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DSM-5 website inviting comments (10)

This post is on the BDSM Activism web board.

Thu 12 May 11, 1:53 PM
verte
UK(E), 8 yrs
The American Psychiatric Association DSM-5 is due to be published in May 2013.

There are revisions being made to various sections that may be of interest, but relevant to IC the 'Paraphilias' section is undergoing some updates and changes.

http://www.dsm5.org/ProposedRevision/Pages/Parap...

APA wrote:
At this time, we are asking visitors to review and comment on the proposed DSM-5 organizational structure and criteria changes. Please note that the current commenting period will end on June 15, 2011. It is important to remember that the proposed structure featured here is only a draft. These proposed headings were reviewed by the DSM-5 Task Force in November 2010. A recent article by APA President Carol A. Bernstein, M.D., published in Psychiatric News, provides an informative background as to why they were developed. Furthermore, all of the revisions on this site – the chapter headings as well as the diagnostic criteria – are still preliminary. They are under continual review by the DSM-5 Task Force and the APA Board of Trustees. Many of the diagnostic criteria sets are being tested in the large academic-medical field trial settings, and all will be included in field trial tests as potential diagnoses for patients seen in the routine clinical practice settings.

Railing against the tyranny of 'common sense'.
http://www.backlash-uk.org.uk
http://www.kinkysalonlondon.co.uk

12 May 11, 2:35 PM
Bubbles_2
UK(E), 6 yrs
I tried reading it and my brain went fuzzy.

Are they saying they are now going to distinguish between paraphilias and paraphilia disorders?

i.e. i dress up in women's clothes and am quite happy and well adjusted versus i dress up in women's clothes and rush around killing babies?

Club Subversion Crossing the Rubicon FleursduMal bobette's Facebook Beginners Guide to BDSM

12 May 11, 3:02 PM
SubWhisperer
UK, 5 yrs

It's fairly straightforward – it makes it quite clear that if you are a transvestite (for instance), you are clearly suffering from (to quote the APA) “The person has clinically significant distress or impairment in important areas of functioning

They make no distinction for consensual sadism, simply parroting the same phrase over and over for every classification of kink

“The person has clinically significant distress or impairment in important areas of functioning “

“The person has clinically significant distress or impairment in important areas of functioning “

“The person has clinically significant distress or impairment in important areas of functioning “

A bit like a stuck Dalek really.

I think they ought to be analysing themselves first, before they are let near anyone else.

Whoever set that linked page up is clearly suffering from clinically significant distress or impairment in important areas of functioning

EXTERMINATE – EXTERMINATE - EXTERMINATE

Ever wondered who the devil comes to for ideas ?

12 May 11, 3:09 PM
Bubbles_2
UK(E), 6 yrs
If you go into the specific 'Disorder' and click on the 'Rationale' tab, it explains that it's only a 'disorder' if it has an adverse effect on you..

"The first broad change follows from our consensus that paraphilias are not ipso facto psychiatric disorders. We are proposing that the DSM-V make a distinction between paraphilias and paraphilic disorders. A paraphilia by itself would not automatically justify or require psychiatric intervention. A paraphilic disorder is a paraphilia that causes distress or impairment to the individual or harm to others. One would ascertain a paraphilia (according to the nature of the urges, fantasies, or behaviors) but diagnose a paraphilic disorder (on the basis of distress and impairment). In this conception, having a paraphilia would be a necessary but not a sufficient condition for having a paraphilic disorder.

This approach leaves intact the distinction between normative and non-normative sexual behavior, which could be important to researchers, but without automatically labeling non-normative sexual behavior as psychopathological"

Club Subversion Crossing the Rubicon FleursduMal bobette's Facebook Beginners Guide to BDSM

12 May 11, 3:23 PM
Degenerate*
UK(M), 5 yrs

Hi there thanks for this. Is anyone releasing any guidance on the sort of comments which would be good?

De

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12 May 11, 3:25 PM
Beau_Tox
UK(CB), 7 yrs


Bubbles_2 wrote:
Are they saying they are now going to distinguish between paraphilias and paraphilia disorders?

i.e. i dress up in women's clothes and am quite happy and well adjusted versus i dress up in women's clothes and rush around killing babies?

