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Paraphilic Disorders

DOI: 10.1176/appi.books.9780890425596.877882

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Paraphilic disorders included in this manual are voyeuristic disorder (spying on others in private activities), exhibitionistic disorder (exposing the genitals), frotteuristic disorder (touching or rubbing against a nonconsenting individual), sexual masochism disorder (undergoing humiliation, bondage, or suffering), sexual sadism disorder (inflicting humiliation, bondage, or suffering), pedophilic disorder (sexual focus on children), fetishistic disorder (using nonliving objects or having a highly specific focus on nongenital body parts), and transvestic disorder (engaging in sexually arousing cross‑dressing). These disorders have traditionally been selected for specific listing and assignment of explicit diagnostic criteria in DSM for two main reasons: they are relatively common, in relation to other paraphilic disorders, and some of them entail actions for their satisfaction that, because of their noxiousness or potential harm to others, are classed as criminal offenses. The eight listed disorders do not exhaust the list of possible paraphilic disorders. Many dozens of distinct paraphilias have been identified and named, and almost any of them could, by virtue of its negative consequences for the individual or for others, rise to the level of a paraphilic disorder. The diagnoses of the other specified and unspecified paraphilic disorders are therefore indispensable and will be required in many cases.

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References

Abel GG, Becker JV, Cunningham-Rathner J, et al: Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16(2):153–168, 1988
[PubMed]
 
Abel GG, Osborn CA, Twigg DA: Sexual assault through the life span: adult offenders with juvenile histories, in The Juvenile Sex Offender. Edited by Barbaree H, Marshall W, Hudson S. New York, Guilford, 1993, pp 104–117
 
Bradford JM, Boulet J, Pawlak A: The paraphilias: a multiplicity of deviant behaviours. Can J Psychiatry 37(2):104–108, 1992
[PubMed]
 
Krueger RB: The DSM diagnostic criteria for sexual sadism. Arch Sex Behav 39(2):325–345, 2010
[PubMed]
 
Levitt EE, Moser C, Jamison KV: The prevalence and some attributes of females in the sadomasochistic subculture: a second report. Arch Sex Behav 23(4):465–473, 1994
[PubMed]
 
Richters J, de Visser RO, Rissel CE, et al: Demographic and psychosocial features of participants in bondage and discipline, “sadomasochism” or dominance and submission (BDSM): data from a national survey. J Sex Med 5(7):1660–1668, 2008
[PubMed]
 
Weinberg TS: Sadomasochism and the social sciences: a review of the sociological and social psychological literature. J Homosex 50(2/3):17–40, 2006
[PubMed]
 
Yates PM, Hucker SJ, Kingston DA: Sexual sadism: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 213–230
 
Abel GG, Becker JV, Cunningham-Rathner J, et al: Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16(2):153–168, 1988
[PubMed]
 
Abel GG, Osborn CA, Twigg DA: Sexual assault through the life span: adult offenders with juvenile histories, in The Juvenile Sex Offender. Edited by Barbaree H, Marshall W, Hudson S. New York, Guilford, 1993, pp 104–117
 
Bradford JM, Boulet J, Pawlak A: The paraphilias: a multiplicity of deviant behaviours. Can J Psychiatry 37(2):104–108, 1992
[PubMed]
 
Cairns FJ, Ranier SP: Death from electrocution during auto-erotic procedures. N Z Med J 94(693):259–260, 1981
[PubMed]
 
Freund K, Seto MC, Kuban M: Masochism: a multiple case study. Sexology 4(2):313–324, 1995
 
Hucker SJ: Sexual masochism: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 250–263
 
Hucker SJ: Hypoxyphilia. Arch Sex Behav 40(6):1323–1326, 2011
[PubMed]
 
Krueger RB: The DSM diagnostic criteria for sexual masochism. Arch Sex Behav 39(2):346–356, 2010
[PubMed]
 
Richters J, de Visser RO, Rissel CE, et al: Demographic and psychosocial features of participants in bondage and discipline, “sadomasochism” or dominance and submission (BDSM): data from a national survey. J Sex Med 5(7):1660–1668, 2008
[PubMed]
 
Blanchard R: Clinical observations and systematic studies of autogynephilia. J Sex Marital Ther 17(4):235–251, 1991
[PubMed]
 
