ABSTRACT
At the time of the last major revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994), public use of the Internet had been quite limited. During subsequent years, its rapid development and expansion has fundamentally changed how the world communicates and accesses information. Those with unpopular viewpoints or interests, heretofore excluded either by publication cost or societal repercussion, have found the World Wide Web a relatively inexpensive and expedient medium for both expression and interaction. People with atypical and/or paraphilic sexual interests and practices are included in this collective.
