Hebephilia: Quintessence of diagnostic pretextuality

Franklin, Karen

doi:10.1002/bsl.934

Cited by 34 publications

(25 citation statements)

References 46 publications

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“…Several courts have found the ''paraphilia NOS, hebephilia'' diagnosis used in civil commitment proceedings to be either not demonstrably a mental disorder at all or not a serious enough mental disorder to meet the threshold for application to the sexual predator civil hearings (Franklin 2010a). The attempt to place this disorder in the DSM is partly an attempt to legitimize this diagnosis and neutralize such objections.…”

Section: Dsm-5 Proposed Diagnostic Criteria For Pedohebephiliamentioning

confidence: 98%

The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis

Wakefield

2011

Clin Soc Work J

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The proposals that have emerged from the DSM-5 revision process have triggered considerable controversy, especially regarding potential invalid inflation of diagnostic categories. To illustrate the kinds of issues that have emerged, I closely examine the proposed new categories of sexual disorder. The DSM-5 Sexual and Gender Identity Disorders Work Group is proposing the addition of three categories of disorder to the DSM-5-hypersexuality, hebephilia (as part of a revised pedophilia category that would become pedohebephilia), and coercive paraphilic disorder (basically a ''nonconsent'' or rape paraphilia). These proposals are driven by perceived clinical or forensic needs. I argue, however, that their conceptual soundness remains problematic; each could lead to large numbers of false positive diagnoses (i.e., diagnoses that mistakenly label a normal variant of behavior as a mental disorder), with potential for serious forensic abuse in ''sexually violent predator'' civil commitment proceedings.

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Section: Dsm-5 Proposed Diagnostic Criteria For Pedohebephiliamentioning

confidence: 98%

The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis

Wakefield

2011

Clin Soc Work J

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“…"Hebephilia" was suggested for inclusion in the DSM-5 (Blanchard et al 2009 ). Although the validity and usefulness of this category has been repeatedly criticized (Franklin 2010 ; Wakefi eld 2011 ; Singy forthcoming ), and although the category was ultimately rejected by the APA's Board of Trustees, "hebephilia" is nevertheless regularly invoked in the courtroom. Today, like in the nineteenth century, the paraphilias are born in the courtroom, not on the couch.…”

Section: Forensic Psychiatry Without the Dsm And Vice Versamentioning

confidence: 96%

Power, Knowledge, and Laughter: Forensic Psychiatry and the Misuse of the DSM

Singy

2014

Classification, Disease and Evidence

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This essay examines the relation between the DSM and forensic psychiatry. Psychiatrists, lawyers and philosophers often assume that the forensic legitimacy of the DSM hinges on fi nding an objective defi nition of mental disorder. In the fi rst part of this essay I show that the DSM's quest for objectivity has never been successful. In the second part I argue that even if an objective defi nition could be found, the DSM should have no role to play in the courtroom. Today, the lawyers and forensic psychiatrists who rely on the DSM to give weight to their legal opinions and judgments are making a conceptual mistake: they confl ate the concepts of disease and incapacity. Once these concepts are disentangled, it becomes apparent that the DSM (which classifi es diseases) should have no business meddling with the law (which is concerned with incapacities). In the third and fi nal part I describe the positive consequences for both parties of the divorce between the DSM and forensic psychiatry.On January 8, 1975, the philosopher and historian Michel Foucault began his course at the Collège de France, the most prestigious and serious academic institution in France, with something unusual: he made his students laugh (Foucault 1999 , pp. 3-7). He did so not by telling a joke, but by reading a psychiatric forensic case that took place in 1955. A woman had been convinced by her lover to kill her own child. In the passage that Foucault read, the psychiatrists were mostly interested in the lover. They fi rst pointed out that this man had been a bastard child; they then described his miserable childhood and his suspicious lifestyle as an adult; they noted in particular how he liked to hang out with leftist intellectuals with revolutionary ideas, how resistant he had been to military discipline, and how he had had many mistresses, who for the most part had been low-life women. In very colorful language, these psychiatrists described in front of the jury an abject, slimy, sordid individual.

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“…They may also, unfortunately, be useful in a consequential (Sreenivasan, Frances, & Weinberger, 2010) or pretextual sense (Franklin, 2010) for buttressing inaccurate sex offender risk assessment opinions.…”

Section: Examplementioning

confidence: 96%

“…Psychologist Karen Franklin (2010), in particular, has inventoried these criticisms and concluded that "expanding the definition of pedophilia -a diagnosis with already poor interrater reliability -into a broader definition of pedohebephilia has the potential to dramatically increase the scope and power of the sex offender civil commitment industry" in a way that "will invite . .…”

Section: Introductionmentioning

confidence: 97%

Sampling Extreme Groups Invalidates Research on the Paraphilias: Implications for DSM‐5 and Sex Offender Risk Assessments

Wollert

Cramer

2011

Behavioral Sci & The Law

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Psychiatrist and Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) text editor Michael First has criticized the addition of victim counts to criteria proposed by the Paraphilia Sub-Workgroup for inclusion in DSM-5 because they will increase false-positive diagnoses. Psychologist and Chair of the DSM-5 Paraphilia Sub-Workgroup, Ray Blanchard, responded by publishing a study of pedohebephiles and teleiophiles which seemed to show that victim counts could accurately identify pedohebephiles who were selected per self-report and phallometric testing. His analysis was flawed because it did not conform to conventional clinical practice and because he sampled groups at opposite ends of the clinical spectrum. In an analysis of his full sample, we found the false-positive rate for pedohebephilia at the recommended victim count selection points was indeed very large. Why? Because data analyses that eliminate intermediate data points will generate inflated estimates of correlation coefficients, base rates, and the discriminative capacity of predictor variables. This principle is also relevant for understanding the flaws in previous research that led Hanson and Bussiere to conclude that sexual recidivism was correlated with "sexual interest in children as measured by phallometric assessment." The credibility of mental health professionals rests on the reliability of their research. Conducting, publishing, and citing research that reflects

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Hebephilia: Quintessence of diagnostic pretextuality

Cited by 34 publications

References 46 publications

The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis

The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis

Power, Knowledge, and Laughter: Forensic Psychiatry and the Misuse of the DSM

Sampling Extreme Groups Invalidates Research on the Paraphilias: Implications for DSM‐5 and Sex Offender Risk Assessments

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