Diagnostic criteria for pedophilia: clinical, legal and socio-cultural issues

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Abstract

This article analyzes the diagnostic criteria for pedophilia (paedophilic disorder) in the context of developing the 11th version of the International Classification of Diseases and the recently released Guide to the Diagnostic and Statistical Mental Disorders, 5th revision. The paper discusses the feasibility of existing criteria and their impact on clinical diagnosis, assessment of public danger and socio-cultural values. We revealed that the second diagnostic criterion excludes from the field of view of the whole spectrum of specialists psychosexual pathology, where it is expedient to provide medical care, including the prevention of the worsening of symptoms and the commission of illegal acts. We also highlighted the problem of expert diagnosis of pedophilia (paedophilic disorder), which leads to such a formulation of the criteria, as well as the unreasonableness of such a formulation in terms of the public interest. We concluded that maintaining the new classification of these diagnostic criteria unchanged is rather the result of a desire to avoid unnecessary stigmatization of individuals with pedophilia.

General Information

Keywords: pedophilia, paedophilic disorder, classification of diseases, ICD, DSM.

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

For citation: Demidova L.Y., Kamenskov M. Diagnostic criteria for pedophilia: clinical, legal and socio-cultural issues [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2014. Vol. 4, no. 4, pp. 14–22. (In Russ., аbstr. in Engl.)

References

  1. Krylov V.I. Psihologija i psihopatologija voobrazhenija (jemocional'no-motivacionnaja sfera i voobrazhenie). Chast' II // Psihiatrija i psihofarmakoterapija. 2012. № 4. pp. 4-10.
  2. Liht G. Seksual'naja zhizn' v Drevnej Grecii. M.: ZAO Centrpoligraf, 2003. 430 p.
  3. Obshhaja psihopatologija: posobie dlja vrachej / Pod red. A.O. Buhanovskogo, Ju.A. Kutjavina, M.E. Litvaka. Rostov n/D.: Izd-vo LRNC «Feniks», 2003. 416 p.
  4. Sidorov P.I. Sinergeticheskaja koncepcija zavisimogo povedenija // Narkologija. 2006. № 10. pp. 30-35.
  5. Sidorov P.I., Derjagin G.B. Seksual'noe povedenie i nasilie. M.: MEDpress-inform, 2007. 272 p.
  6. Tkachenko A.A., Vvedenskij G.E., Dvorjanchikov N.V. Sudebnaja seksologija. M.:  BINOM, 2015. 648 p.
  7. American Psychiatric Association. Paraphilic Disorders // Diagnostic and statistical manual of mental disorders, 5 edition. Washington, DC: American Psychiatric Publishing, 2013. P. 697-700.
  8. American Psychiatric Association. Statement on DSM-5 Text Error [Электронный ресурс], 2013. URL: http://www.dsm5.org/Documents/13-67-DSM-Correction-103113.pdf (дата обращения: 01.12.2014).
  9. Blanchard R. The DSM diagnostic criteria for pedophilia // Archives of Sexual Behavior. 2010. Vol. 39. № 2. P. 304-316.
  10. Gentry J. Ancient Pedophilia. Columbus, OH:  The Ohio State University, 2009. 44 p.
  11. Green R. Is pedophilia a mental disorder? // Archives of Sexual Behavior. 2002. Vol. 31. № 6. P.467-471.
  12. ICD-11 Beta Draft [Электронный ресурс]. URL: http://apps.who.int/classifications/icd11/browse/l-m/en (дата обращения: 1.12.2014).
  13. Moser C., Kleinplatz P.J. DSM-IV-TR and the paraphilias // Journal of Psychology & Human Sexuality. 2006. Vol. 17. № 3. P. 91-109.
  14. Reiersøl O., Skeid S. The ICD Diagnoses of Fetishism and Sadomasochism // Journal of Homosexuality. 2006. Vol. 50. № 2/3. P. 243-262.
  15. Seto M. Is pedophilia a sexual orientation? // Archives of Sexual Behavior. 2012. Vol. 41. № 1. P. 231-236.
  16. Studer L.H., Aylwin A.S. Pedophilia: the problem with diagnosis and limitations of CBT in treatment // Medical hypotheses. 2006. Vol. 67. № 4. P. 774-781.
  17. Wright S. Depathologizing consensual sexual sadism, sexual masochism, transvestic fetishism, and fetishism // Archives of Sexual Behavior. 2010. Vol. 39. № 6. P. 1229-1230.

Information About the Authors

Liubov Y. Demidova, PhD in Psychology, Senior Researcher of the Laboratory of Forensic Sexology, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Moscow, Russia, ORCID: https://orcid.org/0000-0003-4357-1105, e-mail: lyubov.demidova@gmail.com

Maxim Kamenskov, Doctor of Medicine, Head, Laboratory of Forensic Sexology, V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Moscow, Russia, ORCID: https://orcid.org/0000-0002-6327-9307, e-mail: m-kamenskov@mail.ru

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