Fast Five Quiz: Sexual Interest Disorders (Paraphilias)

Steve Soreff, MD


December 19, 2022

The two most prevalent paraphilias are voyeuristic disorder and frotteuristic disorder. Many different paraphilias have been identified, but the DSM-5 lists these eight:

  • Voyeuristic disorder

  • Exhibitionistic disorder

  • Frotteuristic disorder

  • Sexual masochism disorder

  • Sexual sadism disorder

  • Pedophilic disorder

  • Fetishistic disorder

  • Transvestic disorder

Other paraphilias, almost any of which could develop into a paraphilic disorder in certain circumstances, include (but are not limited to):

  • Telephone scatologia (sexual pleasure by making obscene telephone calls)

  • Necrophilia (sexual intercourse with or attraction toward corpses)

  • Partialism (sexual interest with a focus on a specific part of the body)

  • Zoophilia (a sexual fixation on nonhuman animals)

  • Coprophilia (abnormal interest and pleasure in feces and defecation)

  • Klismaphilia (enjoyment of, and sexual arousal from, enemas)

  • Urophilia (sexual dependency on either the smell and/or taste of urine or the sight and sound of someone urinating)

  • Autogynephilia (a male's propensity to be sexually aroused by the thought of himself as a female)

  • Asphyxiophilia or hypoxyphilia (a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation)

  • Video voyeurism (the intent to capture an image of a private area of an individual without their consent)

  • Infantophilia (subtype of pedophilia describing a sexual preference for children younger than 5 years)

In addition to a complete history, complete mental status, physical, and neurologic examinations must be performed to assist with the evaluation and to rule out other disease processes. Ruling out other major psychiatric or other medical illnesses is critical for diagnosis and management.

Learn more about assessment of paraphilic disorders.


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