Problems with the DSM-IV Diagnosis of Pedophilia

  title={Problems with the DSM-IV Diagnosis of Pedophilia},
  author={William T. O'donohue and Lisa G. Regev and Anne H. Hagstrom},
  journal={Sexual Abuse: A Journal of Research and Treatment},
This paper examines the taxonomic adequacy of the Diagnostic and Statistical Manual, 4th ed., DSM-IV (American Psychiatric Association, 1994) diagnostic category of pedophilia. This diagnosis, as well as the other sexual disorders, have been ignored in DSM field trials. There is no empirical information about the reliability or validity of this diagnosis. Moreover, because the vagueness of the diagnostic criteria, clinicians would need to make inferences that would likely lead to reliability… 

Pedophilia: the problem with diagnosis and limitations of CBT in treatment.

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The DSM-5 diagnostic category of paraphilia is critically examined. Significant problems are found including: whether these are properly subtyped, the extent to which it relies on an unclear

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Very limited empirical support was found for major changes of the current DSM-IV-TR criteria sets for exhibitionism, voyeurism, and frotteurism in preparation for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V).

Pedophilia: An Evaluation of Diagnostic and Risk Prediction Methods

Results suggest that inconsistency exists in diagnosing pedophilia, leading to diminished accuracy in risk assessment, and that expert diagnosis did not add to prediction of sexual offence recidivism over and above RRASOR alone.

Pedophilia: A Diagnosis in Search of a Disorder

  • A. Malón
  • Psychology
    Archives of sexual behavior
  • 2012
This article presents a critical review of the recent controversies concerning the diagnosis of pedophilia in the context of the preparation of the fifth edition of the DSM, and questions if the diagnosis in the DSM is more forensic than therapeutic, focusing rather on the dangers inherent in the condition of Pedophilia than on its negative effects for the subject.

The Utility of the Diagnosis of Pedophilia: A Comparison of Various Classification Procedures

This study examined the utility of the diagnosis of pedophilia in a sample of extra-familial child molesters assessed at a university teaching hospital between 1982 and 1992 and indicated that few significant differences existed on psychological measures regardless of the classification system employed.

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This Letter describes how the proposed DSM-5 criteria for pedohebephilia have been developed without following four key guidelines specified by the American Psychiatric Association (APA) and to point

Should Behavior Harmful to Others Be a Sufficient Criterion of Mental Disorders? Conceptual Problems of the Diagnoses of Antisocial Personality Disorder and Pedophilic Disorder

It is argued that the criteria set of Pedophilic Disorder should be reformulated in order to make it consistent with the general definition of mental disorder in DSM-5, and for ASPD it is concluded that the arguments for eliminating it from the diagnostic manuals overweigh the argued for keeping it.



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The definition of disorder operationally fails to capture the idea of "dysfunction" and so fails to validly distinguish disorders from nondisorders, leading to invalidities in many of DSM-III-R's specific diagnostic criteria.

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The harmful dysfunction analysis is shown to avoid the problems while preserving the insights of these other approaches and the concept of disorder combines value and scientific components.

The psychometric properties of the penile tumescence assessment of child molesters

The presence of sexual arousal to children or a sexual preference for children are commonly hypothesized as being related to child molesting. Sexual arousal and sexual preference do not appear to be

DSM-IV sourcebook

Concerns in the diagnosis of schizophrenia and related disorders and psychotic disorders not otherwise classified and Cultural considerations in the classification of mental disorders in children and adolescents.

The indignant page: techniques of neutralization in the publications of pedophile organizations.

Three United States pedophile organizations that advocate adult sexual behavior with children and that are politically and socially active in attempts to decriminalize that behavior are analyzed as to how they justify, normalize, or rationalize their practices and philosophy.

Self-Reported Sex Crimes of Nonincarcerated Paraphiliacs

This article will present data gathered by the authors through structured clinical interviews of 561 paraphiliacs regarding demographic characteristics, frequency and variety of deviant sexual acts,

Fundamentals of taxonomy

  • Aspects of scientific explanation and other essays in the philosophy of science. New York: The Free Press.
  • 1965