Blanchard R: The DSM diagnostic criteria for transvestic fetishism. Arch Sex Behav 39(2):363–372, 2010
[PubMed]
 
Buhrich N: Motivation for cross-dressing in heterosexual transvestism. Acta Psychiatr Scand 57(2):145–152, 1978
[PubMed]
 
Buhrich N, Beaumont T: Comparison of transvestism in Australia and America. Arch Sex Behav 10(3):269–279, 1981
[PubMed]
 
Hucker SJ, Blanchard R: Death scene characteristics in 118 fatal cases of autoerotic asphyxia compared with suicidal asphyxia. Behav Sci Law 10(4):509–523, 1992
 
Långström N, Zucker KJ: Transvestic fetishism in the general population: prevalence and correlates. J Sex Marital Ther 31(2):87–95, 2005
[PubMed]
 
Person E, Ovesey L: The transsexual syndrome in males, II: secondary transsexualism. Am J Psychother 28(2):174–193, 1974
[PubMed]
 
Wilson GD, Gosselin C: Personality characteristics of fetishists, transvestites and sadomasochists. Pers Individ Diff 1:289–295, 1980
 
Abel GG, Becker JV, Cunningham-Rathner J, et al: Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16(2):153–168, 1988
[PubMed]
 
Bradford JM, Boulet J, Pawlak A: The paraphilias: a multiplicity of deviant behaviours. Can J Psychiatry 37(2):104–108, 1992
[PubMed]
 
Fedora O, Reddon JR, Morrison JW, et al: Sadism and other paraphilias in normal controls and aggressive and nonaggressive sex offenders. Arch Sex Behav 21(1):1–15, 1992
[PubMed]
 
Freund K, Seto MC, Kuban  M: Frotteurism and the theory of courtship disorder, in Sexual Deviance: Theory, Assessment, and Treatment. Edited by Laws DR, O’Donohue WT. New York, Guilford, 1997, pp 111–130
 
Kafka MP: Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav 39(2):377–400, 2010
[PubMed]
 
Krueger RB, Kaplan MS: Frotteurism: assessment and treatment, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 150–163
 
Långström N: The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism. Arch Sex Behav 39(2):317–324, 2010
[PubMed]
 
Lussier P, Piché L: Frotteurism: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 131–149
 
Abel GG, Becker JV, Cunningham-Rathner J, et al: Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16(2):153–168, 1988
[PubMed]
 
Bradford JM, Boulet J, Pawlak A: The paraphilias: a multiplicity of deviant behaviours. Can J Psychiatry 37(2):104–108, 1992
[PubMed]
 
Fedora O, Reddon JR, Morrison JW, et al: Sadism and other paraphilias in normal controls and aggressive and nonaggressive sex offenders. Arch Sex Behav 21(1):1–15, 1992
[PubMed]
 
Gebhard PH, Gagnon JH, Pomeroy WB, Christenson C: Sex Offenders: An Analysis of Types. New York, Harper & Row, 1965
 
Kafka MP: Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav 39(2):377–400, 2010
[PubMed]
 
Kafka MP, Hennen J: A DSM-IV Axis I comrobidity study of males (n = 120) with paraphilias and paraphilia-related disorders. Sex Abuse 14(4):349–366, 2002
[PubMed]
 
Långström N: The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism. Arch Sex Behav 39(2):317–324, 2010
[PubMed]
 
Långström N, Seto MC: Exhibitionistic and voyeuristic behavior in a Swedish national population survey. Arch Sex Behav 35(4):427–435, 2006
[PubMed]
 
Lavin M: Voyeurism: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 305–319
 
Mann RE, Ainsworth F, Al-Attar Z, Davies M: Voyeurism: assessment and treatment, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 61–75
 
Abel GG, Osborn C: The paraphilias: the extent and nature of sexually deviant and criminal behavior. Psychiatr Clin North Am 15(3):675–687, 1992
[PubMed]
 
Chalkley AJ, Powell GE: The clinical description of forty-eight cases of sexual fetishism. Br J Psychiatry 142:292–295, 1983
[PubMed]
 
Freund K, Seto MC, Kuban M: Two types of fetishism. Behav Res Ther 34(9):687–694, 1996
[PubMed]
 
Gebhard PH, Gagnon JH, Pomeroy WB, Christenson C: Miscellaneous offenders, in Sex Offenders: An Analysis of Types. New York, Harper & Row/Paul B Hoeber Medical Books, 1965a, pp 400–421
 
