Integrated Forensic Program, Royal Ottawa Mental Health Centre, University of Ottawa Institute of Mental Health Research, University of Ottawa, 1145 Carling Avenue, Ottawa, ON K1Z 7K4, Canada.
Curr Psychiatry Rep. 2013 Aug;15(8):363. doi: 10.1007/s11920-013-0363-6.
This paper critiques changes in the diagnositic criteria for the paraphilias as set out in the DSM-5. In addition to general areas of concern, five specific problem areas are identified. This includes: definitions by exclusion; culturally based criteria; ignoring etiology; minimizing consent issues; and lack of field trials. A suggestion to improve the diagnostic criteria is offered.
本文批评了 DSM-5 中对性癖障碍诊断标准的改变。除了一般性关注领域外,还确定了五个具体的问题领域。这包括:排除定义;基于文化的标准;忽略病因;最小化同意问题;以及缺乏现场试验。本文提出了一个改进诊断标准的建议。