DSM- Paraphilic Disorders

What is the high-yield picture of Voyeuristic Disorder?

Sexual arousal from observing an unsuspecting person nude, disrobing, or sexually active, acted on or causing distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Person must be at least 18.

What timeframe, age, or number is most important for Voyeuristic Disorder?

6+ months

How do you differentiate Voyeuristic Disorder on an exam vignette?

A paraphilia becomes a disorder when acted on with nonconsenting persons or causes distress/impairment.

How do you differentiate Exhibitionistic Disorder on an exam vignette?

Nonconsent/acting on urges is a key legal and diagnostic concern.

What is the high-yield picture of Exhibitionistic Disorder?

Arousal from exposing genitals to an unsuspecting person, acted on or causing distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Specify target: prepubertal, mature, or both.

What timeframe, age, or number is most important for Exhibitionistic Disorder?

6+ months

What is the high-yield picture of Frotteuristic Disorder?

Arousal from touching or rubbing against a nonconsenting person, acted on or causing distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Nonconsenting-person focus.

What timeframe, age, or number is most important for Frotteuristic Disorder?

6+ months

How do you differentiate Frotteuristic Disorder on an exam vignette?

Distinguish fantasy/urge from disorder criteria of action or impairment.

What is the high-yield picture of Sexual Masochism Disorder?

Arousal from being humiliated, beaten, bound, or made to suffer, with distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: With asphyxiophilia.

What timeframe, age, or number is most important for Sexual Masochism Disorder?

6+ months

How do you differentiate Sexual Masochism Disorder on an exam vignette?

Consensual interest without distress/impairment is not automatically a disorder.

What is the high-yield picture of Sexual Sadism Disorder?

Arousal from another person's suffering, acted on with a nonconsenting person or causing distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Nonconsent is especially important.

What timeframe, age, or number is most important for Sexual Sadism Disorder?

6+ months

How do you differentiate Sexual Sadism Disorder on an exam vignette?

Differentiate consensual practices from nonconsensual action/impairment.

What is the high-yield picture of Pedophilic Disorder?

Recurrent arousal involving prepubescent children, acted on or causing marked distress/interpersonal difficulty.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Exclusive/nonexclusive; target sex; person at least 16 and 5 years older than child.

What timeframe, age, or number is most important for Pedophilic Disorder?

6+ months

How do you differentiate Pedophilic Disorder on an exam vignette?

Age requirements are highly testable.

What is the high-yield picture of Fetishistic Disorder?

Arousal involving nonliving objects or highly specific nongenital body parts, causing distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Partialism may be specified conceptually.

What timeframe, age, or number is most important for Fetishistic Disorder?

6+ months

How do you differentiate Fetishistic Disorder on an exam vignette?

Does not include clothing used in cross-dressing or devices designed for genital stimulation.

What is the high-yield picture of Transvestic Disorder?

Arousal from cross-dressing with distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: With fetishism; with autogynephilia.

What timeframe, age, or number is most important for Transvestic Disorder?

6+ months

How do you differentiate Transvestic Disorder on an exam vignette?

Cross-dressing without distress/impairment is not a disorder.