The DSM Diagnostic Criteria for Paraphilia Not Oth

Authors: Martin P Kafka

Publish Date: 2009/09/25

Volume: 39, Issue: 2, Pages: 373-376

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Abstract

The category of “Not Otherwise Specified” NOS for DSMbased psychiatric diagnosis has typically retained diagnoses whose rarity empirical criterion validation or symptomatic expression has been insufficient to be codified This article reviews the literature on Telephone Scatologia Necrophilia Zoophilia Urophilia Coprophilia and Partialism Based on extant data no changes are suggested except for the status of Partialism Partialism sexual arousal characterized by “an exclusive focus on part of the body” had historically been subsumed as a type of Fetishism until the advent of DSMIIIR The rationale for considering the removal of Partialism from Paraphilia NOS and its reintegration as a specifier for Fetishism is discussed here and in a companion review on the DSM diagnostic criteria for fetishism Kafka 2009 In the DSMIV and DSMIVTR the essential features of a Paraphilia are recurrent intense sexually arousing fantasies sexual urges or behaviors generally involving nonhuman objects the suffering or humiliation of oneself or one’s partner or children or other nonconsenting persons that occur over a period of at least 6 months Criterion A Given consideration for the erotic focus of Partialism and Autoerotic Asphyxia amending the operational criteria for Paraphilia should be considered to include an atypical focus involving human subjects self or othersThe author is a member of the DSMV Workgroup on Sexual and Gender Identity Disorders Chair Kenneth J Zucker PhD I wish to acknowledge the valuable input I received from members of my Paraphilias subworkgroup Ray Blanchard Richard Krueger and Niklas Långström and Kenneth J Zucker Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders V Workgroup Reports Copyright 2009 American Psychiatric Association

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