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Problems with paraphilias in the DSM-5
J Paul Fedoroff1, Lisha Di Gioacchino, Lisa Murphy
1Integrated Forensic Program, Royal Ottawa Mental Health Centre, University of Ottawa Institute of Mental Health Research, University of Ottawa, 1145 Carling Avenue, Ottawa, ON K1Z 7K4, Canada. Paul.Fedoroff@theroyal.ca
Abstract:
This paper critiques changes in the diagnositic criteria for the paraphilias as set out in the DSM-5. In addition to general areas of concern, five specific problem areas are identified. This includes: definitions by exclusion; culturally based criteria; ignoring etiology; minimizing consent issues; and lack of field trials. A suggestion to improve the diagnostic criteria is offered.
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