Paraphilic Disorders

anomalous activity preferences

first group of paraphilic disorders

algolagnic disorders

involve pain and suffering (sexual masochism disorder and sexual sadism disorder

courtship disorders

which resemble distorted components of human courtship behavior (voyeuristic disorder, exhibitionistic disorder, and frotteuristic disorder)

anomalous target preferences

These disorders include one directed at other humans (pedophilic disorder) and two directed elsewhere (fetishistic disorder and transvestic disorder).

paraphilia

paraphilia denotes any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners.

paraphilic disorder

a paraphilia that is currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, or risk of harm, to others

6 months

duration of voyeuristic disorder

Voyeuristic Disorder

intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors

In a controlled environment

This specifier is primarily applicable to individuals living in institutional or other settings where opportunities to engage in voyeuristic behavior are restricted.

In full remission

The individual has not acted on the urges with a nonconsenting person, and there has been no distress or impairment in social, occupational, or other areas of functioning, for at least 5 years while in an uncontrolled environment.

Exhibitionistic Disorder

recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors.

Sexually aroused by exposing genitals to physically mature individuals

The person prefers to expose themselves to adults

Sexually aroused by exposing genitals to prepubertal children and to physically mature individuals

The person is aroused by exposing to both children and adults

Sexually aroused by exposing genitals to prepubertal children

The person prefers to expose themselves to children

Frotteuristic Disorder

recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors

Sexual Masochism Disorder

recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviors.

With asphyxiophilia

If the individual engages in the practice of achieving sexual arousal related to restriction of breathing.

Sexual Sadism Disorder

recurrent and intense sexual arousal from the physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviors.

Pedophilic Disorder

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).

at least 16 years old and at least 5 years older than the child

minimum age to be diagnosed with pedophilic disorder

Exclusive type

attracted only to children

penile plethysmography

a technique used to objectively measure male sexual arousal by assessing changes in penile volume in response to various stimuli.

Fetishistic Disorder

recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on nongenital body part(s), as manifested by fantasies, urges, or behaviors

partialism

fetishistic disorder exclusive focus on a body part

Transvestic Disorder

recurrent and intense sexual arousal from cross-dressing, as manifested by fantasies, urges, or behaviors.

With fetishism

If sexually aroused by fabrics, materials, or garments

With autogynephilia

If sexually aroused by thoughts or images of self as a woman

telephone scatologia

obscene phone calls

coprophilia

feces

klismaphilia

enemas

aversion therapy

in which a paraphilic stimulus such as a slide of a nude prepubescent girl for a man with pedophilia is paired with an aversive event such as forced inhalation of noxious odors or a shock to the arm.

covert sensitization

the patient imagines a highly aversive event while viewing or imagining a paraphilic stimulus

assisted covert sensitization

a foul odor is introduced to induce nausea at the point of peak arousal

Cognitive restructuring

attempts to eliminate sex offenders’ cognitive distortions because these may play a role in sexual abuse