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The Development and Evolution of the Criteria for a Newly Proposed Diagnosis for DSM-5: Hypersexual Disorder
Open AccessThis manuscript discusses the empirical foundations for the initial development and subsequent revisions of the diagnostic criteria for Hypersexual Disorder (HD). Historically, DSM manuals are constructed using behaviors descriptors or symptoms (A Criteria) and a threshold (Criterion B) characterizing distress or impairment associated with the consequences of Criterion A behaviors. In addition, many psychiatric disorders, like HD, are additionally defined by adding “exclusionary” criteria (e.g., Criterion C and D) to reduce the unintended consequences associated false positive or “over-diagnosis.” The definition and criteria associated with Hypersexual Disorder evolved over 3 years and its development was modified by professional discourse, published critiques, input by educated lay persons, as well as, a rigorous internal review by committees associated with the American Psychiatric Association's DSM-5 project. Although ultimately rejected for placement in DSM-5, there have been substantive gains associa...
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