How Crazy Is Your Sex Life? Find Out, According To The DSM

sexual masochism -- one of the DSM-V's paraphiliasThe latest controversy surrounding “psychiatry’s bible,” the Diagnostic and Statistical Manual of Mental Disorder, concerns sexual fetishes, which psychiatric types call “paraphilias.” The DSM contains a list and definitions of paraphilias—things like “exhibitionism” and “sexual masochism”—though they’re not considered mental illnesses on their own.

The final definitions and paraphilias for the DSM-V, due out in May, haven’t been released yet. But the current manual, DSM-IV, lists eight different specific paraphilias, along with a ninth category for paraphilia “not otherwise specified.”

Curious if your favorite fetish gets its own classification? Or just wondering what the most common categories of paraphilia are? Well, click through! We’ve put together a gallery that combines three of health bloggers favorite things: Sex, DSM definitions and stock photos. Enjoy!


Exhibitionism

Exhibitionism: The recurrent urge or behavior to expose one's genitals to an unsuspecting person, or to perform sexual acts that can be watched by others.

Fetishsm

Fetishism: The use of inanimate objects to gain sexual excitement. Partialism refers to fetishes specifically involving nonsexual parts of the body (i.e. foot fetishes, pantyhose fetishes, leather fetishes, etc.).

Frotteurism

Frotteurism: Recurrent urges of behavior of touching or rubbing against a nonconsenting person. [I could not find a picture of this so I went with this woman sexily rubbing up against her stove.]

Pedophilia

Pedophilia: Strong sexual attraction to prepubescent children. But how can pedophilia not be considered a mental illness? Because paraphilias describe the urge or attraction alone, not how (or whether) its acted upon. The DSM-5 draft states that "paraphilias are not ipso facto psychiatric disorders." A paraphilia that "causes distress or impairment to the individual or harm to others" is called a paraphilic disorder. Obviously, acting on a pedophilic urge would cause harm to others, which puts someone who actually engages in pedophilia in the "paraphilic disorder" diagnoses range.

Sexual Masochism

Sexual Masochism: The recurrent urge or behavior of wanting to be humiliated, beaten, bound, or otherwise made to suffer for sexual pleasure.

Sexual Sadism

Sexual Sadism: The recurrent urge or behavior involving acts in which the pain or humiliation of a person is sexually exciting.

Transvestic Fetishism

Transvestic fetishism: Arousal from wearing "clothing associated with members of the opposite sex."

Voyeurism

Voyeurism: The recurrent urge or behavior to observe an unsuspecting person who is naked, disrobing, or engaging in sexual activities, or who is engaging in activities usually considered to be of a private nature.

Paraphilia NOS

Under Paraphilia NOS (not otherwise specified), the DSM mentions telephone scatologia (the urge to make obscene phone calls), necrophilia (sexual arousal re: corpses), partialism (exclusive sexual focus on one part of the body), zoophilia (sex with animals), coprophilia (eces), klismaphilia (enemas), urophilia (urine) and emetophilia (vomit).
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