Faculty of Human Sciences and Education, University of Zaragoza, 22003, Huesca, Spain.
Arch Sex Behav. 2012 Oct;41(5):1083-97. doi: 10.1007/s10508-012-9919-5. Epub 2012 Feb 25.
This article presents a critical review of the recent controversies concerning the diagnosis of pedophilia in the context of the preparation of the fifth edition of the DSM. The analysis focuses basically on the relationship between pedophilia and the current DSM-IV-TR's definition of mental disorder. Scholars appear not to share numerous basic assumptions ranging from their underlying ideas about what constitutes a mental disorder to the role of psychiatry in modern society, including irreconcilable theories about human sexuality, which interfere with reaching any kind of a consensus as to what the psychiatric status of pedophilia should be. It is questioned if the diagnosis of pedophilia contained in the DSM is more forensic than therapeutic, focusing rather on the dangers inherent in the condition of pedophilia (dangerous dysfunction) than on its negative effects for the subject (harmful dysfunction). The apparent necessity of the diagnosis of pedophilia in the DSM is supported, but the basis for this diagnosis is uncertain.
本文对 DSM-5 准备过程中有关恋童癖诊断的最新争议进行了批判性回顾。分析主要集中在恋童癖与当前 DSM-IV-TR 精神障碍定义之间的关系上。学者们似乎并没有就许多基本假设达成共识，这些假设包括构成精神障碍的概念、精神病学在现代社会中的作用，甚至包括关于人类性行为的不可调和的理论，这些分歧妨碍了就恋童癖的精神科状况应该是什么达成任何共识。有人质疑 DSM 中包含的恋童癖诊断更多是出于法律目的而非治疗目的，它更关注恋童癖的内在危险（危险功能障碍），而不是对主体的负面影响（有害功能障碍）。DSM 中恋童癖诊断的明显必要性得到了支持，但该诊断的依据并不确定。
