Proposals for Paraphilic Disorders in the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11).

The World Health Organization is currently developing the 11th revision of the International Classifications of Diseases and Related Health Problems (ICD-11), with approval of the ICD-11 by the World Health Assembly anticipated in 2018. The Working Group on the Classification of Sexual Disorders and Sexual Health (WGSDSH) was created and charged with reviewing and making recommendations for categories related to sexuality that are contained in the chapter of Mental and Behavioural Disorders in ICD-10 (World Health Organization 1992a). Among these categories was the ICD-10 grouping F65, Disorders of sexual preference, which describes conditions now widely referred to as Paraphilic Disorders. This article reviews the evidence base, rationale, and recommendations for the proposed revisions in this area for ICD-11 and compares them with DSM-5. The WGSDSH recommended that the grouping, Disorders of sexual preference, be renamed to Paraphilic Disorders and be limited to disorders that involve sexual arousal patterns that focus on non-consenting others or are associated with substantial distress or direct risk of injury or death. Consistent with this framework, the WGSDSH also recommended that the ICD-10 categories of Fetishism, Fetishistic Transvestism, and Sadomasochism be removed from the classification and new categories of Coercive Sexual Sadism Disorder, Frotteuristic Disorder, Other Paraphilic Disorder Involving Non-Consenting Individuals, and Other Paraphilic Disorder Involving Solitary Behaviour or Consenting Individuals be added. The WGSDSH's proposals for Paraphilic Disorders in ICD-11 are based on the WHO's role as a global public health agency and the ICD's function as a public health reporting tool.

A captura da subjetividade pela violência simbólica da indústria cultural: da submissão à culpabilidade dos indivíduos / The appropriation of subjectivity by the symbolic violence of the cultural industry: submission to the culpability of individuals / La capture de la subjectivité par la violence symbolique de l’industrie culturelle: la soumission à la culpabilité des individus / La captura de la subjetividad por la violencia simbólica de la industria cultural: de lo sometimiento a la culpabilidad de los individuos

Neste artigo adentramos a profundidade do conceito de indústria cultural, cunhado por Horkheimer e Adorno (1985), para atravessar suas imbricações com as fantasias inconscientes, em especial as de natureza destrutiva. A violência simbólica da indústria cultural, quando internalizada pelos indivíduos, veicula os modelos identificatórios exigidos pela sociedade de consumo para universalizar a lógica da mercadoria entre todos eles. Essa perversão nos processos de constituição das subjetividades conduz às suas estandardizações nos moldes que Theodor Adorno identifica como de pseudoindivíduos, atados simbioticamente uns aos outros. Existe uma similaridade entre esses conceitos adornianos e o de “sentimento inconsciente de culpabilidade” de Freud, em que esse autor identifica processos de autopunição subjetiva quando, sob a “mais-repressão social”, os indivíduos estão proibidos de reagir. O sadomasoquismo sustenta a cumplicidade dos indivíduos com esse status quo opressor, orquestrado pelo engano das ideologias difundidas pela indústria cultural. Será possível que esses indivíduos venham a assumir as suas criticidades para tornarem-se construtores da cultura?.(AU)

This current research deepens the concept of cultural industry, coined by Horkheimer and Adorno (1985), so that its overlapping with unconscious fantasies, especially destructive one, may be understood. When subjects internalize the symbolic violence of cultural industry, they transfer the identification models required by consumption society and universalize the object logic among all. The perversion in the subjectivities’ constitution processes leads towards the standardization of models which Adorno identifies as pseudo-individual symbiotically linked to one another. A similarity exists between these concepts by Adorno and Freud’s “unconscious feeling of guilt” in which the latter identifies processes of subjective self-punishment when subjects are impaired to react due to “social repression”. Sadomasochism sustains the subjects’ complicity with such an oppressing status quo, orchestrated by the mistake of ideologies diffused by the cultural industry. Is it possible that these subjects appropriate their critical possibilities to become culture-builders?.(AU)

