Table 1

Proposed Criterion B Wording for the DSM-5 Paraphilias

ExhibitionismB. The person has clinically significant distress or impairment in important areas of functioning or has sought sexual stimulation from exposing the genitals to unsuspecting strangers on three or more separate occasions.
FetishismB. The person has clinically significant distress or impairment in important areas of functioning.
FrotteurismB. The person has clinically significant distress or impairment in important areas of functioning or has sought sexual stimulation from touching and rubbing against nonconsenting persons on three or more separate occasions.
PedohebephiliaB. One or more of the following signs or symptoms:
  1. The person has clinically significant distress or impairment in important areas of functioning, because of sexual attraction to children.

  2. The person has sought sexual stimulation on separate occasions from either of the following:

    1. Two or more different children, if both are prepubescent.

    2. Three or more different children, if one or more are pubescent

  3. Repeated use of, and greater arousal from, pornography depicting prepubescent or pubescent children than from pornography depicting physically mature persons, for a period of six months or longer.

Sexual masochismB. The person has clinically significant distress or impairment in important areas of functioning.
Sexual sadismB. The person has clinically significant distress or impairment in important areas of functioning or has sought sexual stimulation from behaviors involving the physical or psychological suffering of nonconsenting persons on two or more separate occasions.
Transvestic fetishismB. The person has clinically significant distress or impairment in important areas of functioning.
VoyeurismB. The person has clinically significant distress or impairment in important areas of functioning or has sought sexual stimulation from observing unsuspecting persons who are naked, disrobing, or engaging in sexual activity on three or more separate occasions.