Sexual Disorders

Modified: 2024-07-22 1:14 PM CDST

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. They noted 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."
The paraphilias are described below:

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