Abstract:  Paraphilic Disorders in DSM-5 and proposals for ICD-11 – are there implications for sexual offender management?

The DSM-5 (American Psychiatric Association, 2013) was released in May 2013. When compared to DSM-IV-TR, only small changes were made. The World Health Organization is currently in the process of revision ICD-10, with the publication of ICD-11 due in 2017. The revision of the paraphilic disorders for DSM-5 was accompanied by substantial controversy and similar issues have been raised for the ICD-10 revision. Significant changes have been suggested for the ID-10 F65 category, Disorders of sexual preference, for ICD-11 including the removal of fetishism, fetishistic transvestism, and sadomasochism from the named disorders and a revision of the diagnostic criteria to avoid labeling individuals whose preferential practice of atypical sexual behavior resulted in their being subject to a diagnosis according to ICD-10, when they had not distress of dysfunction. Additionally, the category of F52.7, Excessive sexual drive, has been revised and suggested for inclusion in ICD-11 as Compulsive sexual behavior disorder. This lecture will discuss the details of and rationale for these changes and the possible implications that the DSM-5 and proposed ICD-11 changes will have for sexual offender management.

Professor Peer Briken is Director of the Institute for Sex Research and Forensic Psychiatry in Hamburg since 2010. The institute has an outpatient clinic for sexual offenders and provides court reports on sexual offenders. Peer Briken's main research activities are: pharmacological and psychotherapeutic treatment of sexual offenders, sexual homicide, hypersexuality, juvenile sexual offenders and delinquency. He published the first German studies on pharmacological treatment of paraphilic patients with GnRH agonists and SSRI. He is reviewer for international journals, member of Editorial Board of the Open Forensic Science Journal, Sex Offender Treatment and Editor of the German Journal of Sex Research. He is also a member of several societies. Since 2010, he was appointed the president of the German Society of Sex Research. Since 2012 he is a member of the Correctional Services Advisory and Accreditation Panel, National Offender Management Service, Ministry of Justice, UK. Since 2013 he is a member of the ICD-11 Working Group on Sexual Disorders and Sexual Health.