Dialogue on Paraphilic Coercive Disorder: Moving Toward an Empirically Based Consensus
Author: Raymond A. Knight, Ph.D..; David Thornton.
Source: Volume 12, Number 03, April/May 2011 , pp.33-36(4)
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Abstract:
The proposal by the DSM-5 subcommittee on the paraphilias for a new diagnostic category, paraphilic coercive disorder (PCD), has generated significant controversy. The two authors of this article are both consultants to this subcommittee. Although our respective position papers come to different conclusions about which solutions are and are not viable for the DSM-5 , we nonetheless share important common perspectives on the data available and on potential optimal models for describing these data. In this article we attempt to clarify our points of convergence and divergence and to focus the debate about the viability of this purported “disorder” on critical issues.Keywords: Paraphilia NOS diagnoses; taxonicity; sadism; normal inhibitory processes
Affiliations:
1: Brandeis University; 2: Sand Ridge Treatment Center.