Problems with paraphilias in the DSM-5

Curr Psychiatry Rep. 2013 Aug;15(8):363. doi: 10.1007/s11920-013-0363-6.


This paper critiques changes in the diagnositic criteria for the paraphilias as set out in the DSM-5. In addition to general areas of concern, five specific problem areas are identified. This includes: definitions by exclusion; culturally based criteria; ignoring etiology; minimizing consent issues; and lack of field trials. A suggestion to improve the diagnostic criteria is offered.

Publication types

  • Review

MeSH terms

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