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Diagnosis - rapist or ???? - 3/9/2010 6:55:25 AM   
kajiraforoffline


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Thinking there's a possibility of major problems with this:

http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=416


Paraphilic Coercive Disorder



A. Over a period of at least six months, recurrent, intense sexually arousing fantasies or sexual urges focused on sexual coercion. [23]

B. The person is distressed or impaired by these attractions, or has sought sexual stimulation from forcing sex on three or more nonconsenting persons on separate occasions. [24]

C. The diagnosis of Paraphilic Coercive Disorder is not made if the patient meets criteria for a diagnosis of Sexual Sadism Disorder.[25]

< Message edited by VideoAdminSigma -- 3/9/2010 6:57:21 AM >
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RE: Diagnosis - rapist or ???? - 3/9/2010 7:09:34 AM   
came4U


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what exactly is the problem/question??

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RE: Diagnosis - rapist or ???? - 3/9/2010 7:10:32 AM   
BoiJen


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Oh come on...read ALL of the proposed changes for paraphilias. They're designed to fuck over the kink community. If you don't see how here's the explanation.:....PS.Thank the NCSF for this short sighted shit.

Written 20 days ago

Last week, the NCSF released a misleading headline of "Victory" in terms of changing the language of paraphillias in the DSM. However, the purposed changes will drastically affect the ability for kinky folk to get help when needed and greatly increase the medical stigma of fetish activities.

Wording in the DSM IV-TR A allows for an understanding in the medical community that fetishists and the like may have abnormal sex lives but, if the activity does not cause undue social anxiety, interfere with having a healthy relationship, or cause lasting emotional or physical harm to another being, the individual is considered "healthy". Proposed changes allow for a diagnosis of a paraphillic disorder based upon frequency of activity in an "AND or OR" ability to diagnose on frequency of activity or "distress". Basically, an individual may be medically diagnosed with a mental disorder if they participate in abnormal sexual activity and be deemed "unhealthy" based upon how active in their fetishes that individual is. An example of this frequency methodology is "3 time in the last 6 months".

This drastic proposed change is in no way a step forward, rather it's an incredible step backward. You can confirm this information at dsm5.org. When prompted with this information, the NCSF refused to acknowledge the major potential damage this will bring us, as a community, and blatantly ignored the concerns raised by donors. The NCSF needs to focus it's fundraising efforts and man power in the legislative arena and in social understanding and education; where we, as a community, need the help the most.

Also, the NSCF has a final goal of removing paraphillias from the DSM all together. This would undoubtedly eliminate a patient's ability to seek counseling and help with shame associated around sexual activity. The current APA accepted treatment of paraphillic issues does not involve "changing" a person's sexuality, rather it focuses on helping a person enjoy their sexuality without shame. Removing paraphillic issues from the DSM will cease the ability for troubled individuals to seek the help they so rightly deserve to get.

boi

Who has already written the NCSF asking for an explanation for these changes and asking them to review these changes for what they are to no avail. If you want to support a group moving toward real change, please consider supporting the Woodhull foundation. http://www.woodhullfoundation.org/

< Message edited by BoiJen -- 3/9/2010 7:11:08 AM >


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RE: Diagnosis - rapist or ???? - 3/9/2010 7:15:40 AM   
came4U


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Not to mention, to 'most' in the lifestyle, they seek someone who volunteers (consents) to this kind of behaviour. It is the freaks that bring it upon themselves to rape the unwilling and unsuspecting. Those freaks likely never even knew or heard of the lifestyle in order to find their 'fantasy-outlet' partner or if they have, they don't find any challenge or fun at all in a volunteer. A sexual sadist can either control himself, his environment and his urges....or go to jail when he didn't/hasn't.

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RE: Diagnosis - rapist or ???? - 3/9/2010 8:47:31 AM   
CalifChick


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quote:

ORIGINAL: BoiJen

the purposed changes will drastically affect the ability for kinky folk to get help when needed and greatly increase the medical stigma of fetish activities.

(snip)

Also, the NSCF has a final goal of removing paraphillias from the DSM all together. This would undoubtedly eliminate a patient's ability to seek counseling and help with shame associated around sexual activity.



Frankly, I think that is a load of crap.  Every single person can seek counseling if they so desire.  They go in, they say "doc, I'm having some guilt feelings over some of the things that turn me on sexually" and they discuss it.  Doc bills the insurance with a diagnosis like adjustment disorder or depression, or some other diagnosis that the person does fit.  The DSM isn't even used for insurance billing purposes.  The ICD-9 is.  The DSM is used for a standard of criteria.  While most of the codes in the DSM translate directly to ICD-9, not all of them do.  For instance, the Post-Traumatic Stress Codes are NOT the same numbers in the DSM as in the ICD-9.

