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Diagnostic and Statistical Manual of Mental Disorders (DSM)

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Paradigms for Behavioral Assessment in Drosophila Model of Autism Spectrum Disorder

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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

Current Psychiatry Reports

|July 25, 2013

Summary

This study evaluates changes to the paraphilias diagnostic criteria in the DSM-5, identifying five key issues including cultural bias and lack of consent considerations. Recommendations for improving these criteria are proposed.

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Area of Science:

Psychiatry
Clinical Psychology
Diagnostic Manuals

Background:

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) introduced revised diagnostic criteria for paraphilias.
Previous iterations and the current criteria have faced scrutiny regarding their clinical utility and theoretical underpinnings.

Purpose of the Study:

To critically analyze the modifications made to the diagnostic criteria for paraphilias in the DSM-5.
To identify specific areas of concern within the revised criteria.

Main Methods:

A critical review and analysis of the DSM-5 diagnostic criteria for paraphilias.
Identification and discussion of five specific problem areas within the revised criteria.

Main Results:

The paper identifies five primary issues with the DSM-5 paraphilias criteria: definitions by exclusion, culturally biased criteria, neglect of etiology, minimization of consent issues, and insufficient field trials.
General areas of concern beyond these five specific points are also discussed.

Conclusions:

The current DSM-5 diagnostic criteria for paraphilias present several significant limitations.
Suggestions are offered to enhance the diagnostic criteria, aiming for improved clinical applicability and theoretical coherence.