PT  - JOURNAL ARTICLE
AU  - Fred S. Berlin
TI  - Commentary on Pedophilia Diagnostic Criteria in DSM-5
DP  - 2011 Apr 01
TA  - Journal of the American Academy of Psychiatry and the Law Online
PG  - 242--244
VI  - 39
IP  - 2
4099  - http://jaapl.org/content/39/2/242.short
4100  - http://jaapl.org/content/39/2/242.full
SO  - J Am Acad Psychiatry Law2011 Apr 01; 39
AB  - Human beings differ in sexual makeup. Most adults are not sexually attracted to prepubescent children, but some are. Societal values can be of relevance in determining whether such a difference is considered to be a psychiatric condition. Were a society to believe that adult-child sexual interactions should not be prohibited, such a difference might not be viewed as a disorder. According to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), a difference in sexual makeup can be considered a disorder when it causes interpersonal difficulty or marked distress. In contemporary society, pedophilia can do both. According to DSM-IV-TR, for a diagnosis of pedophilia, there must be both a qualitative difference in sexual makeup (i.e., sexualized urges directed toward children) and a quantitative difference (i.e., the sexualized urges must be intense). However, just as a heterosexual man with low (i.e., nonintense) sexual urges is still heterosexual, DSM-5 should similarly allow that individuals with low sexual urges in response to children qualify for a diagnosis of pedophilia.