Psychotherapy High Wycombe Psychotherapy High Wycombe - Last updated 07 January 2026

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DSM-IV-TR: Sexual Sadism

Individuals with this Paraphilia use sexual fantasies, urges, or behaviors involving infliction of pain, suffering or humiliation to enhance or achieve sexual excitement.

Diagnostic criteria for 302.84 Sexual Sadism

A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person.

B. The person has acted on these urges with a nonconsenting person, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.

Based on the Diagnostic & Statistical Manual of Mental Disorders, 4th edition APA

Also: sadist, sadomasochism, Marquisde Sade, masochism

The online Diagnostic & Statistical Manual of Mental Disorders lists most of the major psychological disorders and illnesses and lists the criteria that must be fulfilled in order for a diagnosis to be made. This resource is not a substitute for proper professional psychiatric diagnosis.