Introduction
According to the Diagnostic and Statistical Manual of
Mental Disorders, 5th Edition (DSM‐5), a sexual fantasy (SF) is paraphilic if it concerns activities
outside the realm of “genital stimulation or preparatory
fondling with phenotypically normal, physically mature, consenting human partners”
(normophilic). Intensity of the paraphilic SF is also “greater than or equal to normophilic
interests.” Surprisingly, however, very few data are available to corroborate that
definition of a paraphilic SF. Although
the relatively high prevalence of paraphilic SF in the general population is well known, the
magnitude of difference between intensity of “normophilic” and “paraphilic” SF remains
to be assessed.
Aim
The main goal of this study
was to analyze the SF of adults recruited in the general population
to obtain person profiles based on the nature and intensity of their SF.
Methods
Multiple correspondence analysis
(MCA) were used with data collected from 1,501 adults recruited in the general population
to generate subgroups of participants based on the nature and intensity of their
SF.
Main outcome measures
The main outcome measures
used was a revised version of the Wilson Sex Fantasy Questionnaire.
Results
When all participants are
considered as a unique group, the mean intensity of the most intense “normophilic”SF (oral sex) is significantly higher than the
mean intensity of the most intense “paraphilic” SF (being
sexually dominated for women and watching two women having sex for men), as expected
from the DSM‐5. When clusters of participants
are considered separately, however, conclusions are nuanced. Four significant clusters
of participants (two predominantly female and two predominantly male) reported at
least one paraphilic SF with intensity as high as that of their most
intense “normophilic” SF. In fact, 57%
of this sample met the criteria of paraphilia.
Conclusion
These results suggest that
the current criteria for paraphilia are too inclusive. Suggestions are given to
improve the definition of pathological sexual interests, and the crucial difference
between SF and sexual interest is underlined.
Below: Mean intensity of each SF for the seven clusters of participants
Full article at: http://goo.gl/5t6VPk
By: 
1 , 2
1 , 2
2Philippe‐Pinel
Institute of Montreal, Montreal, Québec, Canada
Corresponding
author.
*Corresponding Author: Christian C.
Joyal, PhD, Université du Québec à Trois‐Rivières, Québec, Canada. Tel: 819‐376‐5011
ext. 3559; Fax: 819‐376‐5195; E‐mail: ac.rtqu@layoj.naitsirhc
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