Abstract
The history and controversy over a rape paraphilia diagnosis is reviewed, including its proposed inclusion in several editions of the DSM as Paraphilic Coercive Disorder (PCD). In the 1980s, objections to PCD as a mental disorder focused on the possibility that rapists would claim it to avoid criminal prosecution. This argument flipped in the mid-1990s when Paraphilia NOS Nonconsent emerged as a proxy diagnosis for PCD in sex offender civil commitment cases. At that time, objections to a coercive paraphilic disorder focused on potential misuse by prosecutors to keep rapists incarcerated after serving their criminal sentences.
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