Dans cet article nous nous sommes enfoncées dans le concept de l’industrie culturelle, battu par Horkheimer e Adorno (1985), pour traverser ses imbrications avec les fantaisies inconscientes, notamment celles de nature destructive. La violence symbolique de l’industrie culturelle, quand internalizée par les individus, véhicule les modèles identificatoires exigés par la société de consommation pour universalizer parmis ceux-là, la logique de la marchandise. Cette perversion dans les processus de constitution des subjectivités, emmène vers ses standardisations dans des modèles identifiés par Theodor Adorno comme des pseudo-individus attachés symbiotiquement les uns aux autres. Il existe une similarité entre ces concepts adorniens et celui de ® sentiment inconscient de culpabilité » de Freud où il identifie des processus d’auto-punition subjective quand les individus sont interdits de réagir sous une forte représsion sociale. Le sadomasochisme soutien la cumplicité des individus avex ce status-quo oppresseur, orchestré par la trompérie des idéologies difusées par l’industrie culturele. Sera-t-il possible que ces individus assumissent ses esprits critiques pour devenir bâttisseurs de la culture?.(AU)

En este artículo adentramos a la profundidad del concepto de industria cultural, acuñado por Horkheimer y Adorno (1985), para atravesar sus imbricaciones con las fantasías inconscientes, en especial las de naturaleza destructiva. La violencia simbólica de la industria cultural, cuando interiorizada por los individuos, lleva los modelos identificativos exigidos por la sociedad de consumo para universalizar la lógica de la mercadería entre todos ellos. Esa perversión en los procesos de constitución de las subjetividades conduce a sus estandarizaciones en los moldes que Theodor Adorno identifica como de pseudo-individuos, atados simbióticamente unos a los otros. Existe una similitud entre esos conceptos adornianos y el de “sentimiento inconsciente de culpabilidad” de Freud, en que ese autor identifica procesos de auto-punición subjetiva cuando, bajo la “más-represión social”, los individuos están prohibidos de reaccionar. El sadomasoquismo defiende la complicidad de los individuos con ese status quo opresor, orquestado por el engaño de las ideologías difundidas por la industria cultural. ¿Será posible que esos individuos vengan a asumir sus criticidades para que se tornen constructores de la cultura?.(AU)

A captura da subjetividade pela violência simbólica da indústria cultural: da submissão à culpabilidade dos indivíduos / The appropriation of subjectivity by the symbolic violence of the cultural industry: submission to the culpability of individuals / La capture de la subjectivité par la violence symbolique de l’industrie culturelle: la soumission à la culpabilité des individus / La captura de la subjetividad por la violencia simbólica de la industria cultural: de lo sometimiento a la culpabilidad de los individuos

Neste artigo adentramos a profundidade do conceito de indústria cultural, cunhado por Horkheimer e Adorno (1985), para atravessar suas imbricações com as fantasias inconscientes, em especial as de natureza destrutiva. A violência simbólica da indústria cultural, quando internalizada pelos indivíduos, veicula os modelos identificatórios exigidos pela sociedade de consumo para universalizar a lógica da mercadoria entre todos eles. Essa perversão nos processos de constituição das subjetividades conduz às suas estandardizações nos moldes que Theodor Adorno identifica como de pseudoindivíduos, atados simbioticamente uns aos outros. Existe uma similaridade entre esses conceitos adornianos e o de “sentimento inconsciente de culpabilidade” de Freud, em que esse autor identifica processos de autopunição subjetiva quando, sob a “mais-repressão social”, os indivíduos estão proibidos de reagir. O sadomasoquismo sustenta a cumplicidade dos indivíduos com esse status quo opressor, orquestrado pelo engano das ideologias difundidas pela indústria cultural. Será possível que esses indivíduos venham a assumir as suas criticidades para tornarem-se construtores da cultura?.

This current research deepens the concept of cultural industry, coined by Horkheimer and Adorno (1985), so that its overlapping with unconscious fantasies, especially destructive one, may be understood. When subjects internalize the symbolic violence of cultural industry, they transfer the identification models required by consumption society and universalize the object logic among all. The perversion in the subjectivities’ constitution processes leads towards the standardization of models which Adorno identifies as pseudo-individual symbiotically linked to one another. A similarity exists between these concepts by Adorno and Freud’s “unconscious feeling of guilt” in which the latter identifies processes of subjective self-punishment when subjects are impaired to react due to “social repression”. Sadomasochism sustains the subjects’ complicity with such an oppressing status quo, orchestrated by the mistake of ideologies diffused by the cultural industry. Is it possible that these subjects appropriate their critical possibilities to become culture-builders?.

