title: Problems with paraphilias in the DSM-5.
abstract: This paper critiques changes in the diagnositic criteria for the paraphilias as set out in the DSM-5. In addition to general areas of concern, five specific problem areas are identified. This includes: definitions by exclusion; culturally based criteria; ignoring etiology; minimizing consent issues; and lack of field trials. A suggestion to improve the diagnostic criteria is offered.
authors.affiliation: Integrated Forensic Program, Royal Ottawa Mental Health Centre, University of Ottawa Institute of Mental Health Research, University of Ottawa, 1145 Carling Avenue, Ottawa, ON K1Z 7K4, Canada. Paul.Fedoroff@theroyal.ca
authors.forename: J Paul
authors.initials: JP
authors.lastname: Fedoroff
authors.forename: Lisha
authors.initials: L
authors.lastname: Di Gioacchino
authors.forename: Lisa
authors.initials: L
authors.lastname: Murphy
mesh_terms: D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D010262:Paraphilic Disorders / Q000175:diagnosis*