The DSM criteria of sexual dysfunction: need for a change.
This article discusses the flaws of the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria of sexual dysfunctions. It focuses on issues such as what constitutes sexual dysfunction, whether the diagnostic criteria should include duration, intensity, and frequency, and whether distress should be used as a diagnostic criterion. Other controversial issues such as normalcy of sexual functioning and validity of some diagnostic entities are also discussed. The upcoming revision of the DSM diagnostic criteria should consider all these possible changes. Field trials to examine various criteria and their validity and reliability will probably be necessary.
Balon
Richard
R
Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA. rbalon@wayne.edu
D039721:Diagnostic and Statistical Manual of Mental Disorders; D019317:Evidence-Based Medicine; D006801:Humans; D017410:Practice Guidelines as Topic; D011594:Psychometrics; D012735:Sexual Dysfunction, Physiological / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy; D020018:Sexual Dysfunctions, Psychological / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy