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DSM Resources

DSM Resources

A PDF of Kinky Is Not A Diagnosis
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  
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.  Depathologizing Consensual Sexual Sadism, Sexual Masochism, Transvestic Fetishism, and Fetishism [Letter to the editor] Archives of Sexual Behavior Archives of Sexual Behavior July 16, 2010 DOI: 10.1007/s10508-010-9651-y  The final publication is available at www.springerlink.com Corresponding author: Susan Wright National Coalition for Sexual Freedom 410 Guilford Ave, #127 Baltimore, MD 21202 susan@ncsfreedom.orgThis e-mail address is being protected from spambots. You need JavaScript enabled to view it Depathologizing Consensual Sexual Sadism, Sexual Masochism, Transvestic Fetishism, and Fetishism [Letter to the Editor]          The DSM-V Paraphilias Subworkgroup's suggested revision to differentiate between paraphilias and Paraphilic Disorders appears to be a step forward in depathologizing unusual sexual interests. Paraphilia diagnoses are regularly misused in criminal and civil proceedings as an indication that individuals cannot control their behavior; these individuals turn for assistance to the National Coalition for Sexual Freedom (NCSF), a national advocacy organization that advances the rights of, and advocates for consenting adults in the BDSM-leather-fetish, swing, and polyamory communities.           One recent child custody case referred to NCSF illustrates the common misunderstanding that legal and social service professionals have with the DSM-IV-TR, and is the first documented reaction to the proposal to differentiate between paraphilias and Paraphilic Disorders. The children were removed in July 2009 while psychological evaluations were performed on the mother and the children, which concluded there was no mental illness.[1} However the case worker with the Department of Social Services Children's Division in the Midwestern state where this case occurred sent the following January 21, 2010 letter to the mother’s court appointed psychologist: (DSS, 2010):          "With regards to [mother's] alternative lifestyle; can she separate this from her parenting? There has been some questions arise from other team members regarding her sexual sadism. These are as follows:          "We were made aware at the last FST meeting that while all parties involved have seen the information provided regarding [mother's] blog and website, no action has been taken to determine how it affects the children or is factored into the stated case goal of reunification with [mother]. The following information is relevant: A. Sexual Sadism is considered a form of paraphilia in accordance with…
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.]