Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + Download Section PDF Listen ++ For further information, see CMDT Part 25-09: Psychosexual Disorders + Key Features Download Section PDF Listen +++ ++ Atypical objects or orientations for sexual excitement Stimuli can vary from common objects such as a woman's shoe, a child, animals, instruments of torture, or aggressive acts Disorders are differentiated by the object or activity used to achieve arousal When paraphilias are associated with distress, impairment, or risk of harm, they become paraphilic disorders Some paraphilias or paraphilic disorders include exhibitionism, transvestism, voyeurism, pedophilia, incest, sexual sadism, and sexual masochism + Clinical Findings Download Section PDF Listen +++ ++ Exhibitionism is the achievement of arousal by exposing genitalia to strangers Transvestism consists of recurrent cross-dressing in a heterosexual man often in masturbation foreplay Voyeurism involves attaining arousal watching sexual activities or disrobing of an unknowing person Pedophilia is the use of a child to achieve sexual arousal and often gratification Incest involves a sexual relationship with a person—usually a child—in the immediate family Sexual sadism involves inflicting pain upon the sexual object as a means of arousal Sexual masochism is erotic pleasure being achieved by being humiliated, enslaved, or physically bound or restrained + Diagnosis Download Section PDF Listen +++ ++ Clinical history, often including court-ordered evaluations + Treatment Download Section PDF Listen +++ ++ Behavioral therapy Gonadotropin antagonists Medroxyprogesterone acetate Selective serotonin reuptake inhibitors