Gebhard PH, Gagnon JH, Pomeroy WB, Christenson C: Sample description, in Sex Offenders: An Analysis of Types. New York, Harper & Row, 1965b, pp 27–53
 
Gosselin C, Wilson G: Sexual Variations. London, Faber & Faber, 1980
 
Junginger J: Fetishism: assessment and treatment, in Sexual Deviance: Theory, Assessment, and Treatment. Edited by Laws DR, O’Donohue W. New York, Guilford, 1997, pp 92–110
 
Kafka MP: The DSM diagnostic criteria for fetishism. Arch Sex Behav 39(2):357–362, 2010
[PubMed]
 
Scorolli C, Ghirlanda S, Enquist M, et al: Relative prevalence of different fetishes. Int J Impot Res 19(4):432–437, 2007
[PubMed]
 
Weinberg MS, Williams CJ, Calhan C: Homosexual foot fetishism. Arch Sex Behav 23(6):611–626, 1994
[PubMed]
 
Wilson GD, Gosselin C: Personality characteristics of fetishists, transvestites and sadomasochists. Pers Individ Diff 1:289–295, 1980
 
Abel GG, Becker JV, Cunningham-Rathner J, et al: Multiple paraphilic diagnoses among sex offenders. Bull Am Acad Psychiatry Law 16(2):153–168, 1988
[PubMed]
 
Bradford JM, Boulet J, Pawlak A: The paraphilias: a multiplicity of deviant behaviours. Can J Psychiatry 37(2):104–108, 1992
[PubMed]
 
Fedora O, Reddon JR, Morrison JW, et al: Sadism and other paraphilias in normal controls and aggressive and nonaggressive sex offenders. Arch Sex Behav 21(1):1–15, 1992
[PubMed]
 
Firestone P, Kingston DA, Wexler A, Bradford JM: Long-term follow-up of exhibitionists: psychological, phallometric, and offense characteristics. J Am Acad Psychiatry Law 34(3):349–359, 2006
[PubMed]
 
Gebhard PH, Gagnon JH, Pomeroy WB, Christenson C: Sex Offenders: An Analysis of Types. New York, Harper & Row, 1965
 
Långström N: The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism. Arch Sex Behav 39(2):317–324, 2010
[PubMed]
 
Långström N, Seto MC: Exhibitionistic and voyeuristic behavior in a Swedish national population survey. Arch Sex Behav 35(4):427–435, 2006
[PubMed]
 
Morin JW, Levenson JS: Exhibitionism: assessment and treatment, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 76–107
 
Murphy W, Page I: Exhibitionism: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 61–75
 
Barbaree HE, Blanchard R: Sexual deviance over the lifespan: reductions in deviant sexual behavior in the aging sex offender, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 37–60
 
Camilleri JA, Quinsey VL: Pedophilia: assessment and treatment, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008, pp 183–212
 
Cantor JM, Blanchard R, Robichaud LK, Christensen BK: Quantitative reanalysis of aggregate data on IQ in sexual offenders. Psychol Bull 131(4):555–568, 2005
[PubMed]
 
Cohen LJ, Galynker II: Clinical features of pedophilia and implications for treatment. J Psychiatr Pract 8(5):276–289, 2002
[PubMed]
 
Hall RC, Hall RC: A profile of pedophilia: definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues. Mayo Clin Proc 82(4):457–471, 2007
[PubMed]
 
Seto MC: Pedophilia and sexual offenses against children. Annu Rev Sex Res 15:321–361, 2004
[PubMed]
 
Seto MC: Pedophilia and Sexual Offending Against Children: Theory, Assessment, and Intervention. Washington, DC, American Psychological Association, 2008a
 
Seto MC: Pedophilia: psychopathology and theory, in Sexual Deviance: Theory, Assessment, and Treatment, 2nd Edition. Edited by Laws DR, O’Donohue WT. New York, Guilford, 2008b, pp 164–182
 
Seto MC: Pedophilia. Annu Rev Clin Psychol 5:391–407, 2009
[PubMed]
 
Seto MC, Cantor JM, Blanchard R: Child pornography offenses are a valid diagnostic indicator of pedophilia. J Abnorm Psychol 115(3):610–615, 2006
[PubMed]
 
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