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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).
The DSM-IIIâs definition of paraphilia said it had to be necessary for sexual arousal (and not merely preferred): âThe essential feature of disorders in this subclass is that unusual or bizarre imagery or acts are necessary for sexual excitementâ (American Psychiatric Association, 1980, p. 266).s the paraphilias are sexual interests that (he supposes) do not conform to a sex-is-for-pair-bonding model, they are deviant. Likewise, Spitzer (2005), arguing that pedophilia is a mental disorder, asks what sex is for.