Author: Michael B. First

Allen Frances, MD, & Michael B. First MD; Hebephilia Is Not a Mental Disorder in DSM-IV-TR and Should Not Become One in DSM-5; Journal of the American Academy of Psychiatry and the Law; 39(1), 78-85, Feb 01 2011
The paraphilia section of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is being misinterpreted in the forensic evaluations of sexually violent offenders. The resulting misuse of the term paraphilia not otherwise specified, hebephilia, has justified the inappropriate involuntary commitment of individuals who do not in fact qualify for a DSM-IV-TR diagnosis of mental disorder. This article has two purposes: to clarify what the DSM-IV-TR was meant to convey and how it has been twisted in translation within the legal system, and to warn that the DSM-5 proposal to include pedohebephilia threatens to make the current bad situation very much worse in the future.