Paraphilias -period of at least 6 months, as manifested by fantasies,
urges, or behaviors, against a non-consenting person
DSM grouping
Anomalous (abnormal) activity preference
Anomalous target preference
Courtship disorders - Voyeuristic, exhibitionistic, frotteuristic
Directed at other human -Pedophilic
directed elsewhere - Transvestic, fetishistic
Algolagnic disorder - (pain and suffering related) Sexual masochism, sexual sadism
Theories
Biological Theory - highly charged sexual experiences that reinforce the person’s experience of sexual pleasure
Psychodynamic Theory - early emotional trauma interferes with normal psychosexual development
Biological Perspective - the rate of the XYY chromosome abnormality was much higher in men who had committed sexually motivated homicide, compared to the general population.
over 18 percent of all of the families with paraphilias had first-degree relatives
with sexual deviancy.
is familial and specific and noted
the need for further studies to clarify the manner of transmission
VOYEURISTIC DISORDER -observing
an unsuspecting person who is naked.
the person is at least 18 years of age
EXHIBITIONISTIC DISORDER- sexual arousal from the exposure of one’s
genitals to an unsuspecting person
FROTTEURISTIC DISORDER- intense sexual arousal from touching or rubbing
SEXUAL MASOCHISM DISORDER- recurrent and intense sexual arousal from the act of being
humiliated, beaten, bound, or otherwise made to suffer
Sexual Sadism Disorder- sexual arousal from the physical or
psychological suffering of another person
Pedophilic Disorder- prepubescent child or children (generally age 13 years or
younger)
individual is at least age 16 years and at least 5 years older than the child or children
•Pedophilia-Sexual attraction to prepubescent children ( < 11 years)
Hebephilia- – Sexual attraction to pubescent children (10-14 Years)
Pedohebephile – Sexual attraction to either or both
Teleiophilia – sexual attraction to adults
Fetishistic Disorder- sexual arousal from either the use of
nonliving objects or a highly specific focus on the nongenital body part(s)
Transvestic Disorder - wearing clothing of the opposite sex
Most cross-dressers have transvestism rather than transvestic disorder
Other Specified Paraphilic Disorder- the clinician chooses to communicate the specific reason that the presentation does not meet the criteria
for any specific paraphilic disorder.
telephone scatologia (obscene phone calls), necrophilia
(corpses), zoophilia (animals), coprophilia (feces), klismaphilia (enemas), or urophilia (urine)
Unspecified Paraphilic Disorder - clinician chooses not to specify the reason that the criteria are not met for a specific paraphilic disorder,
and includes presentations in which there is insufficient information to make a more specific diagnosis.
