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DSM-V Revision Project

The DSM-5 Says Kink is OK!

 

The American Psychiatric Association has depathologized kinky sex – including cross-dressing, fetishes, and BDSM – in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Now the paraphilias are considered to be “unusual sexual interests,” while those who have sex with children or people who haven’t consented, or who deliberately cause harm to themselves or others, may be diagnosed with a Paraphilic Disorder.

 

“The APA has made it clear that being kinky is not a mental disorder,” says Susan Wright, Spokesperson for NCSF. “That means people no longer have to fear being diagnosed as mentally ill just because they belong to a BDSM group. We’ve already seen the impact – NCSF immediately saw a sharp rise in the success rate of child custody cases for kinky parents after the proposed DSM-5 criteria was released three years ago.”

 

NCSF would like to thank everyone who participated in signing our DSM Revision Petition and for telling the APA about their own stories of discrimination and persecution. NCSF also thanks every member of the APA Paraphilias Subworkgroup for responding to our concerns, and drawing a hard line between consensual adult kinky sex and those who willfully engage in nonconsensual or harmful activities.

 

NCSF is proud to build on the work of kink-aware professionals who have come before us, including Race Bannon and Guy Baldwin, who helped make seminal changes in the DSM-IV in 1994.

 

The following are some statements about the various paraphilias in the DSM-5. Although highly clinical in language, they show the APA’s intent to not demand treatment for healthy consenting adult sexual expression:

 

 “A paraphilia is a necessary but not a sufficient condition for having a paraphilic disorder, and a paraphilia by itself does not necessarily justify or require clinical intervention.” p. 686

 

“In contrast, if they declare no distress, exemplified by anxiety, obsessions, guilt or shame, about these paraphilic impulses, and are not hampered by them in pursuing other personal goals, they could be ascertained as having masochistic sexual interest but should not be diagnosed with a sexual masochism disorder.” p. 694

 

“Many individuals who self-identify as fetishist practitioners do not necessarily report clinical impairment in association with their fetish-associated behaviors. Such individuals could be considered as having a fetish but not fetishistic disorder.” p. 701

 

“Clinical assessment of distress or impairment, like clinical assessment of transvestic sexual arousal, is usually dependent on the individual’s self-report.” p. 703

 

To support NCSF, go to www.ncsfreedom.org. NCSF relies entirely on your donations to advance the rights of consenting adults and to do advocacy like our DSM Revision Project. Please donate now!

 

 Normal or Not? A Sexual Attraction to Objects

 

The DSM-5 marks this transition by attaching the term "disorder" when an unusual sexual interest crosses these boundaries. So, hypothetically, someone who simply uses shoes to masturbate or whose partner accepts his unusual interest in shoes could be diagnosed with fetishism, but not a fetishistic disorder — unless the fetish crosses the threshold in one of the ways described above.

Whips, chains and full of life: BDSM practitioners 'healthier and less neurotic' than 'vanilla' peers

 Along the same lines, Wismeijer also suggested that accepting one's unusual sexual preferences and choosing to live in a societal niche like the BDSM community might involve huge amounts of psychological work, which could translate into positive mental health.

DSM-V in the News

DSM-V in the News

  • The DSM-5 Says Kink is OK!

    The DSM-5 Says Kink is OK!   The American Psychiatric Association has depathologized kinky sex – including cross-dressing, fetishes, and BDSM – in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Now the paraphilias are considered to be “unusual sexual interests,” while those who have sex with children or people who haven’t consented, or who deliberately cause harm to themselves or others, may be diagnosed with a…






    Tags: DSM
  • Press Release - DSM Update 2/16/10

    The APA Paraphilias Subworkgroup Agrees: Kinky is NOT a Diagnosis!






    Tags: DSM
  • Press Release - Kinky is NOT a Diagnosis 02-02-10

    Press Release - Kinky is NOT a Diagnosis






    Tags: DSM Kinky
  • Action Alert - DSM Petition 10/15/09

    Kinky is NOT a Diagnosis Help make history by signing the DSM Revision Petition now! The diagnoses in the DSM-IV-TR still subject people who practice BDSM, fetishes and cross-dressing to bias, discrimination and social sanctions without any scientific basis. We need 3,000 signatures, but we only have 2,200 now. If you don't speak up and call on the American Psychiatric Association to adhere to empirical research when revising the diagnoses…






    Tags: DSM Leather Fetish
  • Press Release - Sweeden Takes Sexual Behaviors Off Their Disease List

    Sweden takes sexual behaviors off their disease list November 25, 2008 - The Swedish National Board of Health and Welfare is declassifying sexual behaviors as mental illnesses to avoid strengthening prejudice against the behaviors, the Swedish news service Tidningarnas Telegrambyra reported last week. The diagnoses which will soon disappear from the disease registry include sadomasochism, fetishism, fetishistic transvestitism, transvestitism, gender identity disorder in youth, and multiple disorders of sexual preferences. NCSF…






    Tags: DSM Sexual Behaviors
  • Press Release - NCSF Marching Forward

    FOR IMMEDIATE RELEASE National Coalition for Sexual Freedom     Marching Forward: NCSF proactively advocates for sexual freedom   November 19, 2008 - NCSF is proud to be the only group in the country with a national mission committed to changing the political, legal and social environment for those involved with the BDSM, swing and polyamory communities. The new board of NCSF was voted in at the annual Coalition Partner…






    Tags: DSM Incident Response KAP Media Outreach EOP
  • Action Alert - Religious political extremists attack The Task Force for "Leather Leadership Award"

    February 13, 2008 - The American Family News Network posted an inflammatory article condemning the National Gay and Lesbian Task Force for honoring Guy Baldwin with  their Leather Leadership Award at the 20th National Conference on LGBT Equality:  Creating Change, on February 6-10, 2008 (www.thetaskforce.org). According to the February 7th article: Peter LaBarbera, executive director of Americans for Truth commented that he is  not sure if he is more surprised…






    Tags: DSM Creating Change Conference Task Force Award Leather LGBT
Resources
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DSM-V: We're Making a Difference

  • Over 3000 signatures on DSM-V Revision Petition submitted APA
  • NCSF Letter to the Editor published in Archives of Sexual Behavior
  • NCSF has helped successfully lobby for the new proposed changes to the DSM-V which depathologizes BDSM

About DSM-V Revision Project

The DSM Revision project is attempting to depathologize BDSM in the APA Diagnostic and Statistic Manual.

Goal:
The goal of the DSM-V Revision Project is to keep people from being discriminated against and persecuted because the current APA guidelines say BDSM is indicative of mental illness.

Contact:
Susan Wright
,
NCSF Board Member
Director of the DSM-V Revision Project.
susan@ncsfreedom.org

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Help fund education efforts to the APA and therapeutic professionals
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