Defining Paraphilia: Excluding Exclusion;
Open Access Journal of Forensic Psychology;
2010(2), 241-272
The development of the classification of the paraphilias is considered, with emphasis on justifications for their inclusion in DSM-III in light of the declassification of homosexuality. These justifications are found to be tenuous and do not work for the paraphilias in DSM-III-R because of changes made. Rationale for these changes is discussed based on inquiries made to DSM-III-R paraphilias committee members. Changes in DSM-IV and DSM-IV-TR are also discussed. After considering and critiquing more recent arguments for including the paraphilias in the DSM, recommendations are made for proposals in the DSM-5, whether the paraphilias belong in the DSM, and whether they should be used in SVP commitment.
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The development of the classification of the paraphilias is considered, with emphasis on justifications for their inclusion in DSM-III in light of the declassification of homosexuality. These justifications are found to be tenuous and do not work for the paraphilias in DSM-III-R because of changes made. Rationale for these changes is discussed based on inquiries made to DSM-III-R paraphilias committee members. Changes in DSM-IV and DSM-IV-TR are also discussed. After considering and critiquing more recent arguments for including the paraphilias in the DSM, recommendations are made for proposals in the DSM-5, whether the paraphilias belong in the DSM, and whether they should be used in SVP commitment.
Defining Paraphilia in DSM-5: Do Not Disregard Grammar;
Journal of Sex and Marital Therapy;
37, ,
Jan 07 2011
Blanchard has proposed a definition of paraphilia for DSM-5, delimiting a range of so-called normative sexuality, and defining paraphilia as any intense and persistent sexual interest other than that. The author examines the wording and intended meaning of this definition, and he argues that there are many problems with it that "correct" interpretation requires ignoring what it says. Because of these problems and the possibility of civil commitment under sexually violent predator/person laws on the basis of a diagnosis of paraphilia NOS, caution and careful consideration of grammar are urged in drafting a definition of paraphilia for DSM-5.
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Blanchard has proposed a definition of paraphilia for DSM-5, delimiting a range of so-called normative sexuality, and defining paraphilia as any intense and persistent sexual interest other than that. The author examines the wording and intended meaning of this definition, and he argues that there are many problems with it that "correct" interpretation requires ignoring what it says. Because of these problems and the possibility of civil commitment under sexually violent predator/person laws on the basis of a diagnosis of paraphilia NOS, caution and careful consideration of grammar are urged in drafting a definition of paraphilia for DSM-5.