G1. The individual experiences recurrent intense sexual urges and fantasies involving unusual objects of activities.
G2. The individual either acts on the urges or is markedly distressed by them.
G3. The preference has been present for at least 6 months.
Fetishism

1. The general criteria for disorders of sexual preference must be met.
2. The fetish (some nonliving object) is the most important source of sexual stimulation or is essential for satisfactory sexual response.

Fetishistic transvestism

1. The general criteria for disorders of sexual preference must be met.
2. The individual wears articles of clothing of the opposite sex in order to create the appearance and feeling of being a member of the opposite sex.
3. The cross dressing is closely associated with sexual arousal. Once orgasm occurs and sexual arousal declines, there is a strong desire to remove the clothing.

Exhibitionism

1. The general criteria for disorders of sexual preference must be met.
2. There is either a recurrent or a persistent tendency to expose the genitalia to unsuspecting strangers (usually of the opposite sex) which is almost invariably associated with sexual arousal and masturbation.
3. There is no intention or invitation to have sexual intercourse with the “witness(es).”

Voyeurism

1. The general criteria for disorders of sexual preference must be met.
2. There is either a recurrent or a persistent tendency to look at people engaging in sexual or intimate behaviour such as undressing, which is associated with sexual excitement and masturbation.
3. There is no intention to reveal one's presence.
4. There is no intention of sexual involvement with the person(s) observed.

Pedophilia

1. The general criteria for disorders of sexual preference must be met.
2. There is a persistent or predominant preference for sexual activity with a prepubescent child or children.
3. The individual is at least 16 years old and at least 5 years older than the child or children in Criterion B.

Sadomasochism

1. The general criteria for disorders of sexual preference must be met.
2. There is preference for sexual activity, as recipient (masochism) or provider (sadism), or both, which involves at least one of the following:
   1. pain;
   2. humiliation;
   3. bondage.
3. The sadomasochistic activity is the most important source of stimulation or is necessary for sexual gratification.

Multiple disorders of sexual preference
The likelihood of more than one abnormal sexual preference occurring in one individual is greater than would be expected by chance. For research purposes the different types of preference, and their relative importance to the individual, should be listed. The most common combination is fetishism, transvestism, and sadomasochism.
Other disorders of sexual preference
A variety of other patterns of sexual preference and activity may occur, each being relatively uncommon. These include such activities as making obscene telephone calls, rubbing up against people for sexual stimulation in crowded public places (frotteurism), sexual activity with animals, use of strangulation or anoxia for intensifying sexual excitement, and a preference for partners with some particular anatomical abnormality such as an amputated limb.
Erotic practices are too diverse and many too rare or idiosyncratic to justify a separate term for each. Swallowing urine, smearing feces, or piercing foreskin or nipples may be part of the behavioral repertiore in sadomasochism. Masturbatory rituals of various kinds are common, but the more extreme practices, such as the insertion of objects into the rectum or penile urethra, or partial self-strangulation, when they take the place of ordinary sexual contacts, amount to abnormalities. Necrophilia should also be coded here.
Disorder of sexual preference, unspecified