Should dyspareunia be retained as a sexual dysfunction in DSM-V? A painful classification decision - PubMed (original) (raw)
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Should dyspareunia be retained as a sexual dysfunction in DSM-V? A painful classification decision
Yitzchak M Binik. Arch Sex Behav. 2005 Feb.
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Abstract
The DSM-IV-TR (American Psychiatric Association, 2000) classifies dyspareunia as a sexual dysfunction and describes it as a "sexual pain" disorder. This classification has been widely accepted with little controversy despite the absence of a theoretical rationale or supporting empirical data. An examination of the validity of this classification suggests that there is little current justification for the use of the term "sexual pain" or for considering dyspareunia a sexual dysfunction. Dyspareunia fits the current DSM-IV-TR classification criteria for pain disorder better than it fits those for sexual dysfunction. Empirical data from diagnostic, experimental, and therapy outcome studies support this conclusion. The reconceptualization of dyspareunia as a pain disorder rather than as a sexual dysfunction has important implications for the understanding and treatment of this prevalent but neglected women's health problem.
Comment in
- Peer commentaries on Binik (2005).
[No authors listed] [No authors listed] Arch Sex Behav. 2005 Feb;34(1):23-61. doi: 10.1007/s10508-005-0999-3. Arch Sex Behav. 2005. PMID: 15772768 Review. No abstract available. - The "oy" of sex: a medical perspective.
Black JS. Black JS. Arch Sex Behav. 2005 Feb;34(1):24-6, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7461-3. Arch Sex Behav. 2005. PMID: 16092017 No abstract available. - Reclassification will not make the pain go away.
Carpenter KM, Andersen BL. Carpenter KM, et al. Arch Sex Behav. 2005 Feb;34(1):26-8, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7462-2. Arch Sex Behav. 2005. PMID: 16092018 No abstract available. - Is dyspareunia unrelated to early sexual abuse?
Dunne MP, Najman JM. Dunne MP, et al. Arch Sex Behav. 2005 Feb;34(1):28-30, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7464-0. Arch Sex Behav. 2005. PMID: 16092019 No abstract available. - Dyspareunia and DSM: a gynecologist's opinion.
Dennerstein G. Dennerstein G. Arch Sex Behav. 2005 Feb;34(1):28, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7463-1. Arch Sex Behav. 2005. PMID: 16092020 No abstract available. - Weighing the pro's and con's of reclassifying dyspareunia.
First MB. First MB. Arch Sex Behav. 2005 Feb;34(1):30-2, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7465-z. Arch Sex Behav. 2005. PMID: 16092021 No abstract available. - Why deny dyspareunia its sexual meaning?
Graziottin A. Graziottin A. Arch Sex Behav. 2005 Feb;34(1):32-4, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7466-y. Arch Sex Behav. 2005. PMID: 16092022 No abstract available. - Classifying pain: what's at stake for women with dyspareunia.
Kaler A. Kaler A. Arch Sex Behav. 2005 Feb;34(1):34-6, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7467-x. Arch Sex Behav. 2005. PMID: 16092023 No abstract available. - Adding insult to injury: the classification of dyspareunia as a sexual dysfunction in the DSM.
Kleinplatz PJ. Kleinplatz PJ. Arch Sex Behav. 2005 Feb;34(1):36-8, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7468-9. Arch Sex Behav. 2005. PMID: 16092024 No abstract available. - A slightly different idea.
Levine SB. Levine SB. Arch Sex Behav. 2005 Feb;34(1):38-9, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7469-3. Arch Sex Behav. 2005. PMID: 16092025 No abstract available. - Dyspareunia: a pain disorder or sexual dysfunction?
Markos AR. Markos AR. Arch Sex Behav. 2005 Feb;34(1):39-41, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7470-2. Arch Sex Behav. 2005. PMID: 16092026 No abstract available. - Revisiting the diagnosis of dyspareunia: a painful but important discussion.
Masheb R, Richman S. Masheb R, et al. Arch Sex Behav. 2005 Feb;34(1):41-2, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7471-1. Arch Sex Behav. 2005. PMID: 16092027 No abstract available. - Teasing apart the pain from the sex: is the pendulum swinging too far?
Meana M. Meana M. Arch Sex Behav. 2005 Feb;34(1):42-4, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7472-0. Arch Sex Behav. 2005. PMID: 16092028 No abstract available. - Dyspareunia: another argument for removal.
Moser C. Moser C. Arch Sex Behav. 2005 Feb;34(1):44-6, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7473-z. Arch Sex Behav. 2005. PMID: 16092029 No abstract available. - Making the case for sexual pain: let's not throw out the baby with the bath water.
Payne K. Payne K. Arch Sex Behav. 2005 Feb;34(1):46-8, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7474-y. Arch Sex Behav. 2005. PMID: 16092030 No abstract available. - A rose by any other name: should dyspareunia be reclassified?
Strassberg DS. Strassberg DS. Arch Sex Behav. 2005 Feb;34(1):48-9, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7476-9. Arch Sex Behav. 2005. PMID: 16092031 No abstract available. - A more radical proposal: dyspareunia is not a mental disorder.
Spitzer RL. Spitzer RL. Arch Sex Behav. 2005 Feb;34(1):48, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7475-x. Arch Sex Behav. 2005. PMID: 16092032 No abstract available. - Dyspareunia is the only valid sexual dysfunction and certainly the only important one.
Tiefer L. Tiefer L. Arch Sex Behav. 2005 Feb;34(1):49-51, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7477-8. Arch Sex Behav. 2005. PMID: 16092033 No abstract available. - Pain or sex?: choosing the best option.
Townsend JM. Townsend JM. Arch Sex Behav. 2005 Feb;34(1):51-2, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7478-7. Arch Sex Behav. 2005. PMID: 16092034 No abstract available. - Sexual dysfunction or pain disorder?: dyspareunia from the perspective of the harmful dysfunction analysis.
Wakefield JC. Wakefield JC. Arch Sex Behav. 2005 Feb;34(1):52-7, 57-61; author reply 63-7. doi: 10.1007/s10508-005-7479-1. Arch Sex Behav. 2005. PMID: 16092035 No abstract available. - The optimal discipline for assessing and managing pain during sex.
Basson R. Basson R. Arch Sex Behav. 2005 Feb;34(1):23-4, 57-61; author reply 63-7. Arch Sex Behav. 2005. PMID: 16110604 No abstract available.
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