PSYCH 132: Paraphilic Disorders
Medlock Holmes enters an immense Neo-Victorian institution called The Tribunal of Sexual Interest, Consent and Harm.
At its centre stands a large brass balance.
On one side:
UNUSUAL SEXUAL INTEREST
On the other:
DISTRESS • IMPAIRMENT • HARM • NONCONSENT
Holmes quickly discovers the central distinction in modern psychiatric classification:
A PARAPHILIA IS NOT AUTOMATICALLY A PARAPHILIC DISORDER.
DSM-5 defines a paraphilia as an intense and persistent sexual interest outside genital stimulation or preparatory fondling with physically mature, consenting partners. But the diagnosis of a…
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