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Paraphilias in the DSM-5.

Anthony R Beech1, Michael H Miner2, David Thornton1,3

  • 1School of Psychology, University of Birmingham, Birmingham B15 2TT, United Kingdom;

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|January 17, 2016
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Summary

The Diagnostic and Statistical Manual of Mental Disorders (DSM) revision distinguishes paraphilias from paraphilic disorders, focusing on distress and dysfunction. New criteria address remission and clarify behavior relationships for better diagnosis.

Keywords:
changesdefinitionsevidence baseimplicationsparaphilia/paraphilic disorders

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health Diagnostics

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) provides criteria for mental health diagnoses.
  • Characterization of paraphilias has evolved across DSM editions.
  • Previous DSM versions lacked clear distinctions and remission criteria for paraphilic disorders.

Purpose of the Study:

  • To critically review changes in DSM's characterization of paraphilias.
  • To examine DSM-5 diagnostic options and revisions.
  • To analyze decisions regarding specific paraphilic disorders and diagnostic criteria.

Main Methods:

  • Literature review and critical analysis of DSM diagnostic criteria.
  • Examination of changes implemented in DSM-5.
  • Comparative analysis of diagnostic approaches across DSM editions.

Main Results:

  • DSM-5 distinguishes paraphilias from paraphilic disorders, requiring distress or dysfunction for disorder classification.
  • Introduction of remission criteria for paraphilic disorders.
  • Clarification of the relationship between sexual interests and paraphilic disorders.

Conclusions:

  • The DSM-5 revision enhances the diagnostic framework for paraphilias by focusing on clinical significance.
  • Further research and funding are needed for diagnostic efficacy and forensic application.
  • Future directions should prioritize research on efficacy and clinical diagnosis of paraphilic disorders.