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AS01-03 - Criticsms of Proposed Changes in dsm v

Published online by Cambridge University Press:  15 April 2020

R.T. Segraves
Affiliation:
Psychiatry, Case Western Reserve University, Cleveland, OH, USA

Abstract

Introduction

Current diagnositic criteiria for sexual dysfunctions in the ICD 10 and DSM IV have been criticized for their lack of precision and failure to differentiate normal variation in sexual function from disordered sexual behavior requiring medical intervention.

Objectives

The objective of this presentation is to review the rationale for proposed changes in diagnositc criteria in DSM V.

Aims

The aims of this presentation are to review proposed changes in diagnositc criteiria for sexual disorders which set severity and duration criteira.

Methods

Evidence for proposed diagnostic thresholds will be presented.

Results

Proposed new defintions will incorporate severity (present of 75% of occasions) and duration (present for 6 months) criteria.

Conclusions

Clinicians have criticized these diagnostic thresholds because many patients seeking treatment for sexual problems will not meet diagnostic criteira.

There are no perfect diagnositic thresholds. One always has to balance the risk of false positives (misclassifying normals as ill) versus the risk of false negatives (misclassifying the ill as normal).

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Copyright
Copyright © European Psychiatric Association 2012
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