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Pathologizing sexual deviance: a history
Andreas De Block1, Pieter R Adriaens
1Institute of Philosophy, University of Leuven, Belgium.
Journal of Sex Research
|March 14, 2013
Summary
Psychiatry has historically struggled to define sexual deviance, often pathologizing and depathologizing behaviors like homosexuality. This review examines the evolving diagnostic categories for sexual deviations over 150 years.
Area of Science:
- Psychiatry
- Sexology
- Medical History
Background:
- This article examines the historical conceptualization and categorization of sexual deviance by American and European psychiatrists over the last 150 years.
- It highlights psychiatry's ongoing challenge in differentiating mental disorders (paraphilias) from behaviors deemed immoral, unethical, or illegal.
Observation:
- The study traces the pathologization and depathologization of various sexual preferences and behaviors throughout history.
- It notes the persistent struggle evident in historical works and contemporary diagnostic manuals like the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Findings:
- While homosexuality has been a major focus, the article also reviews historical and sociohistorical work on other sexual deviations.
- It covers diagnostic categories such as exhibitionism, voyeurism, fetishism, and pedophilia as listed in the DSM-IV-TR.
Implications:
- Understanding the historical context of sexual deviance diagnoses is crucial for contemporary psychiatric practice.
- This review provides insights into the evolving definitions and societal influences on the classification of sexual behaviors.
- It underscores the need for continued critical evaluation of diagnostic criteria for paraphilias.
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