So, are you saying that 50% of trasvestites kill babies? I'm really not sure that you've thought these claims through Bubbles. Perhaps you have clinically significant distress or impairment in important areas of functioning...

.
Let's all beat up on someone, because they represent something that we don't like. Fuck yeah, beat on them!

12 May 11, 3:33 PM
verte
UK(E), 8 yrs
Bubbles_2 wrote:
If you go into the specific 'Disorder' and click on the 'Rationale' tab, it explains that it's only a 'disorder' if it has an adverse effect on you..

"The first broad change follows from our consensus that paraphilias are not ipso facto psychiatric disorders. We are proposing that the DSM-V make a distinction between paraphilias and paraphilic disorders. A paraphilia by itself would not automatically justify or require psychiatric intervention. A paraphilic disorder is a paraphilia that causes distress or impairment to the individual or harm to others. One would ascertain a paraphilia (according to the nature of the urges, fantasies, or behaviors) but diagnose a paraphilic disorder (on the basis of distress and impairment). In this conception, having a paraphilia would be a necessary but not a sufficient condition for having a paraphilic disorder.

This approach leaves intact the distinction between normative and non-normative sexual behavior, which could be important to researchers, but without automatically labeling non-normative sexual behavior as psychopathological"

The problem is, if you suffer from clinical depression, anxiety, etc, psychiatrists informed by the DSM-5 make the assumption that any non-normative sexual behaviour in these categories causes this 'impairment'.

Railing against the tyranny of 'common sense'.
http://www.backlash-uk.org.uk
http://www.kinkysalonlondon.co.uk

12 May 11, 4:33 PM
Bubbles_2
UK(E), 6 yrs
It's also this need to put things into convenient boxes, when as we all know it doesn't work like that!

Club Subversion Crossing the Rubicon FleursduMal bobette's Facebook Beginners Guide to BDSM

13 May 11, 3:07 PM
skyfox
UK(EH), 5 yrs

verte wrote:
Bubbles_2 wrote:
If you go into the specific 'Disorder' and click on the 'Rationale' tab, it explains that it's only a 'disorder' if it has an adverse effect on you..

"The first broad change follows from our consensus that paraphilias are not ipso facto psychiatric disorders. We are proposing that the DSM-V make a distinction between paraphilias and paraphilic disorders. A paraphilia by itself would not automatically justify or require psychiatric intervention. A paraphilic disorder is a paraphilia that causes distress or impairment to the individual or harm to others. One would ascertain a paraphilia (according to the nature of the urges, fantasies, or behaviors) but diagnose a paraphilic disorder (on the basis of distress and impairment). In this conception, having a paraphilia would be a necessary but not a sufficient condition for having a paraphilic disorder.

This approach leaves intact the distinction between normative and non-normative sexual behavior, which could be important to researchers, but without automatically labeling non-normative sexual behavior as psychopathological"

The problem is, if you suffer from clinical depression, anxiety, etc, psychiatrists informed by the DSM-5 make the assumption that any non-normative sexual behaviour in these categories causes this 'impairment'.

I do believe (though I have no references handy) that it has happened that homosexual people sometimes saw their homosexuality as a disorder/defect because either they themselves had not come to terms with it or the their homosexuality caused them distress because of how others treated them (or how they perceived others treating them).

In those cases, a more conservative person would say that the homosexuality was the problem, when actually it was the people around the homosexual that was bothering them.

A person with mild sexual sadist tendencies may be racked with guilt over their feelings, causing "distress and impairment". But that doesn't mean the sexual sadism to blame.

I do not see how the guidance presented on the website prevents this.

The only thing we have to fear is fear itself.

13 May 11, 8:38 PM
Jane_Fae
UK(W), 3 yrs
Degenerate wrote:
Hi there thanks for this. Is anyone releasing any guidance on the sort of comments which would be good?

De

how about: "fuck off, Mr psychiatrist: you AND the horse you rode into town on"?

jane xx

Personal: http://janefae.wordpress.com
Political: http://sexualitymatters.wordpress.com

13 May 11, 8:48 PM
Ianneil
UK(N), 5 yrs

....large academic-medical field trial settings,......

They have to be paid for and in the US that is not the government......as we all know those who pay the piper etc.

On the APA web site the biggest banner is for Malpractice Insurance.....significant?

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