Curiously, however, when we examine the criteria for classifying or diagnosing someone with a paraphilia in DSM IV TR, we find that such distress or disability is required only for some paraphilias but not for all of them.
This problem gets more acute as we move beyond the rather narrow parameters of sexual paraphilias--even given the catch all classification, "Paraphilia not Otherwise Specified" (APA, DSM IV TR, 2000, 576)--to a consideration of all the "sexual disorders" listed in the current DSM.
Diagnostic and Statistical Manual III-R 1987, DSM IV 1994, DSM IV TR, 2000 (Washington: APA).
"Financial Ties between DSM IV Panel Members and the Pharmaceutical Industry." Psychotherapy and Psychosomatics 75: 154-160.
This changed dramatically with the publication in 1994 of DSM IV (the manual of psychiatric diagnosis widely used around the world).
Before DSM IV, autism was among the most narrowly and clearly defined of disorders.
Once rare and unmistakable, the term is now used loosely to describe people who do not really satisfy the narrow criteria intended for it by DSM IV. Autism now casts a wide net, catching much milder problems that previously went undiagnosed altogether or were given other labels.