Paraphilia from a Dissociative Perspective

A dissociative structural model of the psyche is proposed that can account for a wide range of symptoms across many DSM-IV categories, including sexual compulsions and addictions. The model leads to a distinct overall plan of treatment and a set of operationalized interventions aimed at integration of the self, rather than suppression of impulses. The model could be tested in epidemiological studies and then in treatment outcome studies. A composite case profile is presented to illustrate the logic of the model.