"Parasexual" redirects here. For parasexuality in microbiology see bacterial conjugation. Paraphilia Classification and external resources MeSH D010262
Paraphilia (in Greek para beside and -philia friendship having the meaning of love) is a biomedical term used to describe sexual arousal to objects situations or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her. A paraphilia is a condition involving sex fetishes where a person's sexual arousal and gratification depend on fantasizing about and engaging in sexual behavior that is atypical and extreme. 1 The term was coined by Wilhelm Stekel in the 1920s.2 Controversial sexologist John Money later popularized the term as a nonpejorative designation for unusual sexual interests.3456 He described paraphilia as "a sexuoerotic embellishment of or alternative to the official ideological norm."7
Psychologists and psychiatrists codified paraphilias as disorders as a replacement for the legal constructs of sodomy8 and perversion.9 American Journal of Psychiatry10 describes paraphilia as "recurrent intense sexually arousing fantasies sexual urges or behaviors generally involving: nonhuman objects or the suffering or humiliation of oneself or one's partner or children or nonconsenting persons"11
Sexual arousal in association with objects that were designed for sexual purposes is not DSM diagnosable (DSM p. 570).11
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 sexual minorities has argued that the diagnoses should be eliminated from diagnostic manuals.12 Psychiatrist Glen Gabbard writes that despite efforts by Stekel and Money "the term paraphilia remains pejorative in most circumstances." 13 Contents 1 General concerns 1.1 Terminological 1.2 Classificational 1.3 Homosexuality 2 Clinical views 2.1 Intensity and specificit
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A doctor has been suspended from practising for nine months after pleading guilty to possessing images of child sex abuse.

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perversion: Definition, Synonyms from Answers.com
A paraphilia is a condition involving sex fetishes where a person's sexual ... In preferred paraphilias, a person prefers the paraphilia to conventional sexual ...
y 2.2 Drug treatments 2.2.1 Hormonal 2.2.2 Psychoactive 3 See also 4 References 5 Further reading 6 External links // General concerns 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 interchangeable ways 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.11 Classificational
It is not known how many different kinds of paraphilias exist; one source lists as many as 547 paraphilias.14 Because so many paraphilias exist one needs to classify them in an orderly and meaningful way. It has long been argued that the Diagnostic and Statistical Manual of Mental Disorders (DSM) system of classification makes unjustified categorical distinctions between disorders and between normal and abnormal. Although the DSM-V may move away from this categorical approach in some limited areas some argue that a fully dimensional spectrum or complaint-oriented approach would better reflect the evidence.15161718
There is scientific and political controversy regarding the continued inclusion of sex-related diagnoses such as the paraphilias in the DSM.1920 Homosexuality
Homosexuality was at one time categorized as a form of paraphilia.21 Martin Kafka writes "Sexual disorders once considered paraphilias (e.g. homosexuality) are now regarded as variants of normal sexuality."22 Researcher Anil Aggrawal writes that the 1952 first edition of the Diagnostic and Statistical Manual of Mental Disorders considered it "deviant sexuality" and specified "the type of the pathological behavior such as homosexuality transvestism pedophilia fetishism and sexual sadism including rape sexual assault mutilation)."23 Originally coded as 000-x63 homosexuality was the top of the classification list (Code 302.0) until it was removed in 1973. Clinical views
Albert Eulenburg (1914) noted a co
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Family First NZ is calling for the doctor who pleaded guilty to possessing images of child sex to be named.

