Abstract

Analysis of the diagnostic criteria and text in the current Diagnostic and Statistical Manual for Mental Disorders, Fourth edition, Text Revision (DSM-IV-TR) leads the author to conclude that (1) personality disorders and paraphilias are separate, independent diagnoses, (2) deviant sexuality need not be either obligatory or exclusive for a person to meet criteria for a diagnosis of paraphilia not otherwise specified (NOS) (nonconsenting), (3) either antisocial personality disorder or paraphilia NOS could serve as the qualifying disorder for civil commitment of a sexually violent predator (SVP), and (4) whether a person meets criteria for civil commitment as an SVP must be determined on a case-by-case basis rather than by cursorily considering the person's psychiatric diagnosis.

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