Paraphilias and paraphilic disorders: diagnosis, assessment and management

  title={Paraphilias and paraphilic disorders: diagnosis, assessment and management},
  author={Jessica Yakeley and Heather B. Wood},
  journal={Advances in Psychiatric Treatment},
We outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce… 

Mental Abnormalities in Sexually Violent Predator Evaluations: Ethical Use of Paraphilic Disorder Diagnoses

ABSTRACT Forensic psychologists and psychiatrists are regularly called upon to conduct sexually violent predator (SVP) evaluations. Commonly, the DSM-5 diagnostic category of paraphilic disorders is

Disposition and Treatment of Paraphilia in Non-western Cultures

An ongoing discovery of personal sexuality is central to human experience. Determinants of sexual interests and preferences are likely set early, if not from the very beginning, but are also

Paraphilic Interests: The Role of Psychosocial Factors in a Sample of Young Adults in Hong Kong

  • H. Chan
  • Psychology
    Sexuality Research and Social Policy
  • 2021
Background Little is known about the prevalence and nature of paraphilic interests in the Hong Kong young adult population. This study explores the psychosocial factors associated with paraphilic

Forensic psychotherapy

  • D. Riordan
  • Psychology, Medicine
    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
  • 2017
The role forensic psychotherapy has in the assessment and treatment of mentally disordered offender patients and its role in the supervision of individual therapists, staff groups or whole organisations which contain and manage this patient population are described.

Are Female Paraphilias Hiding in Plain Sight? Risqué Male–Male Erotica for Women in Sinophone and Anglophone Regions

Women's paraphilias have been largely overlooked because they might be expressed more commonly through fantasy than action, that their mass expression has awaited both the means and the market force, and that current conceptualization of, and assumptions about, paraphilia is overly modeled on that of men.

Homosexuality in Massage Centers as Perceived by Sample Attenders

: The purpose of the study is to investigate the extent of homosexuality amongworkers in massage centers in East of Riyadh. The study adopted the descriptive survey method, as the study sample

Detecting a decline in serial homicide: Have we banished the devil from the details?

Abstract The current research provides perspective regarding the true prevalence of serial murderers in modern society and addresses the conflict between the evidenced decline in serial homicide and

Addressing the challenges and limitations of utilizing data to study serial homicide

  • E. Yaksic
  • Psychology
    Reviewing Crime Psychology
  • 2020
Conducting systematic research on serial homicide is complicated by variations in definition, sample size, data sources and collection procedures. This review will identify the challenges of



Clinical Considerations of Paraphilic Sex Offenders with Comorbid Psychiatric Conditions

The prevalence of Axis I and Axis II disorders among paraphilic as well as non-paraphilic sex offenders and the need for careful, comprehensive, and individualized clinical conceptualizations of these types of cases is reviewed.

Paraphilias in adult psychiatric inpatients.

  • P. MarshB. Odlaug J. Grant
  • Psychology, Medicine
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
  • 2010
Paraphilias appear to be more common in adult male psychiatric inpatients than previously estimated and it is demonstrated that these disorders were not screened for by the treating physician and thus may go untreated.

Personality Disorders in a Sample of Paraphilic and Nonparaphilic Child Molesters

Only the obsessive-compulsive personality disorder contributes significantly to the explanation of paraphilic child molestation and this result contributes to the development and differentiation of the treatment of paraphilia-related disorders.

Problems with the DSM-IV Diagnosis of Pedophilia

Examination of the taxonomic adequacy of the DSM-IV diagnostic category of pedophilia finds aspects of the diagnostic criteria, most notably the presence of an "ego dystonic sexual attraction to children," that are incorrect exclusion criteria.

Paraphilia NOS, nonconsent: not ready for the courtroom.

  • A. FrancesM. First
  • Psychology
    The journal of the American Academy of Psychiatry and the Law
  • 2011
This commentary will show how the diagnosis paraphilia NOS, nonconsent, is based on a fundamental misreading of the original intent of the DSM-IV Paraphilia Workgroup and represents a misuse of psychiatry, all in the admittedly good cause of protecting public safety.

A DSM-IV Axis I Comorbidity Study of Males (n = 120) with Paraphilias and Paraphilia-Related Disorders

ADHD and its associated developmental sequellae and Axis I comorbidities was the single most common nonsexual Axis I diagnosis that statistically significantly distinguished males with socially deviant sexual arousal (PAs) from a nonparaphilic hypersexual comparison group (PRDs).

The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the biological treatment of paraphilias

The aim of these guidelines was to bring together different views on the appropriate treatment of paraphilias from experts representing different continents to improve the quality of care and to aid physicians in clinical decisions.

Sexual disorders: new and expanded proposals for the DSM-5--do we need them?

  • H. Zonana
  • Psychology
    The journal of the American Academy of Psychiatry and the Law
  • 2011
The sexual disorders in the current and proposed DSM contain a potpourri of categories that increasingly intersect with the criminal justice system and lack sufficient specificity to warrant being called a disorder.

Psychiatric comorbidity in pedophilic sex offenders.

Assessment of rates of axis I and axis II psychiatric disorders in a group of pedophilic sex offenders found comorbidity rates are high and may play a role in treatment failure and recidivism.

Hypersexual Desire in Males: Are Males with Paraphilias Different from Males with Paraphilia-Related Disorders?

  • M. KafkaJ. Hennen
  • Psychology, Medicine
    Sexual abuse : a journal of research and treatment
  • 2003
Although hypersexual desire, a quantitative measure of enacted sexual behaviors, may be a meaningful construct for clinically derived samples, the incidence and prevalence of hyper sexual desire in community samples of males with paraphilias and paraphilia-related disorders is unknown.