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Paraphilias: phenomenology and classification.

J Money

    American Journal of Psychotherapy
    |April 1, 1984
    PubMed
    Summary

    The Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III) misclassifies most paraphilias. This study categorizes thirty paraphilias and introduces the developmental lovemap concept for therapeutic needs.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Sexology

    Background:

    • The Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III) has limitations in classifying paraphilias.
    • Current classifications often prioritize forensic history over clinical pathology and treatment needs.

    Purpose of the Study:

    • To re-categorize paraphilias based on phenomenological dynamics.
    • To introduce the novel concept of the developmental lovemap.
    • To present a new therapeutic approach for paraphilias.

    Main Methods:

    • Phenomenological analysis of approximately thirty paraphilias.
    • Development of a new conceptual framework: the developmental lovemap.
    • Introduction of a combined androgen agonist and counseling therapy.

    Main Results:

    • Paraphilias are subdivided into six distinct categories based on their underlying dynamics.
    • The developmental lovemap concept offers a new perspective on paraphilias.
    • A novel treatment integrating pharmacological and psychotherapeutic interventions has been developed.

    Conclusions:

    • The DSM-III classification of paraphilias requires revision.
    • The developmental lovemap provides a useful framework for understanding and treating paraphilias.
    • The combined androgen agonist and counseling therapy shows promise for treating paraphilias.

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