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Related Experiment Videos

Paraphilias.

Norbert Konrad1, Justus Welke, Annette Opitz-Welke

  • 1Institute of Forensic Psychiatry, Charité - University Medicine Berlin, Berlin, Germany.

Current Opinion in Psychiatry
|September 19, 2015
PubMed
Summary
This summary is machine-generated.

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The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) distinguishes paraphilias from paraphilic disorders, potentially reducing stigma. However, the causes and best treatments for paraphilic disorders remain unclear.

Area of Science:

  • Psychiatry
  • Sexology
  • Mental Health

Background:

  • The traditional concept of paraphilia is influenced by societal sexual norms and the assumption of genital organization for reproduction.
  • Pathologization of sexual practices as paraphilic disorders is a persistent issue.

Purpose of the Study:

  • To review the changes introduced by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) regarding paraphilias.
  • To explore recent research and ongoing discussions on paraphilic disorders.

Main Methods:

  • Literature review of recent research.
  • Analysis of diagnostic criteria changes in DSM-5.

Main Results:

  • DSM-5 differentiates between paraphilias and paraphilic disorders, aiming to destigmatize consensual unusual sexual behavior.

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  • Pedophilic disorder is the sole paraphilic disorder without 'in remission' or 'in a controlled environment' specifiers in DSM-5.
  • Antiandrogen therapy is used alongside psychotherapy for sex offenders in some countries.
  • Conclusions:

    • DSM-5 allows for a distinction between paraphilia and paraphilic disorders.
    • The etiology of paraphilias is currently unknown.
    • Paraphilias are more prevalent in men, but the reasons are unclear, and consensus on optimal treatment for paraphilic disorders is lacking.