Standard of criteria means, for example, the person must fit 2 out of 3 of the listed symptoms for more than three months.  The DSM defines what the stated terms mean.  All the ICD-9 has in it is the stated term.  There is no definition.  So you need DSM to define the term and to state the criteria to be diagnosed with the term. 

Whether something is in the DSM or not has little to no effect on the stigma of something in the medical community.  Seriously. 

Cali


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RE: Diagnosis - rapist or ???? - 3/9/2010 8:53:46 AM   
BoiJen


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As a psych student, we're taught to treat individuals because of what is listed in the DSM and how. Remove a listing all together in the DSM, and students are no longer taught how to treat certain issues.

Please consider, something is not known as a "disorder" and suddenly gets added to medical files and insurance claims as a "disorder"...how does that not increase stigmas?

boi


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RE: Diagnosis - rapist or ???? - 3/9/2010 9:08:56 AM   
CalifChick


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Maybe when you have some real-world experience under your belt, you'll see what I'm talking about.  You treat a person, and what is causing pain or dysfunction in their lives.  You don't boot them out the door because it's not wrapped up all neat and tidy under 302.84, Sexual Sadism.  If you're saying the removal of sexual disorders will cause psychologists to have no idea how to help someone who has a sexual issue causing them anguish, then you should probably change schools.

Cali



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RE: Diagnosis - rapist or ???? - 3/9/2010 9:18:30 AM   
MsKittyBlack


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****log in issues****


< Message edited by MsKittyBlack -- 3/9/2010 9:19:02 AM >

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RE: Diagnosis - rapist or ???? - 3/9/2010 9:19:24 AM   
BoiJen


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I didn't say that doctors will no longer have *any* idea how to help patients with these issues. I'm saying that the tools currently taught and used in regards to these issues will be phased out of the educational curriculum if NCSF gets their way in completely removing the paraphilia section of the DSM. In contrast, the over sensitivity in making an entirely new listing of paraphilic disorders is beyond the scope of actual "improvement" in this area. Especially given the measures already in place to help this community when it's needed.

I can't see this as a "victory" and I really can't see why anyone would label it as such.

boi

< Message edited by BoiJen -- 3/9/2010 9:20:00 AM >


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RE: Diagnosis - rapist or ???? - 3/9/2010 9:45:36 AM   
Termyn8or


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This has the typical stigma of a label though. If billed as such does it become a pre-existing condition ?

And there is a VERY dangerous question involved here. If a kinkster is into a rape fantasy and cannot fulfill it, could it turn into a rape reality ? I mean general let's say you like to tie Women up and play with them. Well it doesn't take a rocket scientist to figure out that you need to find girls that like to be tied up, but what if you can't find one ?

But according to this, that distinction is not made, so you get a label I guess. It may be more important than it looks. Medical records are no longer private. Unless you pay for everythig ala carte', you have no privacy, and things like this whether or not they can be used in court, can be used in an investigation. I know that sounds shady, but not everyone who desires privacy is a maniac and ready to do some heinous act. However the court system sees it differently. All they know is the rulings. If convicted of something you are presumed guilty, no matter if you got hit hard and had to take a plea bargain or even took the rap for someone else. All they know is the record, and this is part of the record. What alot of people don't know is that even if something is inadmissable in court as it relates to a prosecution or defense, the judge can still see it. For example your juvenile records are supposedly sealed, but they know. The only difference is that when you turn eighteen all the sudden you have no priors.

So a sexual proclivity is now defined as three times in the last six months. Something like drunk driving, if you get busted three times in this state within five years you are labelled "habitual". They really are reaching beyond their grasp here. But then that is their proclivity, to label us and pigeonhole us into nice neat little categories.

Well it doesn't work and it never did. But that doesn't change one's stance when faced with legal problems. Believe me I know. I've been in too many judge's chambers to not know that. They get alot more information than most people realize, and if this becomes part of that information the results could be quite stark.

Sometimes the things that don't seem all that important at first come back and bite one in their butt, and hard.

T

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RE: Diagnosis - rapist or ???? - 3/9/2010 10:11:15 AM   
BoiJen


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quote:

ORIGINAL: Termyn8or

Using FR

This has the typical stigma of a label though. If billed as such does it become a pre-existing condition ?

And there is a VERY dangerous question involved here. If a kinkster is into a rape fantasy and cannot fulfill it, could it turn into a rape reality ? I mean general let's say you like to tie Women up and play with them. Well it doesn't take a rocket scientist to figure out that you need to find girls that like to be tied up, but what if you can't find one ?

