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Chapter 19. Paraphilic Disorders

DOI: 10.1176/appi.books.9781585624836.878302
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Paraphilias are defined as intense and persistent sexual interests outside of foreplay and genital stimulation with phenotypically normal, consenting adults. A paraphilic disorder requires both the presence of a paraphilic urges and the existence of distress, dysfunction, and/or acting on the urges (as described in more detail later in this introduction). The definition of paraphilia is broad enough that there are dozens, even hundreds, of identified paraphilias and paraphilic disorders, all of which are replete with ambiguity and controversy, but DSM-5 specifically identifies only eight: voyeuristic, exhibitionistic, frotteuristic, sexual masochism, sexual sadism, pedophilic, fetishistic, and transvestic disorders.

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