title: Classification of sexual dysfunctions: towards DSM-V and ICD-11.
abstract: This article reports on the changes in the classification of sexual dysfunctions since DSM-III, and on the results of the efforts to make these disorders compatible in DSM-IV and ICD-10. A comparison is made between the ways in which sexual dysfunctions are conceptualized in DSM-III, DSM-III-R, DSM-IV, and ICD-10. Special attention is given to the extent to which: (1) in the diagnostic criteria due weight is given to the physiological and psychological aspects, and to the different phases of the sexual response cycle; and (2) these disorders apply to people of different sexes and sexual orientations, and to problems arising while using different sexual techniques. After publication of DSM-III, the classification of sexual dysfunctions has evolved considerably. Moreover, there are still important differences between DSM-IV and ICD-10. Suggestions for DSM-V and ICD-11 are (among others): (1) introduction of excessive (hyperactive) sexual desire in addition to diminished (hypoactive) sexual desire; (2) differentiation between genital arousal disorder and sexual excitement disorder; and (3) differentiation between orgasmic disorder, anhedonic orgasm, ejaculation disorder, and premature orgasm.
authors.affiliation: Department of Psychiatry, Leiden University Medical Center, The Netherlands.
authors.forename: J A
authors.initials: JA
authors.lastname: Vroege
authors.forename: L
authors.initials: L
authors.lastname: Gijs
authors.forename: M W
authors.initials: MW
authors.lastname: Hengeveld
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D020018:Sexual Dysfunctions, Psychological / Q000145:classification* / Q000175:diagnosis*