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List of paraphilias - Wikipedia, the free encyclopedia
A 2009 list contains a total of 547 paraphilias, but leads with the statement that "Not all these paraphilias have necessarily been seen in clinical setups. ...
mmonality across the paraphilias using the terminology of his time "All the forms of sexual perversion...have one thing in common: their roots reach down into the matrix of natural and normal sex life; there they are somehow closely connected with the feelings and expressions of our physiological erotism. They are...hyperbolic intensifications distortions monstrous fruits of certain partial and secondary expressions of this erotism which is considered 'normal' or at least within the limits of healthy sex feeling."24
The clinical literature contains reports of many paraphilias only some of which receive their own entries in the diagnostic taxonomies of the American Psychiatric Association or the World Health Organization.2526 There is disagreement regarding which sexual interests should be deemed paraphilic disorders versus normal variants of sexual interest. For example as of May 2000 per DSM-IV-TR "Because some cases of Sexual Sadism may not involve harm to a victim (e.g. inflicting humiliation on a consenting partner) the wording for sexual sadism involves a hybrid of the DSM-III-R and DSM-IV wording (i.e. the person has acted on these urges with a non-consenting person or the urges sexual fantasies or behaviors cause marked distress or interpersonal difficulty)".27
Paraphilias are defined by DSM-IV-TR as sexual disorders characterized by "recurrent intense sexually arousing fantasies sexual urges or behaviors generally involving (1) nonhuman objects (2) the suffering or humiliation of oneself or one's partner or (3) children or other nonconsenting persons that occur over a period of 6 months" (Criterion A) which "cause clinically significant distress or impairment in social occupational or other important areas of functioning" (Criterion B). DSM-IV-TR describes 8 specific disorders of this type (exhibitionism fetishism frotteurism pedophilia sexual masochism sexual sadism voyeurism and transvestic fetishism) along with a ninth residual category paraphilia not otherwise specified (NOS).28 Criterion B differs for exhibitionism frotteurism and pedophilia to include acting on these urges and for sadism acting on these urges with a nonconsent
Rape, Psychiatry, and Constitutional Rights—Hard Cases Make For Very Bad Law
Dr Frances was the chair of the DSM-IV Task Force and of the department of psychiatry at Duke University School of Medicine, Durham, NC. He is currently professor emeritus at Duke. Dr Frances is a frequent blogger on issues related to DSM-5; please visit www.psychiatrictimes.com/dsm-5 to read his blogs.

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Paraphilia 〜白日夢〜

Paraphilia | Define Paraphilia at Dictionary.com
Paraphilia definition, a type of mental disorder characterized by a preference for or obsession with unusual sexual practices, as pedophilia, sadomasochism, ...
ing person.11
Some paraphilias may interfere with the capacity for sexual activity with consenting adult partners.11 According to the DSM "Paraphilias are almost never diagnosed in females"11 but some case studies of females with paraphilias have been published.29
The DSM provides clinical criteria for these paraphilias: 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. Fetishism: the use of inanimate objects to gain sexual excitement. Partialism refers to fetishes specifically involving nonsexual parts of the body. Frotteurism: recurrent urges of behavior of touching or rubbing against a nonconsenting person. Pedophilia: a psychological disorder in which an adult experiences a sexual preference for prepubescent children30 or has engaged in child sexual abuse.313233 Sexual Masochism: the recurrent urge or behavior of wanting to be humiliated beaten bound or otherwise made to suffer for sexual pleasure. Sexual Sadism: the recurrent urge or behavior involving acts in which the pain or humiliation of a person is sexually exciting. Transvestic fetishism: arousal from "clothing associated with members of the opposite sex."1134 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.3536
Under Paraphilia NOS the DSM mentions telephone scatalogia (obscene phone calls) necrophilia (corpses) partialism (exclusive focus on one part of the body) zoophilia (animals) coprophilia (feces) klismaphilia (enemas) urophilia (urine) emetophilia (vomit). The DSM's Paraphilia NOS is equivalent to the ICD-9's Sexual Disorder NOS.
The literature includes single-case studies of exceedingly rare and idiosyncratic paraphilias. These include an adolescent male who had a strong fetishistic interest in the exhaust pipes of cars a young man with a similar interest in a specific type of car and a man who had a paraphilic interest in sneezing (both his own and the sneezing of others).3738 See also List of pa
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A Lehigh County man is on his way to state prison and subject to lifetime Megan's Law sanctions after being sentenced Tuesday in Schuylkill County Court for sexually assaulting a girl at various times for almost three years.Randy P. Reinert, 34, of New

