American Psychiatric Association: View and Comment on Recently Proposed Changes to DSM–5 [Pedophilia]…


Date: July 27, 2018

01) Proposal: Text Change to the Development and Course of Pedophilia

“The following proposal was approved by the DSM Steering Committee and are being posted for a 45-day public comment period.

Comment Period Opens: July 16, 2018

Comment Period Closes: August 29, 2018

Proposal: Text Change to the Development and Course of Pedophilia

Issue

The DSM Steering Committee received a proposal requesting that a change be made to a portion of the text in the Development and Course section of Pedophilic Disorder. Specifically, the proposal pointed to a statement in the text that it claimed was inaccurate: “pedophilia per se appears to be a lifelong condition.” The proposal suggested that there is insufficient evidence to support this conclusion and that this statement could potentially create deleterious consequences for individuals who undergo evaluation for pedophilia. The proposal recommended that the statement be deleted and replaced with a statement reflecting that very little is known about the persistence of pedophilia over time.

After review of the relevant literature by the DSM Review Committee on Externalizing Disorders and by the Steering Committee, the following change to the text of the DSM is being proposed.

The Fix
1.Omit the sentence “Pedophilia per se appears to be a lifelong condition” from paragraph 2 on p. 699 (under the heading “Development and Course”), without replacing it (i.e., simply delete it).
2.Have the remainder of what is now paragraph 2 continue as an extension of paragraph 1, with the first part of the sentence after the omitted one amended to read: “Pedophilic disorder includes elements that may change over time…”

With these revisions, the passage of text in question would read as follows: “…Hence, Criterion C requires for diagnosis a minimum age of 16 years and at least 5 years older than the child or children in Criterion A. Pedophilic disorder includes elements that may change over time with or without treatment:…”

DSM-5 p. 699:

….

Development and Course

Adult males with pedophilic disorder may indicate that they become aware of strong or preferential sexual interest in children around the time of puberty — the same time frame in which males who later prefer physically mature partners become aware of their sexual interest in women or men. Attempting to diagnose pedophilic disorder at the age at which it first manifests is problematic because of the difficulty during adolescent development in differentiating it from age-appropriate sexual interest in peers or from sexual curiosity. Hence, Criterion C requires for diagnosis a minimum age of 16 years and at least 5 years older than the child or children in Criterion A.

Pedophilia per se appears to be a lifelong condition. Pedophilic disorder, however, necessarily includes other elements that may change over time with or without treatment: subjective distress (e.g., guilt, shame, intense sexual frustration, or feelings of isolation) or psychosocial impairment, or the propensity to act out sexually with children, or both. Therefore, the course of pedophilic disorder may fluctuate, increase, or decrease with age.

Adults with pedophilic disorder may report an awareness of sexual interest in children that preceded engaging in sexual behavior involving children or self-identification as a pedophile. Advanced age is as likely to similarly diminish the frequency of sexual behavior involving children as it does other paraphilically motivated and normophilic sexual behavior.

….

Comment on Proposal

4 thoughts on “American Psychiatric Association: View and Comment on Recently Proposed Changes to DSM–5 [Pedophilia]…

    1. eqfoundation Post author

      For sure…

      …I’m not really certain, that the very limited scope of this proposed edit is worth responding too…

      …But, it’s something that is currently open for comment, related to a DSM-5 entry on “pedophilia”…

      I thought some MAPs might possibly have something they’d want to say about it…

      This post was more to raise awareness…

      …That the effects of pedophilia wax and wain over one’s lifetime, is hardly news…

      I’m not sure I want to put in the effort, of giving comment to this.

      For me, however…strict clinical and legal definitions aside…I’ve had the pedophilic orientation, all of my life…from my earliest memories…till now…though my sex drive is far weaker, and inconsistent, at this stage of my life…

      I’ve always gotten aroused, by prepubescent boys.

      Aggressive, prepubescent girls [a la the account of my cousin, who damn near raped me when we were kids], could also get me there when I was young…

      …But, left to my own devices…I always saw the boys in a sexual light…probably 98% of the time…

      …Girls barely registered, at all…I was never inclined to approach them, for anything of this nature.

      Reply
  1. Yure

    What the change says, within it’s context, is that a pedophile doesn’t necessarely suffer from the feelings they have and won’t necessarely act on their urges in an illegal way. Emphasis on “within it’s context”. Because, if you take tidbits of the text away from the context and present it o laymen, they might think that pedophilia can be “cured”. As the layman doesn’t see difference between pedophillic disorder and pedophilia, they may be taken to believe that pedophilia can be cured, thus seeing it like flu, something that can be removed by treatment. If pedophillic disorder is a negative manifestation of pedophilia (that is, pedophilia + illegal expression or pedophilia + distress), then maybe I can agree that pedophillic disorder can be treated and healed (by helping the pedophile to not break the law and ensure that his level of well-being is high), but, like I said, laymen equal both terms and there are media outlets willing to take things out of the context and promote misunderstanding. The pedophillic disorder entry in the DSM-V must be always read with full context and always with the difference between pedophilia and pedophillic disorder in mind, otherwise it won’t be understood.
    In the subject of attractions, I remember having feelings for boys since age 5, when I fell for a 4-year-old. At age 10, I noticed that my interests weren’t growing up with me. At 12, I began to feel like I was a pedophile. I only accepted it at age 14. I was like “as long as I don’t break the law, I will be fine”. I run on that thought up to today. Not that it means that I agree with those laws. I still would like to see the world lowering the ages of consent or getting rid of them altogether.

    Reply
  2. feinmann0

    “I’ve always gotten aroused, by prepubescent boys.”

    Wow Steve, you are so damn lucky to have had them available when needed :p

    Yure: “The pedophillic disorder entry in the DSM-V must be always read with full context and always with the difference between pedophilia and pedophillic disorder in mind, otherwise it won’t be understood.”

    As octaevius says, sexual orientation is not a disorder. For the APA to create mental disorders as functions of US law-makers diktats is cowardly, antiscientific, corrupt, destructive and totally bonkers.

    Sexual attraction to kids is said to occur in between 1% and 2% of the adult male population worldwide. So if a MAP in the US uses child erotica he is breaking the law and deemed to have a mental disorder. In the USSR, the same individual would not have a mental disorder, according to the APA, as he is not breaking the law. If a MAP in the US has consensual sex with a 13 year-old, he is breaking the law and deemed to have a mental disorder. In Argentina, that same individual would not have a mental disorder, according to the APA, as he is not breaking any law.

    Reply

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