The evolution of the concept of paraphilias
DOI:
https://doi.org/10.25118/2236-918X-6-4-4Keywords:
Sexual behavior, paraphilias, paraphilic disordersAbstract
As the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is released, and review of the 10th International Classification of Diseases (ICD-10) approaches completion – two major international classifications – there is now room for discussion on changes in sexual behavior over time. This debate is motivated by the observation of the dynamicsthat updates social norms regulating sexual behaviors, of how these norms are built and to what extent they are subjected to historical, political and cultural contexts. This article, inspired by the ideas of Alain Giami, a researcher of the Gender, Sexual and Reproductive Health Team at the Center for Research in Epidemiology and Population Health (CESP), in Le Kremlin-Bicêtre, France, presents the classifications of sexual disorders as representations of contemporary sexual norms and gender relations.
Moreover, this article addresses the evolution of the medical treatment of sexual perversions (paraphilias, disorders of sexual preference), which evolved, over the course of the last century, from a model of pathologization of any non-reproductive sexual behavior to a model focused on sexual wellbeing and responsibility (consent in relationships) and that pathologizes the absence of consent in sexual practices.
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