But according to this, that distinction is not made, so you get a label I guess. It may be more important than it looks. Medical records are no longer private. Unless you pay for everythig ala carte', you have no privacy, and things like this whether or not they can be used in court, can be used in an investigation. I know that sounds shady, but not everyone who desires privacy is a maniac and ready to do some heinous act. However the court system sees it differently. All they know is the rulings. If convicted of something you are presumed guilty, no matter if you got hit hard and had to take a plea bargain or even took the rap for someone else. All they know is the record, and this is part of the record. What alot of people don't know is that even if something is inadmissable in court as it relates to a prosecution or defense, the judge can still see it. For example your juvenile records are supposedly sealed, but they know. The only difference is that when you turn eighteen all the sudden you have no priors.

So a sexual proclivity is now defined as three times in the last six months. Something like drunk driving, if you get busted three times in this state within five years you are labelled "habitual". They really are reaching beyond their grasp here. But then that is their proclivity, to label us and pigeonhole us into nice neat little categories.

Well it doesn't work and it never did. But that doesn't change one's stance when faced with legal problems. Believe me I know. I've been in too many judge's chambers to not know that. They get alot more information than most people realize, and if this becomes part of that information the results could be quite stark.

Sometimes the things that don't seem all that important at first come back and bite one in their butt, and hard.

T


My point in this is that these changes in the DSM are being prompted and promoted by the NCSF. The guys who are SUPPOSED to be on our side. Anybody see the problem with this?


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RE: Diagnosis - rapist or ???? - 3/9/2010 11:12:48 AM   
kajiraforoffline


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That is what this one was getting at. The ones who are supposed to be kink-friendly don't seem to be. Sorry, should have worded better to begin with. Thank you, BoiJen. You said it how this girl couldn't.

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RE: Diagnosis - rapist or ???? - 3/9/2010 11:13:54 AM   
FukinTroll


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I find this an odd topic for a kajira. 

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RE: Diagnosis - rapist or ???? - 3/9/2010 11:19:56 AM   
mnottertail


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Fukin,

I am thinking that some of these girls need the dogshit slapped outta them and then fucked against their will. is there a number for that?

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RE: Diagnosis - rapist or ???? - 3/9/2010 11:21:02 AM   
FukinTroll


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quote:

ORIGINAL: mnottertail

Fukin,

I am thinking that some of these girls need the dogshit slapped outta them and then fucked against their will. is there a number for that?


Yeah, 1-800-kajirforoffline


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RE: Diagnosis - rapist or ???? - 3/9/2010 12:19:19 PM   
Termyn8or


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Ron, the number is *5568#

Dammit I am getting tired of telling people this, write it down !

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RE: Diagnosis - rapist or ???? - 3/9/2010 2:36:39 PM   
LafayetteLady


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quote:

ORIGINAL: BoiJen

As a psych student, we're taught to treat individuals because of what is listed in the DSM and how. Remove a listing all together in the DSM, and students are no longer taught how to treat certain issues.

Please consider, something is not known as a "disorder" and suddenly gets added to medical files and insurance claims as a "disorder"...how does that not increase stigmas?

boi



I would think, as a psych student, the DSM should be more of a diagnostic tool. It sounds as though if someone were to seek help and you couldn't find it in the DSM you wouldn't know what to do with them. I'm sure that I must be missing something there.

quote:

ORIGINAL: kajiraforoffline

The ones who are supposed to be kink-friendly don't seem to be.


Exactly what makes you believe they should be "kink-friendly?"

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RE: Diagnosis - rapist or ???? - 3/9/2010 2:42:14 PM   
BoiJen


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quote:

ORIGINAL: LafayetteLady

quote:

ORIGINAL: kajiraforoffline

The ones who are supposed to be kink-friendly don't seem to be.


Exactly what makes you believe they should be "kink-friendly?"


"They" would be the NCSF who have been petitioning for these changes in the DSM.

boi


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RE: Diagnosis - rapist or ???? - 3/9/2010 3:06:11 PM   
DesFIP


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It isn't a problem until they've raped three people? Not in my book.

The important word is coerced. Meaning no consent given. If you give consent then it isn't coercive and you don't qualify. So what's the problem.


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RE: Diagnosis - rapist or ???? - 3/9/2010 3:09:36 PM   
BoiJen


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Then there's the problem where it doesn't say you have to actually do these things...you only have to fantasize about them.

"A. Over a period of at least six months, recurrent, intense sexually arousing fantasies or sexual urges focused on sexual coercion."


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