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The DSM Diagnostic Criteria for Female Orgasmic Disorder

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Abstract

This article reviews the DSM diagnostic criteria for Female Orgasmic Disorder (FOD). Following an overview of the concept of female orgasm, research on the prevalence and associated features of FOD is briefly reviewed. Specific aspects of the DSM-IV-TR criteria for FOD are critically reviewed and key issues that should be considered for DSM-V are discussed. The DSM-IV-TR text on FOD focused on the physiological changes that may (or may not) accompany orgasm in women; one of the major recommendations here is that greater emphasis be given to the subjective aspects of the experience of orgasm. Additional specific recommendations are made for revision of diagnostic criteria, including the use of minimum severity and duration criteria, and better acknowledgment of the crucial role of relationship factors in FOD.

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Acknowledgments

The author is a member of the DSM-V Workgroup on Sexual and Gender Identity Disorders. I wish to acknowledge the valuable input I received from members of my Workgroup (Yitzchak Binik, Lori A. Brotto, R. Taylor Segraves) and Kenneth J. Zucker. Feedback from DSM-V Advisors Richard Balon, John Bancroft, Rosemary Basson, Marta Meana, and Leslie Schover is greatly appreciated. Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders V Workgroup Reports (Copyright 2009), American Psychiatric Association.

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  1. Oxford Doctoral Course in Clinical Psychology, Isis Education Centre, Warneford Hospital, Headington, Oxford, OX3 7JX, UK

    Cynthia A. Graham

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Graham, C.A. The DSM Diagnostic Criteria for Female Orgasmic Disorder. Arch Sex Behav 39, 256–270 (2010). https://doi.org/10.1007/s10508-009-9542-2

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