193 Proposed Revisions and Additions in the DSM-V for Sexual and Gender Identity
193 Proposed Revisions and Additions in the DSM-V for Sexual and Gender Identity Disorders
Some disorders included in the DSM-V are Hypersexual Disorder, Paraphilic Coercive Disorder, Sexual Interest/Arousal Disorder in Women, Sexual Interest/Arousal Disorder in Men, and Genito-Pelvic Pain/Penetration Disorder. These are not in the DSM-IV-TR.
1. Hypersexual Disorder (14)
- In the DSM-V, Symptom Clusters A, B, and C must be met for a diagnosis of Hypersexual Disorder
A.
- Repetitively engaging in these sexual fantasies, urges, and behavior in response to dysphoric mood states such as anxiety, depression, boredom, and irritability.
- Repetitively engaging in sexual fantasies, urges, and behavior in response to stressful life events.
- Repetitive but unsuccessful efforts to control or significantly reduce these sexual fantasies, urges, and behavior.
- Repetitively engaging in sexual behavior while disregarding the risk for physical or emotional harm to self or others.
B. There is clinically significant personal distress or impairment in social, occupational, or other important areas of functioning associated with the frequency and intensity of these sexual fantasies, urges, and behavior
C. These sexual fantasies, urges, and behaviors are not due to the direct physiological effect of an exogenous substance such as an abused drug or medication.
- Specify if
- Masturbation
- Pornography
- Sexual behavior with consenting adults
- Cybersex
- Telephone Sex
- Strip Clubs
- Other
- See here for the DSM-V proposed changes DSM-V – Hypersexual Disorder
Hypersexual Disorder has been proposed as a new sexual disorder diagnostic category. The evidence in support of this is explained in a review by Martin Kafka (see **Hypersexual Disorder: A Proposed Diagnosis for DSM-V**). There is empirical evidence that supports each A Criterion in the report. There are several other available reports and literature that support this.
Rationale
Clinical need
There is a compelling clinical need for mental health professionals to pinpoint and diagnose men and women of a distinct group who are seeking and receiving mental health care. People that have these conditions are, at the moment, diagnosed with Sexual Disorder Not Otherwise Specified. This has been called a diagnostic wastebasket and DSM-V editors would like to see it diminished. This affliction is ranked as one of the more serious disorders but it is still a neglected contemporary psychiatric disorder. There are at a higher risk to catch and propagate sexually transmitted diseases, including HIV.
Research Need
There is a need for research to cement an operational definition for this condition. This is needed so that research from diversified theoretical perspectives can unite with a common set of criteria. Specific empirically supported criteria has not been validated.
Hypersexual Disorder and its diagnostic neighbors
Paraphilic disorders are the closest diagnostic neighbors of this disorder but they have core differen