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Diagnostic Issues in the Paraphilias

Diagnostic Issues in the Paraphilias Purpose of Review To examine the empirical bases underlying the diagnoses of the paraphilias. We address issues concerning the reliability of these diagnoses and their implications for etiology, treatment, and prognosis. Recent Findings Research on these issues with the paraphilias is quite limited except for those paraphilics whose interests lead them to sexually offend. Even among these clients, research has, for the most part, failed to distinguish those who meet criteria for a paraphilia from those who do not, thereby limiting the possibility of drawing firm conclusions regarding the value of a paraphilic diagnosis. Summary Speculations regarding the etiology of the paraphilias are for the most part limited to those who sexually offend and these theories do not distinguish those who do, or do not, meet paraphilic criteria. Treatment of sex offenders, when effective, appears to have the same impact regardless of whether or not clients meet criteria for a paraphilia. In terms of prognosis, it was only among untreated child molesters that a paraphilic diagnosis (in this case “pedophilia”) predicted long-term outcome. In the face of these problems, we suggest a dimensional approach to diagnoses may represent an improvement over the current categorical model. . . . . http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Psychiatry Reports Springer Journals

Diagnostic Issues in the Paraphilias

Current Psychiatry Reports , Volume 20 (8) – Jul 21, 2018

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References (65)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Crown
Subject
Medicine & Public Health; Psychiatry
ISSN
1523-3812
eISSN
1535-1645
DOI
10.1007/s11920-018-0919-6
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review To examine the empirical bases underlying the diagnoses of the paraphilias. We address issues concerning the reliability of these diagnoses and their implications for etiology, treatment, and prognosis. Recent Findings Research on these issues with the paraphilias is quite limited except for those paraphilics whose interests lead them to sexually offend. Even among these clients, research has, for the most part, failed to distinguish those who meet criteria for a paraphilia from those who do not, thereby limiting the possibility of drawing firm conclusions regarding the value of a paraphilic diagnosis. Summary Speculations regarding the etiology of the paraphilias are for the most part limited to those who sexually offend and these theories do not distinguish those who do, or do not, meet paraphilic criteria. Treatment of sex offenders, when effective, appears to have the same impact regardless of whether or not clients meet criteria for a paraphilia. In terms of prognosis, it was only among untreated child molesters that a paraphilic diagnosis (in this case “pedophilia”) predicted long-term outcome. In the face of these problems, we suggest a dimensional approach to diagnoses may represent an improvement over the current categorical model. . . . .

Journal

Current Psychiatry ReportsSpringer Journals

Published: Jul 21, 2018

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