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Sexual Addictions and Sexual Orientations

1. Apotemnophilia - sexual arousal associated with the stump(s) of an amputee

2. Asphyxophilia - sexual gratification derived from activities that involve oxygen deprivation through hanging, strangulation, or other means

3. Autogynephilia – the sexual arousal of a man by his own perception of himself as a woman or dressed as a woman (p. 574)

4. Bisexual - the capacity to feel erotic attraction toward, or to engage in sexual interaction with, both males and females

5. Coprophilia - sexual arousal associated with feces (p. 576)

6. Exhibitionism - the act of exposing one’s genitals to an unwilling observer to obtain sexual gratification (p. 569)

7. Fetishism/Sexual Fetishism - obtaining sexual excitement primarily or exclusively from an inanimate object or a particular part of the body (p. 570)

8. Frotteurism - approaching an unknown woman from the rear and pressing or rubbing the penis against her buttocks (p. 570)

9. Heterosexuality – the universal norm of sexuality with those of the opposite sex

10. Homosexual/Gay/Lesbian - people who form sexual relationships primarily or exclusively with members of their own gender

11. Gender Identity Disorder – a strong and persistent cross-gender identification, which is the desire to be, or the insistence that one is, or the other sex, “along with” persistent discomfort about one’s assigned sex or a sense of the inappropriateness in the gender role of that sex (p. 576)

12. Gerontosexuality - distinct preference for sexual relationships primarily or exclusively with an elderly partner

13. Incest - sex with a sibling or parent

14. Kleptophilia - obtaining sexual excitement from stealing

15. Klismaphilia - erotic pleasure derived from enemas (p. 576)

16. Necrophilia - sexual arousal and/or activity with a corpse (p. 576)

17. Partialism - A fetish in which a person is sexually attracted to a specific body part exclusive of the person (p. 576)

18. Pedophilia - Sexual activity with a prepubescent child (generally age 13 years or younger). The individual with pedophilia must be age 16 years or older and at least 5 years older than the child. For individuals in late adolescence with pedophilia, no precise age difference is specified, and clinical judgment must be used; both the sexual maturity of the child and the age difference must be taken into account; the adult may be sexually attracted to opposite sex, same sex, or prefer either (p. 571)

19. Prostitution - the act or practice of offering sexual stimulation or intercourse for money

20. Sexual Masochism - obtaining sexual gratification by being subjected to pain or humiliation (p. 573)

21. Sexual Sadism - the intentional infliction of pain or humiliation on another person in order to achieve sexual excitement (p. 574)

22. Telephone Scatalogia - sexual arousal associated with making or receiving obscene phone calls (p. 576)

23. Toucherism - characterized by a strong desire to touch the breast or genitals of an unknown woman without her consent; often occurs in conjunction with other paraphilia

24. Transgenderism – an umbrella term referring to and/or covering transvestitism, drag queen/king, and transsexualism

25. Transsexual - a person whose gender identity is different from his or her anatomical gender

26. Transvestite - a person who is sexually stimulated or gratified by wearing the clothes of the other gender

27. Transvestic Fetishism – intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing (p. 575)

28. Urophilia - sexual arousal associated with urine (p. 576)

29. Voyeurism - obtaining sexual arousal by observing people without their consent when they are undressed or engaged in sexual activity (p. 575)

30. Zoophilia/Bestiality - engaging in sexual activity with animals (p. 576)

NOTE: Page numbers are from “Paraphilias,” Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (Washington: American Psychiatric Association, 2000), pp. 566-582

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