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Paraphilic disorders are a heterogeneous group of deviant sexual interests listed within the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). In understanding paraphilic disorders, it is important to consider both the factors that are related to the lifetime development of a paraphilic disorder and the risk of acting on the paraphilia and committing a sexual offense. Understanding risk for paraphilic disorders is largely based on research examining those who have acted on a paraphilia and, thus, may meet the criteria for a paraphilic disorder in the DSM-5. Very little is known about people who have a paraphilia but have not acted on it, particularly in relation to the likelihood of committing a first sexual offense.

Risk for the Lifetime Development of a ...

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