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Chapter: Essentials of Psychiatry: Sexual Disorders

Sexual Disorder Not Otherwise Specified

If the clinician is uncertain about how to categorize a person’s problem, it is more reasonable to use this diagnosis than one that does not encompass the range of the patient’s suffering.

Sexual Disorder Not Otherwise Specified

 

If the clinician is uncertain about how to categorize a person’s problem, it is more reasonable to use this diagnosis than one that does not encompass the range of the patient’s suffering. Sexual disorder not otherwise specified can be used when the therapist perceives a dramatic interplay between issues of sexual identity and sexual dysfunction, or when “everything” seems to be amiss. DSM-IV-TR, however, encourages the clinician to make multiple sexual diagnoses involving, for instance, a gender identity disor-der, a desire disorder, erectile and orgasmic disorder.

 

DSM-IV-TR provides two examples when it would be ap-propriate to use the diagnosis sexual disorder NOS: 1) nonpara-philic compulsive sexual behaviors, that is, relentless pursuit of masturbatory or heterosexual or homosexual partner experiences without evidence of paraphilic imagery; and 2) complicated or exaggerated struggles to manage homosexual urges. Despite the removal of homosexuality from the DSM in 1974 men (particu-larly) and women still generate symptoms in their struggle to bal-ance the demands of their homoeroticism with their ambitions to participate in conventional family life. This ongoing struggle can generate a variety of anxiety, depressive, compulsive, substance abusing and suicidal states.

 

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Essentials of Psychiatry: Sexual Disorders : Sexual Disorder Not Otherwise Specified |


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