Hebephilia - DSM-5

DSM-5

In 2008, Ray Blanchard was the lead author of an influential paper proposing the introduction of hebephilia in the DSM-5. The paper, coauthored mostly with colleagues from CAMH and the University of Toronto, triggered a number of reactions, many of them critical on the basis that it pathologizes reproductively valid behavior in order to uphold current social and legal standards. Critics include Richard Green, Michael First (DSM-IV editor), Karen Franklin, and Charles Allen Moser, while others like William O'Donohue argue that the proposal does not go far enough. Clinical psychologist Joseph J. Plaud criticized Blanchard's study for lacking a control group of "normal" men, and other methodological issues, leading him to conclude that "The data do not support the conclusions reached in this article, especially the inclusion of a significant change to the DSM-V". Blanchard replied to these concerns. Franklin maintains a list of publications discussing the new diagnosis.

The proposed DSM-5 replacement for the pedophilia diagnosis, called pedohebophilic disorder, largely reflects the proposal of Blanchard and his colleagues. The naming of the new disorder also reflects the more general distinction proposed between paraphilia and paraphilic disorder in DSM-5.

At the annual meeting of the American Association of Psychiatry and Law (AAPL) a group of forensic psychiatrists working with sex offenders made a symbolic vote on the inclusion of Pedohebephilia in DSM-5, with 2 votes for and 31 against. At the International Association for the Treatment of Sexual Offenders meeting in Oslo another vote was made with 1 vote for and 100 against.

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