psychiatric disorders
Sexual Sadism Disorder
Diagnosis of Sexual Sadism Disorder
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria The specific clinical criteria follow ( Diagnosis reference ): Patients derive recurrent and intense sexual arousal from the physical or psychological suffering of another person; arousal is expressed in fantasies, intense urges, or behaviors. Patients have acted on their urges with a nonconsenting person, or these fantasies or urges cause clinically significant distress or impair functioning at work, in social situations, or other important areas of their lives. The condition has been present for≥6 months. The clinician must specify whether the patient is living in a controlled environment (eg, prison, institution) or in full remission (ie, has not acted on the urges with a nonconsenting partner, and there has been no distress/impairment in social, occupational, or other areas of functioning for at least 5 years in an uncontrolled environment). Sexual sadism disorder may be diagnosed in patients who deny that they have fantasies or urges related to sexual arousal triggered by the pain or suffering of others, especially if these patients report multiple sexual episodes of inflicting pain or suffering on a nonconsenting person. 1.Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition,Text Revision (DSM-5-TR). American Psychiatric Association Publishing, Washington, DC. 