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对性功能障碍进行分类:美国精神病学协会的《诊断与统计手册》。

Classifying sexual disorders: the Diagnostic and Statistical Manual of the American Psychiatric Association.

作者信息

Suppe F

出版信息

J Homosex. 1984 Summer;9(4):9-28. doi: 10.1300/J082v09n04_02.

DOI:10.1300/J082v09n04_02
PMID:6491263
Abstract

The objectivity of the classification of sexual disorders in the third edition of the Diagnostic and Statistical Manual (DSM-III) of the American Psychiatric Association is explored via a critical examination of the replacement of homosexuality per se by ego-dystonic homosexuality, DSM's working concept of a mental disorder, the notion of a paraphilia, components of sexual identity, and the literature on variant sexual behaviors. It is argued that the same criteria that led to the removal of homosexuality per se as a mental disorder require the removal of all the paraphilias per se, there is no empirical warrant to justify their continued inclusion, and while there is legitimacy for a generalized ego-dystonic category, such ego-dystonias are only incidentally sexual. It is suggested that the present classification of sexual disorders is merely the codification of social mores.

摘要

通过对美国精神病学协会《诊断与统计手册》第三版(DSM - III)中性功能障碍分类的客观性进行批判性审视,探讨了其中同性恋本身被自我不和谐同性恋所取代的情况、DSM对精神障碍的工作概念、性偏好障碍的概念、性身份的组成部分以及关于异常性行为的文献。有人认为,导致将同性恋本身从精神障碍中去除的相同标准,要求去除所有性偏好障碍本身,没有实证依据来证明它们继续被纳入是合理的,虽然存在一个广义的自我不和谐类别是合理的,但这种自我不和谐只是偶然与性相关。有人提出,目前对性功能障碍的分类仅仅是社会习俗的编纂。

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