There are three criteria with five specifiers in the DSM-V. The three criteria include: 1) having arousing fantasies or behaviors with a prepubescent child; 2) having acted on the desires or significant distress around these desires; and 3) is at least five years older than the child and sixteen years of age. The five specifiers include the following: •
Sexually attracted to children only
•
Sexually attracted to adults and children
•
Attracted to boys
•
Attracted to girls
•
Incestuous only
The onset of the disorder is around puberty with a prevalence of about 3-5 percent in the adult population. There is a correlation between this disorder and antisocial personality disorder. Many will have been victims as children. The DSM-V indicates a high risk of comorbidity with mood disorders, substance use disorders, anxiety disorders, and other paraphilias. It is not amenable to psychotherapy. Chemical and physical castration do not necessarily stop the behaviors.
FETISHISTIC DISORDER (302.81) This involves an individual who is sexually aroused by an object or body part AND who is distressed by their fantasies or behavior. The object or body part is not considered erotic to the average person; almost anything can be the object of the individual’s desires. The sufferer of fetishistic disorder may involve gratification in the absence of a partner. This is seen almost exclusively in men with homosexuality seen in 25 percent of those who have the disorder. There are three criteria for fetishistic disorder with four specifiers. The three criteria include the following:
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