《精神疾病诊断与统计手册》第五版中的性偏好障碍诊断

Paraphilic diagnoses in DSM-5.

作者信息

Krueger Richard B, Kaplan Meg S

机构信息

Columbia University, College of Physicians and Surgeons, Department of Psychiatry, and Sexual Behavior Clinic, New York State Psychiatric Institute, New York, New York, U.S.A.

出版信息

Isr J Psychiatry Relat Sci. 2012;49(4):248-54.

PMID:23585461

Abstract

BACKGROUND

The DSM-5 has been under revision since 1999 and is scheduled for publication in 2013. This article will review the major proposed modifications of the Paraphilias.

METHOD

The information reviewed was obtained from PubMed, PsychInfo, the DSM-5.org website and other sources and reviewed.

RESULTS

Pedohebephilia, Hypersexual Disorder and Paraphilic Coercive Disorder are new proposed diagnoses. Paraphilias have been assigned their own chapter in DSM- 5 and a distinction has been made between Paraphilias and Paraphilic Disorders. Victim numbers have been included in diagnosis of paraphilias that involve victims and remission and severity measures have been added to all paraphilias. Transvestic Disorder can apply to males or females, Fetishistic Disorder now includes partialism, and Sexual Masochism Disorder has Asphyxiophilia as a specifier.

LIMITATIONS

This study is based on a literature review and influenced by the knowledge and biases of the authors.

CONCLUSIONS

The Paraphilic Disorders Section of the DSM-5 represents a significant departure from DSMIV-TR.

摘要

背景

《精神疾病诊断与统计手册》第5版（DSM-5）自1999年起开始修订，计划于2013年出版。本文将回顾性偏好障碍的主要拟议修订内容。

方法

所回顾的信息来自PubMed、PsychInfo、DSM-5.org网站及其他来源并进行了审核。

结果

恋童青少年癖、性欲亢进障碍和性偏好强迫障碍是新提出的诊断。性偏好障碍在DSM-5中有了自己的章节，并且性偏好障碍和性偏好相关障碍之间做出了区分。涉及受害者的性偏好障碍诊断中纳入了受害者数量，并且所有性偏好障碍都增加了缓解及严重程度的衡量标准。异装症可适用于男性或女性，恋物症现在包括恋物偏好，性受虐障碍有窒息癖作为一种特定类型。