Paraphilic Disorders

Resources for Patients and Caregivers

Paraphilic disorders are recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and that involve inanimate objects, children or nonconsenting adults, or suffering or humiliation of oneself or the partner with the potential to cause harm.


Cluster Number:
Wiki Number: 35-Paraphila (Sex-Related) Disorder
Diagnosis: (previously known as sexual perversion and sexual deviation)
US Patients:
World Patients:
Sex Ratio:
Age Onset: 
Brain Area: 
Symptoms: “Paraphilia” has 549 variations of unusual sexual interests. They are permanent.
Progression: Wikipedia presents an extensive history of “normalizing” these urges and acts.
Therapies: Currently, they are designed to reduce the patient’s anxieties but eliminate criminal actions.

Youtube Video: Paraphilic Disorders

Amazon or Library Book: Perversion

Click the book to link or order from Amazon.

Contact your local Social Security office for possible Disability Benefits through their Disability Determination Services,

Section 12.08.

Resources for Physicians, Counselors and Researchers


The world-wide medical research
reports chosen for each diagnosis 

Clicking each title opens the
PubMed article’s summary-abstract.

  • Symptoms of exhibitionism that regress with bupropion: A case report
    by Sefa Vayısoğlu on January 23, 2023

    Exhibitionistic Disorder, one of the paraphilic disorders, is a disease with an unknown etiology and causes significant distress and loss of function in the patient's life. Serotonergic antidepressants are generally preferred in the treatment of this Disorder. However, in this case, we report a patient who did not respond to serotonergic antidepressants but bupropion, an antidepressant with dopaminergic and noradrenergic activity. Therefore, bupropion should be considered a medical treatment...

  • Acquired Pedophilia: international Delphi-method-based consensus guidelines
    by Cristina Scarpazza on January 18, 2023

    Idiopathic and acquired pedophilia are two different disorders with two different etiologies. However, the differential diagnosis is still very difficult, as the behavioral indicators used to discriminate the two forms of pedophilia are underexplored, and clinicians are still devoid of clear guidelines describing the clinical and neuroscientific investigations suggested to help them with this difficult task. Furthermore, the consequences of misdiagnosis are not known, and a consensus regarding...

  • I enjoy hurting my classmates: On the relation of boredom and sadism in schools
    by Stefan Pfattheicher on January 14, 2023

    Schools can be a place of both love and of cruelty. We examined one type of cruelty that occurs in the school context: sadism, that is, harming others for pleasure. Primarily, we proposed and tested whether boredom plays a crucial role in the emergence of sadistic actions at school. In two well-powered studies (N = 1038; student age range = 10-18 years) using both self- and peer-reports of students' boredom levels and their sadistic tendencies, we first document that sadistic behavior occurs at...

  • Masochism
    by Dominique Bourdin on December 19, 2022

    This text presents how Freud thinks about the masochism. In 1915, it is the return of active sadism in a passive drive which is characteristic of masochism, always secondary. In 1919, he sees in masochism the genesis of perversions. And the article of 1924 knows a primary masochism and distinguishes erotogenic masochism, feminine masochism and moral masochism. After Freud, many studies of clinical forms of masochism can be noted, and in France there is a thesis about the masochism as a first...