Paraphilic diagnoses in DSM-5

Isr J Psychiatry Relat Sci. 2012;49(4):248-54.


Background: The DSM-5 has been under revision since 1999 and is scheduled for publication in 2013. This article will review the major proposed modifications of the Paraphilias.

Method: The information reviewed was obtained from PubMed, PsychInfo, the website and other sources and reviewed.

Results: Pedohebephilia, Hypersexual Disorder and Paraphilic Coercive Disorder are new proposed diagnoses. Paraphilias have been assigned their own chapter in DSM- 5 and a distinction has been made between Paraphilias and Paraphilic Disorders. Victim numbers have been included in diagnosis of paraphilias that involve victims and remission and severity measures have been added to all paraphilias. Transvestic Disorder can apply to males or females, Fetishistic Disorder now includes partialism, and Sexual Masochism Disorder has Asphyxiophilia as a specifier.

Limitations: This study is based on a literature review and influenced by the knowledge and biases of the authors.

Conclusions: The Paraphilic Disorders Section of the DSM-5 represents a significant departure from DSMIV-TR.

Publication types

  • Review

MeSH terms

  • Diagnostic and Statistical Manual of Mental Disorders*
  • Humans
  • Paraphilic Disorders / classification
  • Paraphilic Disorders / diagnosis*