Dans cet article nous nous sommes enfoncées dans le concept de l’industrie culturelle, battu par Horkheimer e Adorno (1985), pour traverser ses imbrications avec les fantaisies inconscientes, notamment celles de nature destructive. La violence symbolique de l’industrie culturelle, quand internalizée par les individus, véhicule les modèles identificatoires exigés par la société de consommation pour universalizer parmis ceux-là, la logique de la marchandise. Cette perversion dans les processus de constitution des subjectivités, emmène vers ses standardisations dans des modèles identifiés par Theodor Adorno comme des pseudo-individus attachés symbiotiquement les uns aux autres. Il existe une similarité entre ces concepts adorniens et celui de ® sentiment inconscient de culpabilité ¼ de Freud où il identifie des processus d’auto-punition subjective quand les individus sont interdits de réagir sous une forte représsion sociale. Le sadomasochisme soutien la cumplicité des individus avex ce status-quo oppresseur, orchestré par la trompérie des idéologies difusées par l’industrie culturele. Sera-t-il possible que ces individus assumissent ses esprits critiques pour devenir bâttisseurs de la culture?.

En este artículo adentramos a la profundidad del concepto de industria cultural, acuñado por Horkheimer y Adorno (1985), para atravesar sus imbricaciones con las fantasías inconscientes, en especial las de naturaleza destructiva. La violencia simbólica de la industria cultural, cuando interiorizada por los individuos, lleva los modelos identificativos exigidos por la sociedad de consumo para universalizar la lógica de la mercadería entre todos ellos. Esa perversión en los procesos de constitución de las subjetividades conduce a sus estandarizaciones en los moldes que Theodor Adorno identifica como de pseudo-individuos, atados simbióticamente unos a los otros. Existe una similitud entre esos conceptos adornianos y el de “sentimiento inconsciente de culpabilidad” de Freud, en que ese autor identifica procesos de auto-punición subjetiva cuando, bajo la “más-represión social”, los individuos están prohibidos de reaccionar. El sadomasoquismo defiende la complicidad de los individuos con ese status quo opresor, orquestado por el engaño de las ideologías difundidas por la industria cultural. ¿Será posible que esos individuos vengan a asumir sus criticidades para que se tornen constructores de la cultura?.

Masochism revisited: reflections on masochism and its childhood antecedents.

Masochism, originally described as sexual perversion by Sacher von Masoch, was elaborated by Freud to include personality pathology, and further developed by Bieber and others. The DSM-III included sexual perversion and personality pathology as separate diagnoses, but were totally eliminated from the DSM-IV. It is the author's thesis that the masochist's self-abnegating language is diagnostic--a disguised attack expressing fear, hate, and contempt of others.

Battered women and the myth of masochism.

Domestic violence is a major health issue. Research on this problem is just in its infancy. It remains a problem because there has been widespread acceptance of violence in our culture as a means of solving and dealing with problems. Women have been the targets. Waites admonishes health professionals to stop using the concept of masochism as an explanation for abusive behavior. She asks instead for us to look at female motivation in terms of the actual choices that are available and the realistic consequences of these choices. Perhaps only then will health professionals become able to break the cycle of violence and intervene in a way that stops the woman from becoming another homicide statistic.

[The concept of masochism]. / Situation du masochisme.

The terms masochism and masochistic behaviour are clinically used for acceptations extending well beyond the relatively well-defined limits of sexual perversion. If it is indeed rather unusual to see a masochist pervert identified as such among psychiatric hospital or ambulatory patients, yet you very often find in a medical record the term masochist applied to a patient without there being any question of his sexual habits. This enlargement of the concept masochism has its roots in the works of Freud who introduces, next to the masochist perversion, notions of feminine and moral masochism. The aim of this paper is to re-situate in the light of psycho-analytic theory, the specificity of the various masochistic formulas in order to render them their semiologistic value, more particularly in connection with the therapeutic indications involved.