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A paraphilia is a condition in which a person's sexual arousal and gratification depend on fantasizing about and engaging in sexual behavior that is atypical and extreme. A paraphilia can revolve around a particular object (children, animals, underwear) or around a particular act (inflicting pain, exposing oneself).
In American psychiatry, prior to the publication of the DSM-I, paraphilias were classified as cases of psychopathic personality with pathologic sexuality. The DSM-I (1952) included sexual deviation as a personality disorder of sociopathic subtype.oinage of the term paraphilia (paraphilie) has been credited to Friedrich Salomon Krauss in 1903, and it entered the English language in 1913, in reference to Krauss by urologist William J. Robinson. It was used with some regularity by Wilhelm Stekel in the 1920s.