In my role as the Director of The Johns Hopkins Sex and Gender Clinic, I have had the opportunity to provide care to 3 broad categories of patients: patients with sexual dysfunctions, patients experiencing gender dysphoria, and patients manifesting a paraphilic disorder
. This article will not address sexual dysfunctions or gender dysphoria, but these terms are defined in the Box (1-3) (page 23) to clearly distinguish them from paraphilic disorders
Defendant was properly designated as a sexually dangerous person despite not being diagnosed with a paraphilic disorder
because his diagnosis of a mixed personality disorder and an alcohol use disorder satisfied the statute's mental illness requirement and the government sufficiently demonstrated that he would have difficulty refraining from future sexually violent conduct because as a result of this diagnosis.
Drinking increased and he was suffering from a "paraphilic disorder
" - a "significant factor in the offending".
His drinking increased and, the court heard, he was suffering from a "paraphilic disorder
", which was a "significant factor in the offending".
K a sex addict, while a fourth and final expert maintained that ADHD, non-paraphilic hypersexuality, dysthymic disorder and paraphilic disorder
(including scatologia, and partialism, e.g., sexual interest in a human body part other than genitalia) were at the heart of Dr.
"Other paraphilic disorder
involving nonconsenting individuals" may be used for a behavior in which the focus of arousal is unwilling or unable to consent, but not specified.
diagnosis into two categories, Other Specified Paraphilic Disorder
(103) A paraphilia generally describes these various sexual illnesses, which become a "paraphilic disorder
" when they cause distress for a set amount of time.
This means that a benign fetish like being turned on by feet or enjoying some consensual bondage play would be considered a paraphilia, while having a sexual obsession with underage children would be considered a paraphilic disorder
Many patients with paraphilic disorder
are only first diagnosed after they have committed a criminal offence.
If the paraphilic interest is long-standing, persistent, and necessary for sexual enjoyment, it is considered a paraphilia, and in cases where a paraphilia results in significant distress or impairment of functioning, it is considered a paraphilic disorder
(American Psychiatric Association; APA, 2013).
Fourteen female patients referred with a suspected paraphilic disorder