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      Female Sexual Dysfunction: A Case Study of Disease Mongering and Activist Resistance

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      Publication date (Electronic):
      Journal: PLoS Medicine
      Publisher: Public Library of Science

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          Abstract

          Tiefer highlights key steps in the "creation" of a new diagnosis, female sexual dysfunction, and of the campaign to challenge its reductionist approach to women's sexual problems.

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          Impotence

          (1993)
          Article 0 comments Cited 174 times – based on 0 reviews     Review now
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            Report of the international consensus development conference on female sexual dysfunction: definitions and classifications.

            R Basson, J Berman, A F Burnett … (2000)
            Female sexual dysfunction is highly prevalent but not well defined or understood. We evaluated and revised existing definitions and classifications of female sexual dysfunction. An interdisciplinary consensus conference panel consisting of 19 experts in female sexual dysfunction selected from 5 countries was convened by the Sexual Function Health Council of the American Foundation for Urologic Disease. A modified Delphi method was used to develop consensus definitions and classifications, and build on the existing framework of the International Classification of Diseases-10 and DSM-IV: Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, which were limited to consideration of psychiatric disorders. Classifications were expanded to include psychogenic and organic causes of desire, arousal, orgasm and sexual pain disorders. An essential element of the new diagnostic system is the "personal distress" criterion. In particular, new definitions of sexual arousal and hypoactive sexual desire disorders were developed, and a new category of noncoital sexual pain disorder was added. In addition, a new subtyping system for clinical diagnosis was devised. Guidelines for clinical end points and outcomes were proposed, and important research goals and priorities were identified. We recommend use of the new female sexual dysfunction diagnostic and classification system based on physiological as well as psychological pathophysiologies, and a personal distress criterion for most diagnostic categories.
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              The making of a disease: female sexual dysfunction.

              Ray Moynihan (2003)
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                Author and article information

                Journal
                Journal ID (nlm-ta): PLoS Med
                Journal ID (publisher-id): pmed
                Title: PLoS Medicine
                Publisher: Public Library of Science (San Francisco, USA )
                ISSN (Print): 1549-1277
                ISSN (Electronic): 1549-1676
                Publication date (Print): April 2006
                Publication date (Electronic): 11 April 2006
                Volume: 3
                Issue: 4
                Electronic Location Identifier: e178
                Author notes

                Competing Interests: The author has declared that no competing interests exist.

                Leonore Tiefer is Clinical Associate Professor of Psychiatry, New York University School of Medicine, New York, New York, United States of America. E-mail: Leonore.Tiefer@ 123456med.nyu.edu

                Article
                DOI: 10.1371/journal.pmed.0030178
                PMC ID: 1434501
                PubMed ID: 16597176
                SO-VID: 324f1143-16ce-4199-965e-b411ff6de8eb
                Copyright © Copyright: © 2006 Leonore Tiefer. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                Categories
                Subject: Essay
                Subject: Clinical Pharmacology
                Subject: Medical History
                Subject: Sexual Health
                Subject: Urology
                Subject: Women's Health
                Subject: Women's Health
                Subject: Sexual Health
                Subject: Drugs and Adverse Drug Reactions
                Subject: History
                Subject: Urology

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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