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Why Homosexuality Should Be Banned

Paraphilia (paraphilias) information on MedicineNet.com
Learn about paraphilias behaviors includes paraphilia causes and treatment.
raphilias. Intensity and specificity
Clinicians distinguish between optional preferred and exclusive paraphilias11 though the terminology is not completely standardized. An "optional" paraphilia is an alternative route to sexual arousal. For example a man with otherwise unremarkable sexual interests might sometimes seek or enhance sexual arousal by wearing women's underwear. In preferred paraphilias a person prefers the paraphilia to conventional sexual activities but also engages in conventional sexual activities. For example a man might prefer to wear women's underwear during sexual activity whenever possible. In exclusive paraphilias a person is unable to become sexually aroused in the absence of the paraphilia.citation needed Drug treatments
The treatment of paraphilias and related disorders has been challenging for patients and clinicians. In the past surgical castration was advocated as a therapy for men with pedophilia but has been abandoned for the time being because most governments consider it a cruel punishment where the express willingness and consent of the patient is not objectively indicated. Psychotherapy self-help groups and pharmacotherapy (including anti-androgen hormone therapy sometimes referred to as "chemical castration") have all been used. Other drug treatments for these disorders do exist however.39 Hormonal
Antiandrogenic drugs such as medroxyprogesterone (also known as the long-acting contraceptive Depo Provera) have been widely used as therapy in these men to reduce sex drive. However their efficacy is limited and they have many side effects including breast growth headaches weight gain and reduction in bone density. Even if compliance is good only 60 to 80 percent of men benefit from this type of drug. Long-acting gonadotropin-releasing hormones such as Triptorelin (Trelstar) which reduces the release of gonadotropin hormones are also used. This drug is a synthetic hormone which may also lead to reduced sex drive.39 Psychoactive
Psychostimulants have been used recently to augment the effects of serotonergic drugs in paraphiliacs. In theory the prescription of a psychostimulant without pretreatment

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[ heat rending sorrow ] paraphilia

Paraphilia - Psychology Wiki
In psychology and sexology, paraphilia (in Greek para παρά = besides and '-philia' φιλία = love) is a term that describes sexual arousal in response ...
with an SSRI might further disinhibit sexual behavior but when taken together the psychostimulant may actually reduce impulsive tendencies. Methylphenidate (Ritalin) is an amphetamine-like stimulant used primarily to manage the symptoms of attention deficit hyperactivity disorder (ADHD). Recent studies imply that methylphenidate may also act on serotonergic systems; this may be important in explaining the paradoxical calming effect of stimulants on ADHD patients. Amphetamine is also used medically as an adjunct to antidepressants in refractory cases of depression.39 See also Psychology portal Sexuality portal Courtship disorder Developmental psychology Dorian Gray syndrome Hebephilia Human development Human sexuality John Money Kink (sexual) List of paraphilias Lovemap Psychosexual development Richard von Krafft-Ebing for history of classifying sexual object choice as a disease Sex and the law Sexual fetishism -phil- (list of philias) References Diagnostic and Statistical Manual of Mental Disorders 1994. Stekel Wilhelm (1930) Sexual Aberrations: The Phenomenon of Fetishism in Relation to Sex translated from the 1922 original German edition by S. Parker. Liveright Publishing. Weiderman M (2003). Paraphilia and Fetishism. The Family Journal July 2003 vol. 11 no. 3 315-321 Bullough VL (1995). Science in the Bedroom: A History of Sex Research p. 281. Basic Books ISBN 9780465072590 Moser C (2001). Critiques of conventional models of sex therapy. in Kleinplatz PJ (ed.) New directions in sex therapy: innovations and alternatives. Psychology Press ISBN 9780876309674 McCammon S Knox D Schacht C (2004). Choices in sexuality p. 476. Atomic Dog Publishing ISBN 9781592600502 Money John (1990). Gay Straight and In-Between: The Sexology of Erotic Orientation. Oxford University Press ISBN 9780195063318 Dailey Dennis M. (1989). The Sexually Unusual: Guide to Understanding and Helping. Haworth Press ISBN 9780866567862 Purcell Catherine E. and Bruce A. Arrigo (2006). The psychology of lust murder: paraphilia sexual killing and serial homicide. Academic Press ISBN 9780123705105 138:210-215. a b c d e f g h American Psychiatric Association. (2

