NCSF was asked by the DSM Paraphilias subworkgroup to respond to their proposed changes to the DSM's consensual paraphilias. This is our Letter to the Editor of the Archives of Sexual Behavior that was published on July 15, 2010. PDF papers published by the various members of the Paraphilia Subworkgroup and NCSF's response to each one: Paraphilia Subworkgroup NCSF Response Dr. Blanchard - Transvestic Fetishism Transvestic Fetishism Dr. Krueger - Sexual Sadism & Masochism Sexual Sadism & Masochism Dr. Kafka - Fetishism Fetishism Dr. Zucker - Paraphilias Paraphilias
The Psychiatric Opinion About SM In recent years as more research has been published, the mental health and medical communities have begun to accept that SM is a safe, legitimate pursuit. According to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) which defines currently recognized mental disorders, SM per se is NOT a mental disorder. In their diagnostic criteria for both sexual masochism and sexual sadism, the DSM-IV states that SM only becomes a diagnosable dysfunction when: "the fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational or other important areas of functioning." In addition, the DSM-IV clearly allows for non-pathological sexual behavior: "a paraphilia must be distinguished from the non-pathological use of sexual fantasies, behavior or objects as a stimulus for sexual excitement." [The entire diagnostic criteria for sexual masochism and sexual sadism are reproduced Appendix A.]
The NCSF Incident Reporting & Response (IRR) program provides assistance to individuals and groups within the alternative sexual expression communities who become victimized because of SM, leather, fetish, or swing practices.
Program Goals: NCSF's Incident Reporting & Response was created to provide assistance to individuals and groups within the BDSM, swinging and poly communities who are experiencing discrimination or needs assistance because of their interests and activities.