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The Philosophy of PsychiatryA Companion$
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Jennifer Radden

Print publication date: 2004

Print ISBN-13: 9780195149531

Published to Oxford Scholarship Online: January 2009

DOI: 10.1093/acprof:oso/9780195149531.001.0001

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Paraphilia and Distress in DSM-IV

(p.54) Chapter 3 DESIRE
The Philosophy of Psychiatry
Jennifer Radden
Oxford University Press

This chapter explores the concept of paraphilia as defined in the third and current fourth edition of the handbook of the American Psychiatric Association—the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). DSM-IV has excluded homosexual orientation from the sexual mental disorders, and eschewed the pejorative “perversion” in favor of the clinical “paraphilia” in naming other sexualities. It is argued that DSM-IV embodies cultural biases “masquerading” as scientific medical truth, but also expresses a more liberal view of human sexuality.

Keywords:   sexuality, sexual perversion, homosexuality, DSM-IV

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