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Paraphilia - WrongDiagnosis.com
Paraphilia symptoms, causes, diagnosis, and treatment information for Paraphilia (Paraphilias) with alternative diagnoses, full-text book chapters, ...
000). Diagnostic and statistical manual of mental disorders (4th ed. text rev.). Washington DC: Author. Moser C Kleinplatz PJ (2005). DSM-IV-TR and the Paraphilias: An argument for removal. Journal of Psychology and Human Sexuality 17(3/4) 91-109. Gabbard GO (2007). Gabbard's Treatments of Psychiatric Disorders. American Psychiatric Press. ISBN 9781585622160 Aggrawal Anil (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press. ISBN 1420043080.  Spitzer Robert L M.D. Williams Janet B.W D.S.W. First Michael B M.D. Gibbon Miriam M.S.W. Biometric Research Maser JD & Akiskal HS. et al. (2002) Spectrum concepts in major mental disorders Psychiatric Clinics of North America Vol. 25 Special issue 4 Krueger RF. Watson D. Barlow DH. et al. (2005) Toward a Dimensionally Based Taxonomy of Psychopathology Journal of Abnormal Psychology Vol 114 Issue 4 Bentall R. (2006) Madness explained : Why we must reject the Kraepelinian paradigm and replace it with a 'complaint-orientated' approach to understanding mental illness Medical hypotheses vol. 66(2) pp. 220-233 Alexander B. (2008) What's normal sex Shrinks seek definition Controversy erupts over creation of psychiatric rule book's new edition MSNBC Today May. Kleinplatz P. J. & Moser C. (2005). Politics versus science: An addendum and response to Drs. Spitzer and Fink. Journal of Psychology and Human Sexuality 17 135-139. Hutchinson GE (1959). A speculative consideration of certain possible forms of sexual selection in man. American Naturalist Vol 93 no. 869 (March/April 1959 pp. 81-91 Kafka MP (1996). Therapy for Sexual Impulsivity: The Paraphilias and Paraphilia-Related Disorders. Psychiatric Times Vol. 13 No. 6 Aggrawal Anil (2008). Forensic and medico-legal aspects of sexual crimes and unusual sexual practices p. 47. CRC Press ISBN 9781420043082 Eulenburg (1914). Ueber sexualle Perversionen. Ztschr. f. Sexualwissenschaft Vol. I No. 8. translated in Stekel Wilhelm. (1940). Sexual aberrations: The phenomena of fetishism in relation to sex. New York: Liveright p. 4. OCLC 795528 psyweb.com "Axis I. Clinical Disorders mo


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Flagstaff AZ Psychiatrist Doctors - Paraphilia (paraphilias ...
Flagstaff Psychiatrist Doctors physician directory - Learn about paraphilias behaviors includes paraphilia causes and treatment.

