and Deviations. In: Hersen, M., Turner, S.M. (eds) Diagnostic Interviewing. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-4963-2_11
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