Paraphilic Disorders: persistent and intense atypical sexual arousal patterns that are accompanied by clinically significant distress or impairment. Several subtypes associated with sexual offending are defined below. Each requires fantasies, urges, or behaviors that follow recurrent and intense sexual arousal.

The following disorders are listed in the DSM-5:

  • Exhibitionistic Disorder: arousal from the exposure of one’s genitals to an unsuspecting person
  • Frotteuristic Disorder: arousal from touching or rubbing against a nonconsenting person
  • Pedophilic Disorder: arousal involving sexual activity with a prepubescent child
  • Sexual Sadism Disorder: arousal from the physical or psychological suffering of another person
  • Voyeuristic Disorder: arousal from observing an unsuspecting person who is naked, is in the process of disrobing, or is engaging in sexual activity 

The following disorders are not listed in the DSM-5 but are used by Czech psychiatrists:

  • Aggressive Sadism: arousal from immobilizing one’s victim 
  • Pathological Sexual Aggression: arousal from the resistance by one’s victim
  • Toucherism: arousal from touching a nonconsenting person