“Basson (2014). On the definition of female sexual interest/arousal disorder.” – Article summary
The triggering of desire from competent sexual stimuli sometimes only occurs when sexual activity has begun for women. It is important to take the following things into account when describing a diagnosis:
- What is not within normal experience?
- What symptoms can be grouped into a disorder?
- What is the difference between a problematic environment and a pathology?
- What labels can be used that allow assessment and management in health care?
There are five main problems with the FSIAD diagnosis in the DSM-5:
- “Absent/reduced interest in sexual activity” should be a necessary criterion.
- “Absent/reduced sexual/erotic thoughts or fantasies” does not denote pathology and should be removed.
- “No/reduced initiation of sexual activity and unreceptive to the partner’s attempts to initiate” does not denote pathology and should be removed.
- “Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all sexual encounters should include the phrase ‘sex alone as well as sexual encounters”.
- “Absent/reduced genital and non-genital sensations during sexual activity in almost all or all sexual encounters” should denote a subtype of FSIAD rather than FSIAD itself.
The context should be assessed to evaluate the role this plays in the woman’s sexual dysfunction in this disorder.
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