| DSM - Diagnostic and Statistical Manual of Mental Disorders | ![]() DSM Revision White Paper: http://ncsfreedom.org/index.php?option=com_keyword&id=305 Charles Moser and Peggy J. Kleinplatz: DSM-IV-TR and the Paraphilias: An Argument for Removal http://home.netcom.com/~docx2/mk.html The DSM-IV revision, in 1994, was seen as a step forward, but is far from satisfactory. The DSM-IV-TR, fetish and SM diagnoses "reinforce stereotypes and stigma against alternative sexual behaviors." “The way this diagnosis is interpreted, any reason that you are seen by a physician or therapist (including court order, as to assess who should get custody of your children in the event of a divorce), can bring about the diagnosis even if it has nothing to do with the issue being investigated.”
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According to DSM-IV, SM and Fetishism only become diagnosable dysfunctions when the urges, fantasies or behaviors "cause clinically significant distress or impairment in social, occupational or other important areas of functioning." In addition APA said that "a paraphilia must be distinguished from the non-pathological use of sexual fantasies, behaviors or objects as a stimulus for sexual excitement." The DSM-IV revision, in 1994, was seen as a step forward, but is far from satisfactory. Stigma knowledge shows that many psychological, physical and social problems are not caused by the individual afflicted, but by taboos, prejudices, and discrimination imposed by the environment.
According to The Differential Diagnosis of the Paraphilias "A Paraphilia must be distinguished from the non-pathological use of sexual fantasies, behaviors, or objects as a stimulus for sexual excitement in individuals without a Paraphilia. Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of nonconsenting individuals, lead to legal complications, interfere in social relationships). (DSM, p. 568) “The way this diagnosis is interpreted, any reason that you are seen by a physician or therapist (including court order, as to assess who should get custody of your children in the event of a divorce), can bring about the diagnosis even if it has nothing to do with the issue being investigated.” Charles Moser on the ReviseF65 discussion group January 22, 2006. From the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders The DSM-IV defines mental disorders. Previous editions of the DSM listed sadism and masochism as diagnosable disorders just for having such fantasies or urges over a period of time. The new edition adds modifying criteria: with both masochism and sadism, both A & B criteria must be met in order to make a diagnosis. That is, you must have the fantasies, urges, etc., and the fact that you have them must make you effectively dysfunctional in an important area of your life. Diagnosic criteria for 302.83 Sexual MasochismA. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not simulated) of being humiliated, beaten, bound or otherwise made to suffer. B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Diagnostic criteria for 302.84 Sexual SadismA. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person. B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |