, Volume 42, Issue 5, pp 675-678
Date: 16 May 2013

A Dissenting Opinion on DSM-5 Pedophilic Disorder

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On December 1, 2012, the American Psychiatric Association (APA) announced that its Board of Trustees (BOT) had voted to reject the changes to the diagnostic criteria for pedophilic disorder proposed by the Paraphilias Subworkgroup for DSM-5 and to retain the diagnostic criteria published in DSM-IV-TR.

DSM-IV-TR lists three diagnostic criteria for pedophilia. The one relevant to this Letter is Criterion A, which describes the nature of the paraphilia: “Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger)” (American Psychiatric Association, 2000, p. 572).

I was the Chair of the Paraphilias Subworkgroup (one of three Subworkgroups of the Sexual and Gender Identity Disorders Workgroup). I am writing this Letter to document my continued personal opposition to this decision, to review the content of the Subworkgroup’s proposed changes an