2010
In the first DSM published in 1952, sexual deviation was classified under “personality disorders,” specifically “sociopathic personality disturbance.” In the DSM-IV-TR today, paraphilias are distinguished from Sexual Dysfunctions characterized by disturbance in sexual desire and the psychophysiology of the sexual response cycle.
Paraphilia’s can be conceptualized as arousal patterns involving uncommon or unusual erotic appetites for a wide variety of behaviors with animate or inanimate “partners” (Gabbard). “Within the context of the listed criteria [for paraphilia], it may be observed that the pathology residing in the Paraphilias is either that the partner is socially unacceptable (e.g., corpses or animals) or that the behavior is unacceptable (e.g., public exhibitionism) (Gabbard).
As Pedophilia is classified under Paraphilias in the DSM-IV-TR, it is important to note the defining features of Paraphilias. The DSM-IV- defines the features of a Paraphilia as recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving 1) nonhuman objects, 2) the suffering or humiliation of oneself or one’s partner, or 3) children or other nonconsenting persons that occur over a period of at least six months. The DSM-IV-TR specifies for Pedophilia. The diagnosis is made if the person has acted on their pedophilic urges, or the urges or sexual fantasies cause marked distress or interpersonal difficulty (American Psychiatric Association: Diagnostic and Statistical Manual, Fourth Edition, Text Revision 2000).
The DSM IV marks nine categories for Pariphilias; Exhibitionism, Fetishism, Frotteurism, Pedophilia, Sexual Masochism, Sexual Sadism, Voyeurism, and Paraphilia Not Otherwise Specified. Although the observable behaviors are different for each of the Paraphilias, the qualitative mental experience of the paraphilia is it’s defining factor that gives name to the Paraphilias
Cited: Alvin, P., & Rivera, J. (1995). Sexual Pathology and Dangerousness From a Thematic Apperception Test Protocol. Professional Psychology: Research and Practice, 26(1), 72 - 77. American Psychiatric Association: Diagnostic and Statistical Manual, Fourth Edition, Text Revision (2000). (Fourth ed.). Washington: American Psychiatric Association. Becker, M., Shoshani, B., & Shoshani, M. (2009). On Twisted Coalitions and Perverse - Narcissistic Configurations From Positivistic Oedipal Third to an Existential Relational Third: A Case Study. Psychoanalytic Psychology, 26(2), 134 - 157. Beckstead, L., Blak, T., Blanchard, R., Cantor, J., Christensen, B., Dickey, R., et al. (2004). Intellegence, Memory, and Handedness in Pedophilia. Neuropsychology, 18(1), 3 - 14. Beech, A., & Kalmus, E. (2005). Forensic Assessment of Sexual Interest: A Review Agression and Violent Behavior, 10, 193 - 217. Berlin, F., Fagan, P., Schmidt, C., & Wise, T. (2002). Pedophilia. The Journal of the American Medical Association, 288(19), 2458 - 2465. Blanchard, R., Choy, A., Dickey, R., Ferren, D., Klassen, P., Kuban, M., et al. (1999). Pedophiles: Mental Retardation, Maternal Age, and Sexual Orientation. Archives of Sexual Behavior, 28(2), 111 - 127. Costa, P., Jr., Fagan, P., Marshall, R., Ponticas, Y., Schmidt, C., & Wise, T. (1991). A Comparison of Five-Factor Personality Dimensions in Males With Sexual Dysfunction and Males With Paraphilia. Journal of Personality, 57(3), 434 - 448. Freund, K. (1967). Erotic Preference in Pedophilia. Behav. Res. & Therapy, 5, 339 - 348. Schwartz, R. (2001). Metaframeworks: Transcending the Models of Family Therapy. San Francisco: Jossey-Bass. Serber, M. (1970). Shame Aversion Therapy. Behav. Res. & Therapy, 1, 213 - 215.