The main groups of paraphilia are described in the Fifth Edition American Diagnostic and Statistical Manual of Mental Disorders ( DSM-5 ) and the Tenth Revision International Classification of Diseases ( ICD-10 ). In the group of diagnoses F 65. “Sexual preference disorders” included in “Class V: mental disorders and behavioral disorders”, ICD-10 classifies paraphilia as follows [14] [15] :
F 65. Disorders of sexual preference, including sexual deviation and paraphilia
- F 65.0 : fetishism - the object of sexual desire is a part of the body, clothing, or some other object symbolizing a sexual partner.
- F 65.1 : Fetish transvestism - sexual satisfaction is achieved by dressing in clothes of the opposite sex.
- F 65.2 : exhibitionism - sexual satisfaction is achieved by showing others their own naked body (usually the buttocks or genitals ) outside the context of sexual relations.
- F65.21 : Exhibitionism, sadistic type - sexual satisfaction is achieved with the fear (fright) of the victim.
- F65.22 : Exhibitionism, masochistic type - sexual satisfaction is achieved with the aggressive reaction of the victim.
- F 65.3 : voyeurism - the desire to spy on sexual intercourse , naked or partially naked objects of sexual preference.
- F 65.4 : pedophilia - sexual attraction to children of pre -puberty or early puberty.
- F 65.5 : sadomasochism (including sadism and masochism) - the desire to perform actions that cause pain , are degrading, showing the subordinate position of the person to whom they are directed, or to be the object of such actions.
- F 65.6 : multiple disorders of sexual preference - a combination of several paraphilia, none of which can be recognized as the main. Most often, fetishism, transvestism and sadomasochism are combined.
- F 65.8 : other disorders of sexual preference - all other disorders of sexual preference and sexual behavior, including frotterism (tendency to rub against women in a crowd or public transport), necrophilia , bestiality , hypoxifilia (using anoxia and strangulation asphyxia to enhance sexual arousal) , telephone scatology (obscene telephone calls related to voyeurism) and others.
- F 65.9 : unspecified disorders of sexual preference - sexual deviation without further specification.
In the International Classification of Diseases of the eleventh revision ( ICD-11 version of 2018): [16]
- 6D30 : exhibitionist disorder ;
- 6D31 : voyeuristic disorder ;
- 6D32 : pedophilic disorder ;
- 6D33 : coercive sexual sadism disorder - sexual sadism with the delivery of physical or psychological suffering to a partner who did not consent to this; voluntary sadistic practices exclude the diagnosis and are not paraphilia.
- 6D34 : froter disorder ;
- 6D35 : another paraphilic disorder affecting involuntary individuals ;
- 6D36 : paraphilic disorder characterized by solitary behavior or voluntary individuals ;
- 6D3Z : paraphilic disorder, unspecified .
Thus, in the classification of ICD-11, fetishism and fetish transvestism are eliminated, and sadomasochism is replaced by violent sexual sadistic disorder. BDSM practices within the framework of the SSC principle (an abbreviation for the English words safe , sane , consensual ) exclude the diagnosis of this paraphilia.
The second edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-II, 1968), developed by the American Psychiatric Association (APA), listed the following sexual deviations ( Etion-heading">DiscographyBibliography
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