Sexual Paraphilias-Ebook Telson USA

st V-Codes and conditions that need Clinical attention". Retrieved: 23 November 2007. World Health Organization International Statistical Classification of Diseases and Related Health Problems (2007) Chapter V Block F65; Disorders of sexual preference. Retrieved 2007-11-29. Summary of Practice-Relevant Changes to the DSM-IV-TR from Diagnostic and Statistical Manual of Mental Disorders (DSM) http://www.psychiatrictimes.com/display/article/10168/55266 Paraphilias: Clinical and Forensic Considerations April 15 2007 Psychiatric Times. Vol. 24 No. 5 from Psychiatric Times Fedoroff J. P. Fishell A. & Fedoroff B. (). A case series of women evaluated for paraphilic sexual disorders. Canadian Journal of Human Sexuality 8. World Health Organization International Statistical Classification of Diseases and Related Health Problems: ICD-10 Section F65.4: Paedophilia (online access via ICD-10 site map table of contents) Finkelhor David; Sharon Araji (1986). A Sourcebook on Child Sexual Abuse: Sourcebook on Child Sexual Abuse. Sage Publications. p. 90. ISBN 0803927495.  "pedophilia". Encyclopdia Britannica. http://www.britannica.com/eb/article-9058932.  medem.com Hirschfeld M. (1910). Die tranvestiten Transvestites. Berlin: Alfred Pulvermacher. Hirschfeld M. (1938). Sexual anomalies and perversions: Physical and psychological development diagnosis and treatment (new and revised edition). London: Encyclopaedic Press. Smith R. S. (1976). Voyeurism: A review of the literature. Archives of Sexual Behavior 5 585-608. Padmal de Silva (March 2007). "Sexual disorder and psychosexual therapy". Psychiatry (Elsevier Ltd) 6 (3): 130134. doi:10.1016/j.mppsy.2006.12.009. http://www.sciencedirect.com/scienceobArticleURL&udiB82Y7-4N0GJN5-6&user10&coverDate03%2F31%2F2007&rdoc1&fmt&origsearch&sortd&viewc&acctC000050221&version1&urlVersion0&userid10&md50e747196d9865801e85db7b1c2942c5b.  King M.B. (1990). "Sneezing as a fetish object". Sex Marital Therapy 5: 6972. doi:10.1016/j.mppsy.2006.12.009.  a b c M. Williams. Sexual Compulsivity: Defining Paraphilias and Related Disorders "Psychoa


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Paraphilia Lichtblick

Discovery Health "Paraphilia"
What is the definition of paraphilia? Learn about the different forms of paraphilia to help you understand this atypical sexual behavior.

Paraphilia Medical Guide Qontro

ctive Drug Treatments". Retrieved 23 November 2007 Further reading Elisabeth Roudinesco Why Psychoanalysis New York Columbia University Press 2003. Elisabeth Roudinesco Our Dark Side a History of Perversion Cambridge Polity Press 2009. External links DSM-IV and DSM-IV-TR list of paraphilias Kurt Freund Paraphilia Scales by Ray Blanchard of UofT Proposed diagnostic criteria for sex and gender section of DSM5 v  d  e Paraphilias List of paraphilias Abasiophilia  Acrotomophilia  Agalmatophilia  Algolagnia  Andromimetophilia/Gynemimetophilia  Apotemnophilia  Autassassinophilia  Autoandrophilia/Autogynephilia  Biastophilia  Chremastistophilia  Chronophilia  Coprophilia  Dacryphilia  Dendrophilia  Dippoldism  Emetophilia  Erotic asphyxiation  Erotophonophilia  Exhibitionism  Formicophilia  Frotteurism  Gerontophilia  Hebephilia  Homeovestism  Hybristophilia  Infantophilia  Katoptronophilia  Kleptophilia  Klismaphilia  Lactaphilia  Macrophilia  Narratophilia  Nasophilia  Necrophilia  Object sexuality  Olfactophilia  Paraphilic infantilism  Partialism  Pecattiphilia  Pedophilia  Pictophilia  Pyrophilia  Sadomasochism  Salirophilia  Sexual fetishism  Somnophilia  Sthenolagnia  Symphorophilia  Telephone scatologia  Transvestic fetishism  Transvestophilia  Trichophilia  Troilism  Urolagnia  Vorarephilia  Voyeurism  Zoophilia  Zoosadism   Japanese concepts Bukkake  Ero guro  Futanari  Gokkun  Japanese bondage  Lolicon  Nyotaimori  Omorashi  Panchira  Ryona  Shotacon  Tamakeri   See also Courtship disorder  Human sexual activity  Sexology  Sexual fetishism v  d  e Sex Physiological events Erection  Inseminat

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paraphilia: Definition from Answers.com
paraphilia n. Any of a group of psychosexual disorders characterized by sexual fantasies, feelings, or activities involving a nonhuman object, a
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