[《精神疾病诊断与统计手册》第五版中的性功能障碍]

[Sexual disorders in the DSM-5].

作者信息

Goethals K, Cosyns P

出版信息

Tijdschr Psychiatr. 2014;56(3):196-200.

Abstract

BACKGROUND

In DSM-IV-TR, the subject of 'sexual and gender identity disorders' was dealt with in one chapter; in DSM-5, however, the subject is divided into three chapters, namely sexual dysfunctions , gender dysphoria, and paraphilic disorders.

AIM

To discuss the above-mentioned changes.

METHOD

The one-chapter version in DSM-IV is compared with the three-chapter contribution in DSM-5 and the differing criteria are tested for their clinical utility.

RESULTS

There are minor changes in the chapter 'sexual dysfunctions'. The content of the chapters on 'gender dysphoria' and 'paraphilic disorders' differs substantially from the content of the sections on these subjects in DSM-IV. In the section on gender dysphoria the term 'sex' has been replaced by 'gender' and the term 'identity disorder' has been dropped. With regard to paraphilias, a distinction is now made between a paraphilia and a paraphilic disorder. The DSM-5 makes a new distinction between pathology (paraphilic disorder) on the one hand and other unusual or unconventional non-pathological sexual behavior on the other hand. In the DSM-5 the highly relevant clinical concept 'hypersexuality' has still not been incorporated as a separate category.

CONCLUSION

In the DSM-5 many parts of the chapters on sexual disorders have been substantially revised.

摘要

背景

在《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）中，“性与性别认同障碍”主题在一个章节中论述；然而在《精神疾病诊断与统计手册》第五版（DSM-5）中，该主题被分为三个章节，即性功能障碍、性别烦躁和性偏好障碍。

目的

讨论上述变化。

方法

将DSM-IV中的单章节版本与DSM-5中的三章节内容进行比较，并对不同标准的临床实用性进行检验。

结果

“性功能障碍”章节有细微变化。“性别烦躁”和“性偏好障碍”章节的内容与DSM-IV中这些主题部分的内容有很大不同。在性别烦躁部分，“性”一词已被“性别”取代，“认同障碍”一词已被删除。关于性偏好，现在区分了性偏好和性偏好障碍。DSM-5在一方面的病理学（性偏好障碍）和另一方面的其他异常或非传统的非病理性性行为之间做出了新的区分。在DSM-5中，高度相关的临床概念“性欲亢进”仍未作为一个单独类别纳入。