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Sex, immorality, and mental disorders.

Bernard Gert1, Charles M Culver

  • 1Dartmouth College and Dartmouth Medical School, Hanover, NH 03755, USA. bernard.gert@dartmouth.edu

The Journal of Medicine and Philosophy
|August 20, 2009
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Summary
This summary is machine-generated.

The definition of mental disorders has evolved, particularly concerning paraphilias across different Diagnostic and Statistical Manual of Mental Disorders editions. Paraphilias are no longer solely defined by deviant sexual behavior.

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health

Background:

  • The definition of mental disorders has been consistent across Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R), DSM-IV, and DSM-IV-TR.
  • The classification and definition of paraphilias have undergone significant changes throughout these editions.

Purpose of the Study:

  • To analyze the evolution of the definition of paraphilias in relation to the general definition of mental disorders across DSM editions.
  • To identify inconsistencies and changes in how deviant sexual behavior is considered in the diagnosis of paraphilias.

Main Methods:

  • Comparative analysis of diagnostic criteria for paraphilias across DSM-III-R, DSM-IV, and DSM-IV-TR.
  • Examination of the relationship between the general definition of mental disorders and the specific criteria for paraphilias in each edition.

Main Results:

  • DSM-III-R considered deviant sexual behavior sufficient for a paraphilia diagnosis, contradicting the general mental disorder definition.
  • DSM-IV aligned the paraphilia definition with the general mental disorder definition.
  • DSM-IV-TR distinguishes between mere deviant sexual behavior and immoral deviant sexual behavior, with only the latter being inconsistent with the general definition.

Conclusions:

  • The diagnostic criteria for paraphilias have been refined to better align with the overarching definition of mental disorders.
  • DSM-IV-TR represents a significant shift, emphasizing the 'immoral' aspect of deviant sexual behavior in paraphilia classification.