Oxford Doctoral Course in Clinical Psychology, Isis Education Centre, Warneford Hospital, Headington, Oxford, OX3 7JX, UK.
Arch Sex Behav. 2010 Apr;39(2):256-70. doi: 10.1007/s10508-009-9542-2.
This article reviews the DSM diagnostic criteria for Female Orgasmic Disorder (FOD). Following an overview of the concept of female orgasm, research on the prevalence and associated features of FOD is briefly reviewed. Specific aspects of the DSM-IV-TR criteria for FOD are critically reviewed and key issues that should be considered for DSM-V are discussed. The DSM-IV-TR text on FOD focused on the physiological changes that may (or may not) accompany orgasm in women; one of the major recommendations here is that greater emphasis be given to the subjective aspects of the experience of orgasm. Additional specific recommendations are made for revision of diagnostic criteria, including the use of minimum severity and duration criteria, and better acknowledgment of the crucial role of relationship factors in FOD.
本文回顾了 DSM 对女性性高潮障碍（Female Orgasmic Disorder，FOD）的诊断标准。在概述女性性高潮的概念之后，简要回顾了 FOD 的流行率和相关特征的研究。本文批判性地回顾了 DSM-IV-TR 中 FOD 标准的具体方面，并讨论了 DSM-V 中需要考虑的关键问题。DSM-IV-TR 中关于 FOD 的文本主要集中在女性性高潮时可能（或可能不）伴随的生理变化上；这里的一个主要建议是，应该更加重视性高潮体验的主观方面。本文还对诊断标准的修订提出了一些具体建议，包括使用最低严重程度和持续时间标准，并更好地承认关系因素在 FOD 中的关键作用。
