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In the current and soon to be old verison of the DSM things like fetishes were classified and diagnosed as a paraphilia if they caused discomfort and/or dysfunction. Usually to a fairly high level.
In the new verison simply having the urge could lead to the diagnosis of a paraphilia. So the simple urge or fantasy about a body part or object could under the proposed criteria changes lead to diagnosis of what is essentially considered a mental disorder. Bad times.
( , Sun 26 Aug 2012, 17:27, Share, Reply)
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There's a raft of papers and critiques out there slating the changes and the editors involved. Some of the data they seems to be working from for the changes is questionable.
There seems, in my view anyway, to be a general call for the removal of paraphilia's from the DSM. I had a fantastic article on it, I think it's at work and behind a paywall so it's not much use, but if I can find it I'll stick a link up. The authors make a much better case than I do, Clinical Psychology isn't my bag.
EDIT: Might be Wakefield (2011) for the current changes from DSM-IV-TR to DSM-V and Moser & Klienplatz (2005) for the changes to the DSM-IV-TR.
( , Sun 26 Aug 2012, 17:45, Share, Reply)