Skip to main content

Main menu

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
  • AAPL

User menu

  • Alerts

Search

  • Advanced search
Journal of the American Academy of Psychiatry and the Law
  • AAPL
  • Alerts
Journal of the American Academy of Psychiatry and the Law

Advanced Search

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
Article CommentaryAnalysis and Commentary

Efforts to Reify Other Specified Paraphilic Disorder (Nonconsent) and Their Implications

Brian Holoyda and Austin W. Blum
Journal of the American Academy of Psychiatry and the Law Online February 2023, JAAPL.220095-22; DOI: https://doi.org/10.29158/JAAPL.220095-22
Brian Holoyda
Dr. Holoyda is Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA and Forensic Psychiatrist, Portland, OR. Dr. Blum is a Resident Physician in the Department of Psychiatry and Behavioral Neuroscience, University of Chicago.
MD, MPH, MBA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Austin W. Blum
Dr. Holoyda is Chief Psychiatrist, Contra Costa County Detention Health Services, Martinez, CA and Forensic Psychiatrist, Portland, OR. Dr. Blum is a Resident Physician in the Department of Psychiatry and Behavioral Neuroscience, University of Chicago.
MD, JD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

Abstract

The concept of a paraphilic interest in rape was first described in the 1970s but became popular in the early 1990s with the advent of sexually violent predator laws. Today, the concept is described as other specified paraphilic disorder (nonconsent) (OSPD (nonconsent)) and is the second most common diagnosis of individuals committed to state facilities as sexually violent predators. This usage continues despite research indicating that OSPD (nonconsent) lacks scientific validity and has consistently poor interrater reliability. Furthermore, the concept of paraphilic rape has been repeatedly rejected from inclusion in the DSM over a span of decades. Despite obvious flaws in the construct, some experts continue to promote OSPD (nonconsent) and to present unresearched, unvalidated, and idiosyncratic criteria by which to assess individuals. This article reviews the history and development of the concept of a paraphilic interest in rape, describes its scientific flaws, reviews its proponents’ efforts to reify it as a clinical entity, and considers the ethics, legal, and evaluative implications of experts’ efforts to do so.

  • paraphilic disorder
  • other specified paraphilic disorder (nonconsent)
  • paraphilic coercive disorder
  • paraphilic rape
  • forensic ethics

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2023 American Academy of Psychiatry and the Law
View Full Text
PreviousNext
Back to top

In this issue

Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
  • Table of Contents
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in recommending The Journal of the American Academy of Psychiatry and the Law site.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Efforts to Reify Other Specified Paraphilic Disorder (Nonconsent) and Their Implications
(Your Name) has forwarded a page to you from Journal of the American Academy of Psychiatry and the Law
(Your Name) thought you would like to see this page from the Journal of the American Academy of Psychiatry and the Law web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Efforts to Reify Other Specified Paraphilic Disorder (Nonconsent) and Their Implications
Brian Holoyda, Austin W. Blum
Journal of the American Academy of Psychiatry and the Law Online Feb 2023, JAAPL.220095-22; DOI: 10.29158/JAAPL.220095-22

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Efforts to Reify Other Specified Paraphilic Disorder (Nonconsent) and Their Implications
Brian Holoyda, Austin W. Blum
Journal of the American Academy of Psychiatry and the Law Online Feb 2023, JAAPL.220095-22; DOI: 10.29158/JAAPL.220095-22
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • History
    • Validity and Reliability Studies
    • Efforts to Codify PCD
    • Implications
    • Conclusion
    • Footnotes
    • References
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Toward Aspirational Forensic Mental Health Practice
  • Ethics Challenges in Correctional Mental Health
  • Methamphetamine-Associated Psychosis and Criminal Responsibility
Show more Analysis and Commentary

Similar Articles

Keywords

  • paraphilic disorder
  • other specified paraphilic disorder (nonconsent)
  • paraphilic coercive disorder
  • paraphilic rape
  • forensic ethics

Site Navigation

  • Home
  • Current Issue
  • Ahead of Print
  • Archive
  • Information for Authors
  • About the Journal
  • Editorial Board
  • Feedback
  • Alerts

Other Resources

  • Academy Website
  • AAPL Meetings
  • AAPL Annual Review Course

Reviewers

  • Peer Reviewers

Other Publications

  • AAPL Practice Guidelines
  • AAPL Newsletter
  • AAPL Ethics Guidelines
  • AAPL Amicus Briefs
  • Landmark Cases

Customer Service

  • Cookie Policy
  • Reprints and Permissions
  • Order Physical Copy

Copyright © 2025 by The American Academy of Psychiatry and the Law