TEXT CORRECTIONS for DSM-5 (10/31/13) *Desk Reference not affected

Name of Disorder and Currently printed as Correct as follows: Affected DSM-5 Type of Change page Sexual Masochism Disorder Differential Diagnosis Differential Diagnosis 695 In “Differential Diagnosis,” last word: Many of the conditions that could be differential Many of the conditions that could be differential Change “orientation” to “interest.” diagnoses for sexual masochism disorder (e.g., diagnoses for sexual masochism disorder (e.g., , sexual sadism disorder, transvestic fetishism, sexual sadism disorder, hypersexuality, alcohol and substance use disorders) hypersexuality, alcohol and substance use disorders) sometimes occur also as comorbid diagnoses. Therefore, sometimes occur also as comorbid diagnoses. Therefore, it is necessary to carefully evaluate the evidence for it is necessary to carefully evaluate the evidence for sexual masochism disorder, keeping the possibility of sexual masochism disorder, keeping the possibility of other or other mental disorders as part of the other paraphilias or other mental disorders as part of the differential diagnosis. Sexual masochism in the absence differential diagnosis. Sexual masochism in the absence of distress (i.e., no disorder) is also included in the of distress (i.e., no disorder) is also included in the differential, as individuals who conduct the behaviors differential, as individuals who conduct the behaviors may be satisfied with their masochistic orientation. may be satisfied with their masochistic interest. Sexual Sadism Disorder Development and Course Individuals with sexual sadism Development and Course Individuals with sexual sadism 697 In “Development and Course,” in forensic samples are almost exclusively male, but a in forensic samples are almost exclusively male, but a sentence beginning “One study representative sample of the population in Australia representative sample of the population in Australia reported”: Change “orientation” to reported that 2.2% of men and 1.3% of women said they reported that 2.2% of men and 1.3% of women said they “interest.” had been involved in and discipline, had been involved in bondage and discipline, “,” or dominance and submission in the “sadomasochism,” or dominance and submission in the previous year. Information on the development and previous year. Information on the development and course of sexual sadism disorder is extremely limited. course of sexual sadism disorder is extremely limited. One study reported that females became aware of their One study reported that females became aware of their sadomasochistic orientation as young adults, and sadomasochistic interest as young adults, and another another reported that the mean age at onset of sadism in reported that the mean age at onset of sadism in a group a group of males was 19.4 years. Whereas sexual sadism of males was 19.4 years. Whereas sexual sadism per se is per se is probably a lifelong characteristic, sexual sadism probably a lifelong characteristic, sexual sadism disorder disorder may fluctuate according to the individual’s may fluctuate according to the individual’s subjective subjective distress or his or her propensity to harm distress or his or her propensity to harm nonconsenting nonconsenting others. Advancing age is likely to have the others. Advancing age is likely to have the same reducing same reducing effect on this disorder as it has on other effect on this disorder as it has on other paraphilic or paraphilic or normophilic sexual behavior. normophilic sexual behavior. Pedophilic Disorder Diagnostic Features The diagnostic criteria for pedophilic Diagnostic Features The diagnostic criteria for pedophilic 698 In “Diagnostic Features,” first disorder are intended to apply both to individuals who disorder are intended to apply both to individuals who paragraph, last sentence: Change freely disclose this and to individuals who deny freely disclose this paraphilia and to individuals who deny “orientation” to “interest.” any sexual attraction to prepubertal children (generally any sexual attraction to prepubertal children (generally age 13 years or younger), despite substantial objective age 13 years or younger), despite substantial objective evidence to the contrary. Examples of disclosing this evidence to the contrary. Examples of disclosing this Page | 1 paraphilia include candidly acknowledging an intense paraphilia include candidly acknowledging an intense sexual interest in children and indicating that sexual sexual interest in children and indicating that sexual interest in children is greater than or equal to sexual interest in children is greater than or equal to sexual interest in physically mature individuals. If individuals interest in physically mature individuals. If individuals also complain that their sexual attractions or preferences also complain that their sexual attractions or preferences for children are causing psychosocial difficulties, they for children are causing psychosocial difficulties, they may be diagnosed with pedophilic disorder. However, if may be diagnosed with pedophilic disorder. However, if they report an absence of feelings of , shame, or they report an absence of feelings of guilt, shame, or anxiety about these impulses and are not functionally anxiety about these impulses and are not functionally limited by their paraphilic impulses (according to self- limited by their paraphilic impulses (according to self- report, objective assessment, or both), and their self- report, objective assessment, or both), and their self- reported and legally recorded histories indicate that they reported and legally recorded histories indicate that they have never acted on their impulses, then these have never acted on their impulses, then these individuals have a pedophilic sexual orientation but not individuals have a pedophilic sexual interest but not pedophilic disorder. pedophilic disorder. Pedophilic Disorder Genetic and physiological. Since is a necessary Genetic and physiological. Since pedophilia is a necessary 699 In “Risk and Prognostic Factors,” condition for pedophilic disorder, any factor that condition for pedophilic disorder, any factor that “Genetic and physiological,” last increases the probability of pedophilia also increases the increases the probability of pedophilia also increases the word: Change “orientation” to risk of pedophilic disorder. There is some evidence that risk of pedophilic disorder. There is some evidence that “interest.” neurodevelopmental perturbation in utero increases the neurodevelopmental perturbation in utero increases the probability of development of a pedophilic orientation. probability of development of a pedophilic interest.

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