ABSTRACT
Table 13.1 Paraphilias Fetishism Reliance on an inanimate object for sexual arousal or gratification Fetishistic transvestism Wearing of clothes in order to create the appearance of the opposite gender,
for the purposes of sexual arousal. In contrast to transsexual transvestism, the clothes are removed with decline of sexual arousal
Exhibitionism Recurrent tendency to expose genitalia to strangers in public places, without a desire for contact. Sexual excitement at the time is usual, and masturbation commonly follows
Voyeurism Recurrent tendency to watch unsuspecting people engaging in sexual or intimate activity. Usually associated with masturbation
Paedophilia A persistent sexual preference for pre-pubertal or early pubertal children. About 20% are gender non-specific, and they tend to be attracted to younger (less physically differentiated) children
Sadomasochism A preference for sexual activity involving the infliction of pain or humiliation either on the subject (masochism), on the subject’s partner (sadism), or both
Other paraphilias Includes frotteurism, necrophilia, zoophilia, coprophilia, urophilia; many others have been described
• Sexual interests: – deviant sexual interests (e.g. children or violence) – a high sexual drive or preoccupation with sexual thoughts.