Pharaphilias

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"Sexual perversity" redirects here. For the play by David Mamet, see Sexual Perversity in Chicago.
Paraphilia
Classification and external resources
MeSH D010262
Paraphilia (in Greek para παρά = beside and -philia φιλία = friendship, meaning love) is a biomedical term used to describe sexual arousal to objects, situations, or individuals that are not partof normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her. A paraphilia involves sexual arousal and gratification, involving a sexual behavior that is atypical or extreme.[1] The term was coined by Wilhelm Stekel in the 1920s.[2] Sexologist John Money later popularized the term as a nonpejorative designation for unusualsexual interests.[3][4][5][6] He described paraphilia as "a sexuoerotic embellishment of, or alternative to the official, ideological norm."[7]
In the late 19th century, psychologists and psychiatrists started to categorize various paraphilias as they wanted a more descriptive system than the legal and religious constructs of sodomy[8] and perversion.[9] Before the introduction of the term paraphiliain the DSM-III (1980), the term sexual deviation was used to refer to paraphilias in the first two editions of the manual.[10] In 1981 an article published in American Journal of Psychiatry described paraphilia as "recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving:[11]
Non-human objects
The suffering or humiliation of oneself or one's partnerChildren
Non-consenting persons[12]
Until 1973, homosexuality was included in this list.[13][14][15][16]
The view of paraphilias as disorders is not universal. Some groups seeking greater understanding and acceptance of sexual diversity have lobbied for changes to the legal and medical status of unusual sexual interests and practices. Charles Allen Moser, a physician and advocate for sexualminorities, has argued that the diagnoses should be eliminated from diagnostic manuals.[17] Psychiatrist Glen Gabbard writes that despite efforts by Stekel and Money, "the term paraphilia remains pejorative in most circumstances."[18]
In the current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), a paraphilia is not diagnosable as a psychiatric disorder unless it causesdistress to the individual or harm to others.[1] The DSM-5 draft adds a terminology distinction between the two cases, stating that "paraphilias are not ipso facto psychiatric disorders", and defining paraphilic disorder as "a paraphilia that causes distress or impairment to the individual or harm to others".[19] This will make a clear distinction between a healthy person with a non-normativesexual behavior and a person with a psychopathological non-normative sexual behavior.
Contents  [hide] 
1 General concerns
1.1 Terminological
1.2 Classification
1.3 Homosexuality
2 Clinical views
2.1 Neurodevelopmental correlates in men
2.2 Classifications and theories
2.3 Diagnostic and Statistical Manual of Mental Disorders
2.3.1 DSM-I and DSM-II
2.3.2 DSM-III through DSM-IV-TR
2.3.3DSM-5 draft
2.4 Intensity and specificity
2.5 Drug treatments
2.5.1 Hormonal
2.5.2 Psychoactive
3 United States legal cases
4 See also
5 References
6 External links
[edit]General concerns

[edit]Terminological
Paraphilial psychopathology is not the same as psychologically normative adult human sexual behaviors, sexual fantasy, and sex play. These terms have been used in interchangeableways which can allow for cognitive and clinical diagnostic misjudgment to occur. Consensual adult activities and adult entertainment that may involve some aspects of sexual roleplay, novel, superficial, or trivial aspects of sexual fetishism, or may incorporate the use of sex toys are not necessarily paraphilic.[12]
[edit]Classification
It is not known how many different kinds of paraphilias...