4. Diagnostic
Criteria
Over a period of at least 6 months
Intense sexually arousing fantasies, urge
and behavior involving sexual activities
with a prepubescent child.
The sexual urges cause marked distress or
interpersonal difficulties.
The individual is at least 16 year or 5 year
older than the child.
5. Categories
Exclusive type
• attracted only to children
Nonexclusive type
Attracted toward male
Attracted toward female
Attractive toward both
Limited to incest.
7. Risk and
Prognostic
Factors
Temperamental
Males with antisocial personality disorder may be consider at a risk
factor for pedophilic disorder.
Environment
There is a correlation reflects a causal influence of childhood abuse
on adult pedophilic.
Genetics and physiological
there are some evidence that neurodevelopmental perturbation in
utero increases the probability of development of pedophilic disorder.
11. Fetishistic
Disorder
is diagnosed when a specific body
part that is not a sexual organ or an
item an inanimate article of
another person’s gives the
individual sexual pleasure. Items
that are used for sexual gratification
can range from scarves and shoes to
pantyhose and blouses, and the
person may use the item when a
partner is not there.
12. Diagnostic
criteria
Over a period of 6 month, recurrent and
intense sexual arousal by use of non living
things.
Highly specific focus on nongenital body part
manifested by fantasies, urge or behavior.
The fantasies cause significant distress or
impairment in social, occupational or other
important areas of functioning.
The fetish object are not limited to clothing in
cross dressing or devices specifically designed
for the purpose of tactile genital stimulation.
14. Culture related diagnostic
issues
• Knowledge of an appropriate
consideration for normative
aspects of sexual behavior are
important to explore and
establish a clinical diagnosis of
fetishistic disorder to distinguish
a clinical diagnosis from socially
acceptable sexual behavior.
Gender related diagnostic
issue
• This disorder has not been
systematically reported in
females.
• It is exclusively reported in
males.
15. Functional
consequences
Solitary sexual activity
associate with fetishtic
preference even while involved
in a affectionate relationship.
Sexually dysfunction during
romantic reciprocal
relationship when preferred
fetish object is absent.
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16. Differential
diagnosis
Fetishistic disorder is not
diagnosed when fetish object are
limited to article of clothing
exclusive worn ,or object is
genitally
Sexually masochism or
sadomasochism and transvestic
disorder co occur
