ABSTRACT

Current diagnostic criteria of female sexual dysfunction (FSD) vary across diagnostic categories. The Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR; APA, 2000) categories are limited to psychiatric disorders and reflect the traditional linear models of sexual response (Kaplan, 1979; Masters & Johnson, 1966). The DSMIV-TR classifies orgasmic disorders as one of a number of sexual dysfunctions for women. This diagnostic category is further specified as lifelong or acquired, generalized or situational, and attributable to either psychological or combined psychological and medical factors. Additional criteria require that the dysfunction causes the subjective experience of marked distress and interpersonal difficulty. However, specification of the occurrence of the dysfunctional (i.e., frequency, settings, activities, encounters) is not taken into account (McCabe, 2001).