Defining paraphilia in DSM-5: do not disregard grammar

J Sex Marital Ther. 2011;37(1):17-31. doi: 10.1080/0092623X.2011.533567.

Abstract

Blanchard (2009a, 2009b, 2009c) proposed a definition of paraphilia for Diagnostic and Statistical Manual (DSM)-5, delimiting a range of so-called normative sexuality and defining paraphilia as any intense and persistent sexual interest other than that. The author examines the wording and intended meaning of this definition, and he argues that there are many problems with it that "correct" interpretation requires ignoring what it says. Because of these problems and the possibility of civil commitment under sexually violent predator/person laws on the basis of a diagnosis of paraphilia NOS, caution and careful consideration of grammar and wording is urged in drafting a definition for paraphilia for DSM-5.

MeSH terms

  • Diagnostic and Statistical Manual of Mental Disorders*
  • Humans
  • Mental Disorders / classification
  • Mental Disorders / diagnosis
  • Paraphilic Disorders / classification*
  • Paraphilic Disorders / diagnosis*
  • Subject Headings
  • Terminology as Topic*
  • Vocabulary