Diagnosed when individual has recurrent and intense

Diagnosed when individual has recurrent and intense sexual arousal from observing
unsuspecting person who is naked + either the person has acted upon urges with a
non-consenting person or the urges/fantasies have caused distress
- May derive satisfaction from “peep shows” or live internet porn but the unsuspecting
piece of definition is key to sexual arousal
- Fear of getting caught adds to arousal
- Not a voyeur if you enjoy porn and strip clubs
- Few women meet criteria
- Usually applies to heterosexual males
- Often comorbid with sadism, masochism, exhibitionism
- Doesn’t usually lead to intrusive sexual activities like rape
- Positive association between voyeuristic behavior and substance abuse problems,
lower life satisfaction, and greater sexual interest
Exhibitionistic Disorder
- Involves recurrent and intense sexual arousal from arousal from exposure of one’s
genitals to an unsuspecting person
- Diagnosis requires a person to have acted on urges with non-consenting person or
experienced distress/impairment
- Victims reactions that creates sexual excitement

- Most common of law-breaking sexual behaviors
- Begins in adolescence and frequency decreases with age
- Masturbate to ejaculation while they expose themselves
- Masturbate to thoughts about exposure at later times
- Not aiming to scare victims – they hope victims might want to have sexual intercourse
with them or for positive/neutral reactions
- More common in men
o Possible explanation  men have fewer socially acceptable outlets for exposing
themselves than women do e.g. strip clubs, topless beaches
Telephone Scatolgia
- Diagnosed under category of “other specified paraphilic disorder”
- Shares features with exhibitionistic disorder
- Form of verbal exhibitionism  become aroused by making sexually explicit phone
calls based on reaction of victims
- May masturbate during call or while thinking about call later
- Some speak in obscene terms indiciating to victim they would like to do even
threatening them to come to their home
- May pose as police/survey representatives to ask personal questions or coerce person
in to preforming sexual acts while on the phone
- Charging for making these calls include sexual harassment/stalking
Frotteuristic Disorder
- Act of fantasizing about/engaging in rubbing against or touching a non-consenting
person
- Diagnosis  must have acted on urges with non-consenting person or experienced
distress/impairment from urges
- Sometimes touching referred to as toucherism
- Usually occurs in public/crowded areas  if caught, rubber can claim it was an
accident
- Usually males and victims usually female
- Highly comorbid with exhibitionism and voyeurism
Atypical Preferences for Algolagnic Activities
Sexual sadism and Masochism and Their Associated Disorders
- Sadism + masochism often discussed together because roles are complementary
- Combo referred to as sadomasochism
- Engaging in it with fully informed/willing/consenting partner considered part of
“kink” or BDSM lifestyle – argue this behavior should not be pathologized
- Some get pleasure from sadistic/masochist behaviors with intent to cause serious
harm/death – pathological
BDSM
- Generally known as “kink”