Paraphilias: phenomenology and classification

Am J Psychother. 1984 Apr;38(2):164-79. doi: 10.1176/appi.psychotherapy.1984.38.2.164.

Abstract

DSM-III incorrectly designates the majority of paraphilias as atypical. Only eight are named, and those because of their forensic history, rather than their pathology and therapeutic need. In this paper, thirty-odd paraphilias are subdivided into six categories on the basis of their phenomenological dynamics. The new concept of the developmental lovemap is introduced for the first time. A new treatment originated by the author in 1966 combines an androgen agonist with counseling therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Combined Modality Therapy
  • Exhibitionism / psychology
  • Female
  • Fetishism, Psychiatric / psychology
  • Humans
  • Male
  • Masochism
  • Medroxyprogesterone / analogs & derivatives
  • Medroxyprogesterone / therapeutic use
  • Medroxyprogesterone Acetate
  • Paraphilic Disorders / classification
  • Paraphilic Disorders / psychology*
  • Paraphilic Disorders / therapy
  • Pedophilia / psychology
  • Psychotherapy
  • Rape
  • Sadism
  • Sex Factors
  • Sex Offenses
  • Sex Work
  • Theft
  • Voyeurism / psychology

Substances

  • Medroxyprogesterone Acetate
  • Medroxyprogesterone