Paraphilias are sexual interests in objects, situations, or individuals that are atypical. The American Psychiatric Association, in its Diagnostic and Statistical Manual, Fifth Edition (DSM), draws a distinction between paraphilias (which it describes as atypical sexual interests) and paraphilic disorders (which additionally require the experience of distress, impairment in functioning, and/or the desire to act on them with a nonconsenting person).[1][2] Some paraphilias have more than one term to describe them, and some terms overlap with others. Paraphilias without DSM codes listed come under DSM 302.9, “Paraphilia NOS (Not Otherwise Specified)”.
In his 2008 book on sexual pathologies, Anil Aggrawal compiled a list of 547 terms describing paraphilic sexual interests. He cautioned, however, that “not all these paraphilias have necessarily been seen in clinical setups. This may not be because they do not exist, but because they are so innocuous they are never brought to the notice of clinicians or dismissed by them. Like allergies, sexual arousal may occur from anything under the sun, including the sun.”[3]
Most of the following names for paraphilias, constructed in the nineteenth and especially twentieth centuries from Greek and Latin roots (see List of medical roots, suffixes and prefixes), are used in medical contexts only.
Pain, particularly involving an erogenous zone; differs from masochism as there is a biologically different interpretation of the intense sensation rather than a subjective interpretation.[13]
Amaurophilia
Being unable to see, i.e. blindness or the presence of a blindfold.[14][15][16]
Smells and odors (particularly foul ones) emanating from the body, especially the sexual areas and/or from the opposite sex (as from bad breath, urine, feces, flatulence, etc.).[4][27]
Deformed or monstrous people.[3] The term is also sometimes used in a more literal sense (from ancient Greekτέρας, teras, meaning monster) for attraction to monstrous mythical and fictional creatures such as werewolves.
Watching unsuspecting people while naked/undressing, engaging in sexual intercourse or other sexual activity, using the toilet, showering/bathing, or inadvertently flashing.[2][28]
^ abcdAggrawal A (2008). “Appendix 1”. Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. pp. 369–382. ISBN 978-1-4200-4308-2.
^ abcdefghijklmnopqMilner JS, Dopke CA (2008). “Paraphilia Not Otherwise Specified: PsychopatholoIgy and theory”. In Laws DR & O’Donohue WT (ed.). Sexual Deviance, Second Edition: Theory, Assessment, and Treatment. New York: The Guilford Press. pp. 384–418. ISBN 978-1-59385-605-2.
^Gopnik A (2010). “Hairless”. Cabinet Magazine. No. 40. Retrieved 4 October 2025.
^Money J, Simcoe KW (1986). “Acrotomophilia, sex, and disability: New concepts and case report”. Sexuality and Disability. 7 (1/2): 43–50. doi:10.1007/BF01101829. S2CID145239837.
^Kelley K, Byrne D (1986). Alternative Approaches to the Study of Sexual Behavior. Hillsdale, N.J.: Lawrence Erlbaum Associates. pp. 13–38. ISBN 978-0-89859-677-9.
^Money J, Lamacz, M (1984). “Gynemimesis and gynemimetophilia: Individual and cross-cultural manifestations of a gender-coping strategy hitherto unnamed”. Comprehensive Psychiatry. 25 (4): 392–403. doi:10.1016/0010-440X(84)90074-9. PMID6467919.
^Smith RC (2004). “Amputee identity disorder and related paraphilias”. Psychiatry. 3 (8): 27–30. doi:10.1383/psyt.3.8.27.43394.
^ abcdefghijklmnMoney, John (1988). Lovemaps: Clinical Concepts of Sexual/Erotic Health and Pathology, Paraphilia, and Gender Transposition in Childhood, Adolescence, and Maturity. Buffalo, N.Y: Prometheus Books. ISBN 978-0-87975-456-3.
^ abcdefSeto MC, Barbaree HE (2000). “Paraphilias”. In Hersen M, Van Hasselt VB (eds.). Aggression and violence: an introductory text. Boston: Allyn & Bacon. pp. 198–213. ISBN 978-0-205-26721-7.
