Modified: 2020-04-22
Sexually related disorders constitute a large part of the DSM-V. Lately, such disorders have become more prominent in the public's eye because of renewed concern about the relationship of sexual disorders and other crimes. The #metoo movement has also contributed heavily to a new way of looking at sexual disorders and sex crimes.
IsHak, W. W. &, Tobia, G. (2013). DSM-5 changes in diagnostic criteria of sexual dysfunctions, Reproductive Systems and Sexual Disorders: Current Research, 2, 122-125. Note the following changes from the DSM-IV to the DSM-V:
| DSM-IV Diagnoses | Changes in DSM-5 |
| Female dysfunctions | |
| Female hypoactive desire disorder | Both merged into: |
| Female arousal disorder | Female sexual interest/arousal disorder |
| Female orgasmic disorder | Unchanged |
| Dyspareunia | Both merged into: |
| Vaginismus | Genito-pelvic pain/penetration disorder |
| Male dysfunctions | |
| Male erectile disorder | Changed to Erectile disorder |
| Hypoactive sexual desire disorder | Changed to Male hypoactive sexual desire disorder |
| Premature (early) ejaculation | Unchanged |
| Male orgasmic disorder | Changed to Delayed ejaculation |
| Male dyspareunia | Both: |
| Male sexual pain | Not Listed |
| Other dysfunctions | |
| Sexual aversion disorder | Both: |
| Sexual dysfunction due to a general medical condition | Deleted |
| Substance/medication-induced sexual dysfunction | Unchanged |
| Sexua dysfunction NOS* | Unchanged |
Note: Individual changes to DSM nomenclature and criterial listed in bold.
DSM: Diagnostic and Statistical Manual of Mental Disorders: IV-TR: 4th Edition Text Revision
*NOS: Not Otherwise Specified DSM-IV.
Table 1: Sexual dysfunctions in DSM-5: Changes in classification from
Paraphilias
"In DSM-5 the term paraphilia is defined as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physiologically mature, consenting human partners.” Paraphilias, however, may not necessarily classify as “intense and persistent” but rather preferential sexual interests or sexual interests that are greater than nonparaphilic sexual interests. The addition of the word “disorder” to the classification of paraphilias is new to DSM-5. Previous DSM classifications did not include the word “disorder.” The term “disorder” was specifically added to DSM-5 to indicate a paraphilia that is causing distress or impairment to the individual or a paraphilia whereby satisfaction entailed personal harm, or risk of harm, to others. This distinction was made in an effort to identify those sexual behaviors and interests that are of clinical significance."--Psychiatric Times