On the other hand, a person who acts upon these urges yet experiences no distress about their fantasies or urges can also qualify for the diagnosis. Acting on sexual urges is not limited to overt sex acts for purposes of this diagnosis, and can sometimes include indecent exposure, voyeuristic or frotteuristic behaviors, or masturbating to child pornography. Often, these behaviors need to be considered in-context with an element of clinical judgment before a diagnosis is made. Likewise, when the patient is in late adolescence, the age difference is not specified in hard numbers and instead requires careful consideration of the situation.Ego-dystonic sexual orientation (66 .1 F 66 .1) includes people who acknowledge that they have a sexual preference for prepubertal children, but wish to change it due to the associated psychological or behavioral problems (or both). Debate regarding criteria
There was discussion on the DSM-IV-TR being overinclusive and underinclusive. Its criterion A concerns sexual fantasies or sexual urges regarding prepubescent children, and its criterion B concerns acting on those urges or the urges causing marked distress or interpersonal difficulty. Several researchers discussed whether or not a "contented pedophile"—an individual who fantasizes about having sex with a child and masturbates to these fantasies, but does not commit child sexual abuse, and who does not feel subjectively distressed afterward—met the DSM-IV-TR criteria for pedophilia since this person did not meet criterion B. Criticism also concerned someone who met criterion B, but did not meet criterion A.
TENEX may refer to:

TENEX (operating system)
Techsnabexport, a Russian company specializing in export of nuclear materials
Tenex, a brand name for the medication guanfacine, a sympatholytic used to treat hypertension, ADHD and Anxiety
Tenex, a brand name for .22 LR ammunition manufactured by Eley Limited and widely used in high level competition such as the ISSF World Cup and Olympic Games
10X, an alternative name for superfine powdered sugar or confectioners sugar
10x, internet slang for "thanks"; see wikt:10x

See also
TENEX C shell