^Bailey JM, Hsu KJ, Jang HH (2023). “Elaborating and Testing Erotic Target Identity Inversion Theory in Three Paraphilic Samples”. Archives of Sexual Behavior. 54 (8): 2805–2823. doi:10.1007/s10508-023-02647-x. PMID37415028.
^Langstrom N, Zucker KJ (2005). “Sexual interest in bodily inflation: A paraphilic condition?”. Archives of Sexual Behavior. 34 (5): 539–547. doi:10.1007/s10858-005-7959-z. PMID16211485.
^Ribisl KM, Lee RE, Henriksen L, Haladjian HH, “A content analysis of Web sites promoting smoking culture and lifestyle”, Health Educ Behav. 2003 Feb;30(1):64-78
^Aggrawal A (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. p. 79. ISBN 978-1-4200-4308-2.
^Aggrawal A (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. p. 80. ISBN 978-1-4200-4308-2.
^Scorolli C, Gulotta G (2007). “Prevalence of Fetishism in a Sample of Italian Internet Users”. International Journal of Impotence Research. 19 (5): 432–433. doi:10.1038/sj.ijir.3901572. PMID17440494.
^Aggrawal A (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. p. 81. ISBN 978-1-4200-4308-2.
^Hickey EW (2006). Sex Crimes and Paraphilia. Pearson Education. p. 87. ISBN 978-0-13-170350-6.
^Joyal CC, Carpentier J (2017). “The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey”. Journal of Sex Research. 54 (2): 161–171. doi:10.1080/00224499.2016.1139034.
^Rosman A, Rubel PG (1994). The Dippold Case and the Origins of Modern Child Protection. University of Chicago Press. pp. 45–47. ISBN 978-0226726014.
^Leone R (2019). “Sexualized Dolls and the Erotic Imagination”. Sexuality & Culture. 23 (4): 1202–1218. doi:10.1007/s12119-019-00631-2 (inactive 21 October 2025).{{cite journal}}: CS1 maint: DOI inactive as of October 2025 (link)
^Money J (1999). “Body Image Disorders and Paraphilias: The Concept of Erotic Target Location Errors”. Archives of Sexual Behavior. 28 (1): 79–93. doi:10.1023/A:1018762329215 (inactive 21 October 2025).{{cite journal}}: CS1 maint: DOI inactive as of October 2025 (link)
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^Hickey EW (2006). Sex Crimes and Paraphilia. Pearson Education. p. 165. ISBN 978-0-13-170350-6.
^Dewaraja R, Money J (1986). “Transcultural sexology: Formicophilia, a newly named paraphilia in a young Buddhist male”. Journal of Sex and Marital Therapy. 12 (2): 139–145. doi:10.1080/00926238608415401. PMID3723604.
^Williams DJ (2010). Unusual Sexual Interests: A Taxonomy. Nova Science Publishers. p. 112. ISBN 978-1-61668-123-6. {{cite book}}: Check |isbn= value: checksum (help)
^Joyal CC, Carpentier J (2017). “The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey”. Journal of Sex Research. 54 (2): 161–171. doi:10.1080/00224499.2016.1139034.
^Aggrawal A (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. pp. 78–79. ISBN 978-1-4200-4308-2.
^Scorolli C, Gulotta G (2007). “Prevalence of Fetishism in a Sample of Italian Internet Users”. International Journal of Impotence Research. 19 (5): 432–433. doi:10.1038/sj.ijir.3901572. PMID17440494.
^Laube JS, Auer MK, Biedermann SV, Schröder J, Hildebrandt T, Nieder TO, Briken P, Fuss J (2020). “Sexual Behavior, Desire, and Psychosexual Experience in Gynephilic and Androphilic Trans Women: A Cross-Sectional Multicenter Study”. The Journal of Sexual Medicine. 17 (6): 1182–1194. doi:10.1016/j.jsxm.2020.01.030. PMID32147311.
^Hickey EW (2006). Sex Crimes and Paraphilia. Pearson Education. p. 114. ISBN 978-0-13-170350-6.
