Abstract
Abstract Evaluators have used the taxonomy for the paraphilias and residual paraphilias from the Diagnostic and Statistical Manual of the American Psychiatric Association (APA) for 20 years to make mental abnormality determinations in sexually violent predator (SVP) cases. There are serious problems with including residual paraphilias in SVP evaluations. This chapter considers these issues from taxonometric, historical, and contemporary perspectives. It also describes details in DSM‐5 that bear on SVP and sex offender evaluations. We discourage assigning residual diagnoses for various reasons. Two are that they are characterized by great reliability deficiencies that produce high levels of diagnostic uncertainty. Most damning is APA's explicit rejection of proposals to include paraphilic coercive disorder (rape), hebephilia, and hypersexuality in DSM‐5. These labels were inappropriately included in SVP evaluations as residual paraphilias. Evaluators should warn the courts about the conceptual limits of using the paraphilias taxonomy to locate sex offenders on legal taxonomies.
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