^Schwartz D (1993). “Heterophilia—the love that dare not speak its aim commentary on trop and Stolorow’s ‘defense analysis in self psychology: A developmental view’“. Psychoanalytic Dialogues. 3 (4): 643–652. doi:10.1080/10481889309539000.
^Wood, Mitchell J. (2004). The Gay Male Gaze: Body image disturbance and gender oppression among gay men. In Lipton, Benjamin (ed.) Gay Men Living with Chronic Illnesses and Disabilities: From Crisis to Crossroads. Psychology Press, ISBN 978-1-56023-336-7
^Kantor, Martin (1999). The Paraphilias, in Treating Emotional Disorder in Gay Men, pp. 67 ff. Greenwood Publishing Group, ISBN 978-0-275-96333-0
^Scorolli C, Gulotta G (2007). “Prevalence of Fetishism in a Sample of Italian Internet Users”. International Journal of Impotence Research. 19 (5): 432–433. doi:10.1038/sj.ijir.3901572. PMID17440494.
^Rosman A, Rubel PG (1994). The Dippold Case and the Origins of Modern Child Protection. University of Chicago Press. pp. 45–47. ISBN 978-0226726014.
^Morandini JS, Blaszczynski A, Dar-Nimrod I (2017). “Who adopts non-traditional sexual identities?”. Psychology of Sexual Orientation and Gender Diversity. 4 (4): 472–482. doi:10.1037/sgd0000250.
^Connolly PH (2002). “Deviant Desires: A Tour of the Erotic Edge”. Sexual Addiction & Compulsivity. 9 (4): 273–287. doi:10.1080/10720160208403734 (inactive 21 October 2025).{{cite journal}}: CS1 maint: DOI inactive as of October 2025 (link)
^Williams DJ (2010). Unusual Sexual Interests: A Taxonomy. Nova Science Publishers. p. 112. ISBN 978-1-61668-123-6. {{cite book}}: Check |isbn= value: checksum (help)
^Aggrawal A (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. CRC Press. p. 91. ISBN 978-1-4200-4308-2.
^Greenberg DM, Bradford J, Curry S (1995). “Infantophilia–a new subcategory of pedophilia?: a preliminary study”. Bull Am Acad Psychiatry Law. 23 (1): 63–71. PMID7599373..
^Joyal CC, Carpentier J (2017). “The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey”. Journal of Sex Research. 54 (2): 161–171. doi:10.1080/00224499.2016.1139034.
^{{cite journal] Joyal |first=Christian C. |author2=Carpentier J |title=The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey |journal=Journal of Sex Research |volume=54 |issue=2 |year=2017 |pages=161–171 |doi=10.1080/00224499.2016.1139034}}
^Connolly PH (2002). “Deviant Desires: A Tour of the Erotic Edge”. Sexual Addiction & Compulsivity. 9 (4): 273–287. doi:10.1080/10720160208403734 (inactive 21 October 2025).{{cite journal}}: CS1 maint: DOI inactive as of October 2025 (link)
^Blanchard R (2009). “The Concept of Sexual Age Preference”. Archives of Sexual Behavior. 38 (6): 911–921. doi:10.1007/s10508-008-9446-6.
^Freund, K. (1990). L. Ellis, H. Hoffman (eds.). “Courtship disorders: Toward a biosocial understanding of voyeurism, exhibitionism, toucherism, and the preferential rape pattern”. Crime in Biological, Social, and Moral Contexts. NY: Praeger: 100–114.
^Brenda Brathwaite (2007). “Defining sex”(PDF). Sex in Video Games. London: Charles River Media. ISBN 978-1-58450-459-7. Archived from the original(PDF) on 2007-09-27. Retrieved 2013-09-26.
^Barberis N, Costa S, Castgilone C (2023). “Xenophobia and Xenophilia, the Bright and Dark Sides of Attitude Towards Foreigners: A Self-Determination Theory Approach”. Psychological Reports. 127 (5): 2427–2450. doi:10.1177/00332941231152394. PMID36634286.